Customer Service Medical

Shawn D. McMullen

254-***-**** or *.**********@*****.***

MEDICAL BILLING AND CODING

Certificate Expected May 2015

Possessing seven year’s experience in Medical Billing, Coding, and Collections, and an array of skills ready to be used as an employee.

Billing*Insurance Verification*Medical Records*CPR*HIPAA*CPT & ICD-9 Coding

Charge Posting*Account Follow up*Training*Customer Service*ERISA Trained

TECHNICAL SKILLS

MediSoft*Microsoft Office*Excel*Practice Management Springcharts*Metrix*CUBS

EClinicalWorks*Gateway*Greenway

Typing: 45 WPM

EDUCATION

Sanford Brown Institution (SBI), Dallas, TX www.sbdallas.com Completion 11/2009

SBI provides high quality, post-secondary programs of education in Allied Healthcare. It is a Division of Career Education Corporation, and accredited by ABHES and ACICS.

Medical Billing and Coding Program: 900 Clock Hours, including 180 hour externship

Coding and reimbursement systems, data abstracting, health records maintenance, and healthcare computer applications. Coursework includes CPT-4 and ICD-9 Coding Principles, Medical Office Accounting Computerized Billing, Computer Applications, Medical Terminology, Medical Law & Ethics, Anatomy & Physiology.

Belford University, Humble, TX 2005-2007

B.S. Kinesiology & Sports Management 3.14 GPA

EXPERIENCE

KForce Temp Agency 04/2015- 07/2015

Revenue Cycle Management

Hospital Collections/Billing

Integrated Health Care (I.H.S.) 09/2014- 02/2015

Billing and Collections/Chiropractic Office

Office Biller/Collections Specialist/Claim life cycle

Out of Network claims

Southwest Pain Group 01/2014-7/2014

Clinic for Pain Management/ Presbyterian Hospital

Office Biller/Coder/Patient Account Management/Collections

Primary biller for all office visits and procedures

Primary billing and account follow-up

Patient payment plan follow-up

Follow-up on Commercial and Medicare accounts

Cymetrix 08/2013-01/2014

Revenue Cycle Management Co.

Follow up/Account Management for John Muir

Follow-up for hospital claims

Appeals

Adjudication claims

Submitted corrected claims

Commercial, Government, and Out-of-Network claims

Fresenius Healthcare 08/2012-07/2013

Dialysis Patient Care Facility

Billing and Collections for Dialysis Patients

Follow up of denials

Submitted corrected claims

Commercial, Government, and Out-of-Network Follow up

Appeals

Balance adjustments

Insurance Verification

Advanced Pain Solutions (Kikkeri International) 11/2009-06/2012

Pain Management and Surgery Center

Billing and Collections Department

Billing Department Representative

Insurance Verification

Patient Transport

Primary and Secondary Billing

Payment plans for self-pay Patients

Appeals

Commercial, Government, Workers Comp, and Self Pay

Credentialing

Corrected Claim submission

Claim life cycle billing representative

Contact this candidate