Insurance Customer Service

John W. Heard Jr.

**** ************ *****, ************ **. 30134

Home: 678-***-****, Cell: 404-***-****: *******@*****.***

Objective

To obtain a career-oriented position as a Medical Insurance Biller or Coder.

Professional Skills

Proficient Coder

Payment Posting

Insurance Verification

CPR Certified

HIPPA/OSHA Certified

Health Pro

HCPS, ICD-9, CPT, ICD-10

Data Entry / 10 key

Claim Gear Software

Customer Service

CMS 1450 Claims

Microsoft Word

Software Claims

Fraud, waste, and Abuse certified

Education

Everest College, Medical Insurance Billing and Coding, Certificate 2014

Columbus State University, Middle School Education, Bachelor of Science 1997

Jacksonville State University, Human Resource Management, Bachelor of Science 1987

Professional Experience

Manage Care Billing, Villa Rica, GA 2014 to 2014

Reimbursement Specialist II

Claims Follow-up/Aging Reports

Precertification/Authorizations

Electronic billing/Web base Claims

Medicaid(including CMOs) billing

Medicare (including HMOs) billing

Post payments and adjustments from patient statements, remittance advices,

and commercial carriers

Identify invoices which have a secondary payer and take the appropriate action

to insure secondary billing is complete

AmeriCorps Atlanta, GA 2013 to 2014

AmeriCorps Service Volunteer

Tabe Testing

GED Preparation

Group Activities ( mock interviews, resume writing, job searching, etc.)

Paulding Regional Youth Detention Center, Dallas, GA 2010-2013

Special Education Teacher

Developed individual IEP designed to promote educational and social development.

Supervised IEP meeting with parents, youths and staff.

Taught Language Arts, Social Sciences, Reading and GED grades 6th – 12th.

Heard County Sheriff Office, Franklin, GA 2007-2010

Detention Officer

Supervised inmates.

Intake and release booking officer.

Controlled Housing Unit Control Tower.

Operated Central Control Room

Troup County Board of Education, LaGrange, Georgia 1994-2007

Georgia History Teacher

Instructed through lectures, discussions and demonstrations in 8th grade Georgia History.

Prepare, administered, and graded tests and assignments to evaluate students' progress.

Successfully communicated with parents and students on students’ progress.

Assisted the Head Coach in High School Football activities (Assistant coach).

Independence Life Insurance Company 1989-1994

Insurance Agent

Managed a weekly and monthly insurance route with over two hundred clients.

Sold life insurance, health insurance, and fire insurance.

Processed applications, payments, corrections, endorsements and cancellations.

Presented and explained insurance policy options to clients based on their needs and goals.

Promoted client retention through high-quality service and follow through.

Presented account proposals in a professional and timely manner.

Promoted agency products to customers in person, on the telephone and in writing.

Prepared necessary paperwork to process insurance sales and renewals

Pursued continuing education and training programs to continue professional development.

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