Customer Service Medical

Melissa Smith, Medical Biller

**** ******* ***** ~ Conyers GA, 30013

Phone 678-***-**** ~ Email: **************@*****.***

CERTIFIED BILLING SPECIALIST

Medical professional for over 5 years with the ability in decreasing lost of revenue when processing medical claims.

Proficient in general office duties, including Microsoft Office and knowledge of basic business techniques and methods of using standard word processing, spreadsheet, database and other office equipment, Goal-oriented with ambition to meet daily quotas when submitting medical claims. Effective leadership, able to motivate team members, ensuring quality standards are met.

CORE STRENGTHS

Knowledge of HIPPA guidelines Organizational skills

Attention to detail Able to analyze and problem solve

Ability to multitask effectively Strong work ethic

Medicare Billing Proficient use of a 10-Key machine

Strong Communication Skills High level of customer service

WORK EXPERIENCE

Billing and Customer Service:

Accurately enter procedure code, diagnosis code and patient information into billing systems.

Manage billing department to ensure confidentially of state regulation and patient information.

Create spreadsheet to maintain accurate billing and submit report to supervisor.

Verify patient medical coverage before scheduling psychiatric appointment.

Complete accounts requiring primary insurance filing within (3) working days.

Audits and Compliance:

Remain up-to-date with all private insurance requirements, fee-for-service and managed care plans.

Conduct internal office audits to ensure that patient’s chart is in compliance with state regulations.

Able to perform and complete assignments with minimal instructions.

Expert knowledge of medical terminology, ICD-10, and CPT coding.

Ensure that all claims are in correspondence to the procedures for billing.

Collections and Claims:

Interact with internal/external customers as necessary to resolve problems and expedite payments.

Follow-up on outstanding AR balances by utilizing system work queues.

Ensure timely and accurate processing of re-bills to the appropriate insurance companies.

Responsible for answering specific inquiries regarding the billing performed.

Post payments to patient accounts and mail statement of remaining balance.

EMPLOYMENT HISTORY

Positive Growth Inc., Insurance Biller/Auditor Clarkston, GA 06/2010-Current

PDSHeart, Medical Insurance Collector Conyers, GA 04/2007-05/2008

L A Medical Billing, Payment Poster/ Collector Riverdale, GA 05/2006-04/2007

EDUCATION

Advance Career Training- MBIC Certification

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