Medical Billing

Velma L. Davis

***** **** ** #*** 832-***-****

Humble, TX 77396 *****.*******@*****.***

Enterprising and hard-working, skilled insurance/medical billing and coding specialist known for accuracy, attention to detail and timeliness in managing disbursement functions for diverse-industry employers. Seeking to obtain a position that will allow me the opportunity for professional growth based on merit and performance with a progressing company, in an office environment that utilizes my extensive computer, knowledge and experience with a client service.

Education:

Brazosport College- Lake Jackson, TX 1989

Southwestern Professional Institute- Houston, TX –Completion Date 06/2001

National Institute of Technology –Houston, TX-Completion Date 10/2005

American Intercontinental University- Houston, TX-BA Degree in Criminal Justice

Expected Graduation Date-12/2016

Skills:

Microsoft Office Suite - Data Entry

Word, Excel, Access, Power Point & Outlook CPT/ICD 9 & 10 Coding

Medicare/Medicaid Commercial & 3rd Party Insurance

Medical Terminology CMS 1500/UB92

HIPPA Payment Posting/Accounting

Explanation of Benefits Patient & Procedure Scheduling

Employment History:

NE Urgent Care: Billing Administrator 04/2012-11/2014

Daily contact to hospitals and other medical facilities

Responded to patient inquires and insurance phone calls regarding account balances, reimbursements, set up patient financial agreements and payment plans

Daily contact with sales representatives, doctors, insurances, clients and potential clients

Posted and balanced explanation of benefit payments from commercial & 3rd party insurances, and patients

Printed and mailed HCFA claims to various insurance payers

Followed-up with insurance companies on unpaid self-pay and insurance claims

Entered patient demographics for patient billing and entered patient charges

Entered, printed & mailed patients statements, itemized statements, and corrected patient account balances with credits and voids

Processed batch reports and prepared for transmission and electronically transmitted claims via billing system

Corrected EOB denials from commercial & 3rd party insurances, wrote appeal letters, and patient letters.

Responded to medical records request from outside businesses

Insurance Verification and Corrected EDI Rejects

Interpreted Explanation of Benefits

Kohl’s Department Store: Customer Service Representative 10/2009-06/2013

Courteously greeted customers and efficiently processed transactions within busy, fast-paced retail environments

Operated cash register, scanners and computers to itemize and total customer purchases

collected payments and made change for cash transactions; and balanced drawer at the end of each shift

Assisted with store stocking, floor-sets and opening/closing procedures.

Patient Account Services: Support Service Representative 08/2006-09/2009

Processed hospital & clinical payments from patients and mailed out charity applications

Submitted claims to Government, Commercial and 3rd Party Insurances for payments, denial, and adjustments.

Interpreted Explanation of Benefits

Followed up on unpaid and denied claims.

Handled all in depth research regarding patients self-pay accounts, insurance and bad debt balances

Entered, printed and mailed out over 300 patient hospital statements due for collections every month and corrected patient account balances with credits and voids

Secured payments from patients, posted patient payments, processed patient charges, set up financial agreements and payment plans on patient accounts to avoid them from going to collections

Effectively explained policies, procedures, and referred each account for proper resolution and provided feedback to the department where the concern originated

Your Quality Healthcare Inc.: Billing Clerk 02/2005-07/2006

QA checked and fixed patient charts for final billing history and corrections

Entered and Transmitted Oasis information to be submitted to the state

Posted skill nursing notes for payroll

Entered patients demographics and eligibilities for referral intakes and insurance verification

Obtain referral letters for patients procedures from insurance company and other medical facilities

References Available Upon Request

Contact this candidate