Medical Billing
Resume:
TAMIKA BOYKIN ** Country Club Road
Eatontown, New Jersey 07724
CORE COMPETENCIES:
Medical Billing Specialist with 8 years of professional experience, with expertise in conducting Medical Billing and filing Insurance Claims with Medicare, Medicaid, Commercial, No-Fault/Auto and Worker's Compensation carriers
Experience managing resolution of billing appeals as required by State regulated guidelines
Experience dealing with Appeals with regards to various insurance carriers including BCBS, Nationwide Insurance Company, Aetna, and Emblem Health
Experience working with AIG for 5 years as a Dental Claims Specialist
Excellent communication and interpersonal skills
Able to work in fast paced environment
Resourceful and highly motivated
Can be counted to get the job done without supervision
Highly dependable, punctual, and efficient
SKILLS:
MS Word, MS Excel, Internet, Medical Billing, ICD- 9 codes, CPT, HIPAA, Knowledge of Medicaid, Medical Claims, Commercial, No-Fault/Auto and Worker's Compensation Claims.
EXPERIENCE:
Dominion Medical Management, Wall, NJ April 2010 – November 2013
Medical Billing Specialist/ Representative
Filed Insurance Claims to Medicare, Medicaid, Commercial, No-Fault/Auto and Worker's Compensation carriers.
Empact EBS/Secova (TPA), Brick, NJ October 2009 – April 2010
Call Center Representative/Third party Administration
Third party administration of employee benefits: including FSA balances, medical claims assistance/advice, and family status changes
New Employee benefits enrollment, 401k enrollment, and managed open enrollment for employers
Posted Medical Policy Premium payments daily
Direct contact with payers for claim resolution on behalf of the claim
Dealt with Insurance Benefits of patients and appropriately resolved it
Marketing Plus, Woodbridge, NJ May 2008 – March 2009
Sales Collections
Check to ensure that appropriate changes were made to resolve customers' problems
Refer unresolved customer grievances to designated departments for further investigation
Solicit sales of new or additional services or products
Contact prospective customers to present information and explain available services
Prepare forms or agreements to complete sales
American International Group (AIG), Neptune, NJ June 2000 – September 2005
Dental Claims Specialist
Identify and research problems and respond to customer concerns in a timely manner
Ability to handle premium issues concerning claims
Managed resolution of billing appeals as required by State regulated guidelines
Act as liaison between insurer and plan administrator answering questions concerning benefits and eligibility issues
Handle a heavy call volume100-125 calls per day
Olsten Staffing, Shrewsbury, NJ February 1999 – May 2000
Administrative Assistant
Worked closely with management.
Organized daily appointments.
Performed clerical duties in an office environment
The Works, West Long Branch, NJ January 1998 – December 1998
Data Entry Clerk
Managed company database.
Utilized Microsoft Word and basic computer software
EDUCATION:
RUTGERS UNIVERSITY, New Brunswick, NJ GPA 3.0
Pursuing Bachelors in Labor Studies Anticipating Graduation May 2015
BROOKDALE COMMUNITY COLLEGE, Lincroft, NJ
Associate of Arts-Broadcasting May 2008
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