Insurance Medical
Resume:
***** ****** ***** ** *******, Tx ***** 832-***-**** ***********@*****.***
NaTriba DeBose
Objective
Seeking a challenging opportunity in the Medical Billing/Collection Field which will fully utilize my office experience, technical training, strong work ethic and dedication. Desiring employment where advancement is based on efficiency and contributions to company growth.
Experience
02/07 – Present
Dr. Joseph Gathe, M.D., F.A.C.P.
Houston, Tx.
Billing Office Supervisor
§ICD/HCPCS/CPT Coding
§Reconcile misapplied funds, payments, and billing discrepancies.
§Post payments to patients’ accounts from EOB checks.
§Maintain and review aged accounts and all denied claims.
§Pre-authorizations with Health Insurance Providers for in and out patient services.
§Lead trainer of all new employees within the billing and collections area.
09/04 – 02/07
Medco-Medical Supply, Inc.
Houston, Tx.
Biller
§Verified and confirmed daily work orders against Fastrack database.
§Investigate and resolved discrepancies on work orders.
§Entered Medicaid Claims into Compass 21 database.
§Finalized manual and electronic Medicaid claim submissions.
§Ensured proper cash entries into Fastrack database.
09/97 – 08/04
Memorial Hermann Healthcare System
Houston, Tx.
Special Project Coordinator – Patient Accounts
§Received payments on patient accounts from various insurance companies.
§ICD/HCPCS/CPT Coding
§Reconciled misapplied funds, payments, and billing discrepancies.
§Post payments to patients’ accounts from EOB checks, cash payments and credit cards.
§Created and maintained Excel spreadsheets for outgoing claims.
§Write offs of accounts sent to collection agencies.
Education
2011-2014
Devry University GPA. 3.17
Houston, Tx.
Associate Degree in Applied Science of Healthcare/Health Information Technology
Knowledge/Experience:
Significant medical billing/medical collections experience, FEP, Out of State Blue Cross Blue Shield, Commercial, HMOs, Workman's Compensation, scheduling, insurance rejection follow-up, cash posting, electronic/hardcopy billing procedures, ICD-9/CPT coding, month-end procedures, obtaining authorizations/referrals, addressing Provider enrollment issues, patient statements, insurance appeals/reviews/hearings, insurance claim/payment issues, insurance/patient refunds, medical record requests. Professional/Global/Facility billing. Experienced with Direct patient/Physician contact and complaint resolution. Specializing in collections of over 180 days.
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