Customer Service Medical
Resume:
Ricardo Martinez
Sun Valley, CA 91352
E-Mail: **********@***.***
OBJECTIVE:
Looking for a company that offers growth and challenge in a position in which I can develop my knowledge and professional experience Customer Service Rep/ Medical Biller, Collector, or Claims Examiner.
SKILLS:
Medical Billing
Health Claim Examiner
CPT Coding, ICD 9 Coding
Epic Software
Claims Adjustment
Customer Service
Medical Terminology
Medical Office Administration
New Patient Registration
Microsoft Word, Excel
Typing-40 WPM
10-Key
WORK EXPERIENCE:
07/2015 – 10/2015 Aerotek ( Medtronic) Northridge, CA
Medical Collector/Billing/Customer Service- Centriciy Software. Soft Medical Collection. Helping assist patients with payment arrangement for past due amounts. Answering question regarding DME. Taking payments over the phone ( visa, mastercard,check)
03/2015 – 6/2015 Kaiser Permanente Pasadena, CA
Medical Collector/Billing/Customer Service- Epic Software,Verify in Epic why claims are being denied, (duplicate, member co-pay, non covered services, member not eligible for DOS) Retrieve Medical Records and mail to Harrington Health to get paid for unpaid claims.
12/2012 – 10/2014 Anthem Blue Cross Woodland Hills, CA
Billing/Membership Dept-( Customer Service ) Explain groups billing discrepancies to Employer, Reconcile Bill, Verify Group/Patients eligibility, Verify Cobra/CalCobra eligibility for member, Prepare CalCobra offer letters for members, Assign PCP/IPA to members, Verify member’s benefits
04/2012- 11/2012 Rheumatology Associates North Hollywood, CA
Customer Service, Verify patients eligibility, Print out EOB’s, Rebill Insurance with correct ICD-9 codes
12/2011 -03/2012 Apple One- Temp Agency Sherman Oaks, CA
Phoenix House, Southern California Orthopedic Inst.
Customer Service, Verify patients eligibility on-line/phone, Print out EOB’s,
1/2011-12/2011 Office Team- Temp Agency Los Angeles, CA
Arroyo Medical Health Care, Diagnostic Labs
Customer Service, Payment Posting, Contact providers for patient’s eligibility,Printed out EOB’S
1/2010-10/2010 IPC Hospitalist- Refund Dept North Hollywood, CA
Medical Billing
Customer Service, printed out EOB's, CMS1500 Forms and submitted to commercial insurance companies
3/2003- 5/2008 Lutz Printing Van Nuys, CA
Production Manager
Customer Service, sales, collections. Oversaw 10 Employees and final printing product.
EDUCATION:
2009 Adelante Career Institute Van Nuys, CA
Certificate in Health Claims Examiner/Medical Billing
1990 Pierce College Woodland Hills, CA
Graphic Arts Classes
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