CHAMECA M. PYE
To obtain full time employment in a rewarding Health Allied Field, with benefits and opportunity for career advancement.
Certified Medical Insurance Biller & Coder Front/ Back Office Support Staff
Medical Records Clerk Insurance Verification
Scheduling EOB Denial
Authorization ICD-9-10/ CPT
CMS 1500/ UB 04 HIPPA Compliance
Check In/Out Clerk Full Cycle Revenue Billing Specialist
MS Word MS Excel
Kalamazoo Valley Community College Graduated 2012
Liberal Arts: Social Work
Las Vegas College Graduated with Honors 2005
Medical Insurance Billing & Coder Certificate
Job Corp Graduated 1997
Medical Administrative Assistant
Parchment High School Graduated with Honors 1996
High School Diploma
Hearing Health Center Inc 2014-present
Full Cycle Revenue Biller Self Supervision
Illinois Insurance Audiologist Coding
Credentialing Sycle Software
Knowledge of claim submission, payment posting, and appeal processing, patient collections, credentialing and statements, aging reporting that is mandatory.
Oversee insurance benefits verification & authorization process (phone & on line).
Advance computer & analytical skills
Manage the full cycle of the billing aspect for and Audiologist practice with four locations in the Chicago land area.
Accretive Health LLC, 2010-2013
EOB Denial Clerk Patient Registration Clerk
Verify Insurance Hospital Host System
Medical Terminology Michigan Insurances
Responsible for the performance of pre-registration functions contacting patients directly to schedule appointments.
Using other means to secure a set of critical data elements needed to assess and secure financial risks to the organization.
Performance for all assigned insurance.
Verification functions ranging in various levels of difficulty, using various payer websites, and customer service call center resources.
Responsible for patient liability identification and cash collections of said liability per insurance standards.
Women’s Specialty Care OB/GYN PC, 2007-2009
Head Office Coder Insurance Follow Up Clerk
Check In/Out Clerk Nevada Insurance
EOB Denials Detail Aging Reports
Collections Face Sheet Billing
Billing compliance with all third party payers.
Execute key strategies to drive collection of earned reimbursement.
Process and policies for exception handling appeals, and denials along with balance billing.
Monitor all patients accounts receivable activity and performance and initiates appropriate corrective measures as needed.
Dr. Micheal P. Colletti - Rheumatologist 2005-2007
Medical Records Clerk Scheduling
Chart Organization Transcription
Detail Orient Records Releasing
Make photocopy records and documents for billing and/or legal services; sends and receives information via facsimile machine.
Retrieves patient schedules from computer system; distributes lab reports to physicians, and materials to other departments; requests information from various departments; responds to correspondence requests.
Responds to requests for medical records; processes letters and reports; answers and directs telephone calls.
Kalamazoo Valley Community College 2000-2002
Work Study Counselors Aid Filing
Scheduling MS Word MS Excel
PowerPoint Helping Students
Provide clerical support to the school counseling office; respond to inquiries and provide assistance to staff, students and the public; schedule counseling appointments; answer telephone calls and provide information and assistance to callers, visitors, staff and students.
Perform a variety of independent clerical and technical services; maintain and input student data into assigned database(s); type a variety of correspondence, reports, bulletins, lists and other materials as requested; schedule meetings and appointments as assigned; process a variety of forms and applications.