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Customer Service Insurance

Location:
Chicago, IL
Salary:
20.00
Posted:
April 26, 2016

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Resume:

CHAMECA M. PYE

acuilr@r.postjobfree.com

269-***-**** cell

OBJECTIVE

To obtain full time employment in a rewarding Health Allied Field, with benefits and opportunity for career advancement.

QUALIFICATIONS

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

EDUCATION

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

EXPEREINCE

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.



Contact this candidate