Customer Service Data Entry

Chelsea Miller, CPC

Amarillo, TX/Martinsburg, WV

**************@*****.*** – 806-***-****

WORK EXPERIENCE

Coding and Reimbursement Specialist

Texas Tech University Health Sciences Center

Amarillo, TX

June 2015 to August 31st, 2016

Review official medical records with physician/healthcare provider documentation.

Assign appropriate codes for all physician/healthcare provider services from current editions of official coding sources.

Quarterly compliance audits

Data entry charges.

Process coding edits and denials.

EMR – Allscripts

Billing-Centricity Business

Claims Examiner

AIG

Amarillo, TX

May 2013 to June 2015

Processing medical and dental claims.

Copied and faxed miscellaneous paperwork.

Calling various providers for information regarding claims.

Handle claims escalation calls.

Advise insureds of claim status, if more information is needed, explain benefits.

Team Leader

The Buckle

Amarillo, TX

February 2013 to May 2013

High volume customer service.

Educate teammates and customers on product.

Open and close registers.

Assistant Store Manager

New York & Company

Amarillo, TX

April 2012 to February 2013

Open and close store. Supervise multiple associates.

Assist in execution of floor sets.

Assist in recruitment and training of new associates.

High volume customer service

Quality Coach/Claims Examiner

Dental Network of America

Amarillo, TX

August 2010 to February 2012

Processed dental claims and researched correct dental codes.

Various data entry.

Calling various dentists for various information regarding claims.

Audit dental claims to ensure accuracy.

Work with claims staff when needed on areas of improvement.

Claims Examiner/Customer Service Representative

Blue Cross Blue Shield

Amarillo, TX

January 2008 to December 2009

Processed medical health claims and researched correct ICD-9/CPT codes.

Copied and faxed miscellaneous paperwork.

Calling various physicians and hospitals for various information regarding claims.

Enrolling members into Medicare Part D plans.

Answering any questions from members, prospective members, and agent/brokers about the Medicare Part D plan.

EDUCATION

Amarillo College

SKILLS

Ten Key (10+ years), Microsoft Office (10+ years), Customer Service (10+ years), Insurance (5 years),Coding (2 years), ICD-10 (1 year), ICD-9 (6 years), CPT (6 years)

CERTIFICATIONS

Coder

AAPC Certified Professional Coder – October 2015

AAPC ICD-10 Certified - December 2015

Became CPC certified within first four months and ICD-10 certified in six months.

ADDITIONAL INFORMATION

I will be moving to Martinsburg, WV on September 1st, 2016.

Contact this candidate