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Medical Billing Customer Service

Location:
Washington, DC, 20010
Posted:
August 09, 2016

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Resume:

Mary Gay

Washington, DC

202-***-****

acv3m6@r.postjobfree.com

WORK EXPERIENCE

Ward Secretary (Behavioral Health Unit)

Diamond Healthcare - Clinton, MD - October 2012 to Present As a Unit Secretary I am responsible for providing administrative support as well as the safety and well being of the patient on the unit, for timely and accurate record keeping. Performs safe and effective administrative skills as well as patient care utilizing the nursing process. Assists in the admission and assessment process and may assist with staff development and community relations/referral development. Southern Maryland Hospital Center

Hospital Laboratory - Clinton, MD - January 2010 to October 2012 My responsible for effectively and accurately obtaining demographic and insurance information, follows all federal regulations, meets all compliance standards and effectively processes patients through the registration process courteously and efficiently. Communicates in a professional manner to all medical staff, hospital staff, patients and visitors. Answer telephones, register patient in to have blood drawn, and spin blood down to send out to Lapcorp.

Kids Out & About

Tutoring Center - Camp Springs, MD - September 2006 to January 2010 I was responsible for staffing the tutoring center, supporting the management and answer telephones, take messages, respond to inquiries and give directions to Center. Provide comprehensive secretarial and clerical support to center staff and management. Assist with bookkeeping, account receivable,account payable processing and enroll new clients in tutoring center. Greet visitors, conduct center tours as needed provide basic information to visitors, caller about the center. Assist in opening and closing of the facility at the beginning and ending of each day as needed.

Veterans Affairs Medical Center

Hospital - Washington, DC - September 1975 to May 2005 5/2004-Retired

Patient Relation Specialist

I was responsible for provide customer service, works collaboratively with medical center senior leadership to ensure an effective patient focused customer advocacy program. Liaisons among patients and their families and various areas of the VA Medical Center, patient registratoin and advice in matters of patient billing issues and regulatory procedures, VA directives and medical center policies. 1/1999-5/2004

Lead Program Analyst

I was responsible for assisting the Supervisor, MCCR Unit in overseeing the daily operations of the MCCR unit. Assures the unit is operating according to the established procedures for each section function and has the responsibility of monitoring a variety of procedures such as the maintenance of the insurance files, procedures for initiating billing, the establishment of Accounts Receivable, cash collections, postings and deposits. I was responsible for counseling employees on various administrative matters concerning daily work assignments, productivity standards, patient complaints, employee concerns and disposing of these whenever possible. I establish work priorities, determine work assignments, reorganize the work group as necessary in order to utilize resources more efficiently.Incumbent will attend seminars presented which pertain to health information and the MCCR program in order to maintain the skills necessary to function efficiently as the lead billing technician and accounts receivable assist. Responsible for training and orientation programs for staff members and carries out ongoing training for adoption of new/revised systems and procedures. Acts as a troubleshooter for computer software problems in all aspects of MCCR, both on a local and national level, including the Insurance, Agent Cashier, Billing, Accounts Receivable, Integrated Billing, Claims Tracking and other software packages associated with MCCR.

1/1990-1/1999

Program Biller

I was responsible for auditing documentation against procedure coders, Medical Billing to Medicare,Medicaid, and insurance Companies. Assigned accounts where payee liability has not been met, communicated to payers as appropriate regarding the rational for providers failure to obtain pre-authorization/certification of medical necessity. Obtained copies of medical records for review and prepared administrative technical appeals to reverse penalties. Prepare letters to support medical necessity of services denied payment. Review all claims for possible posting errors as well as generate claims for charges not paid. Responsible for screening, tracking, and maintaining client's medical records to ensure documentation for visits, services providers, follow- up visits, billing and input into the computer system using SHCP SmarTerm (VA sofeware). 9/1975-1/1990

Unit Secretary/Clinic Clerk

Transcribes physician's orders in an accurate and timely manner, appropriately completes lab, radiology, purchase, storeroom and central supply requisitions. Files printer generated documents within patient chart in a timely fashion with the appropriate tab sections during shift. Works with charge RN to coordinate patient admissions and transfers.Remains calm during patient/ unit emergencies and able to call code relaying pertinent information. Providers and maintains patient / customer privacy at all times. Promptly greets everyone in a cheerful, warm, and caring manner/tone, and performs other related duties as assigned.As a Clinic Clerk I was responsible to register patient to see the Doctor in different clinics, answer phone, make appointment, make up patient charts and scan Insurance cards.

EDUCATION

Spingarn High school

PG College

SKILLS

Medical Terminology,Medical Billing/Coder (10+ years) MILITARY SERVICE

Service Country: United States

Branch: Army

Rank: PFC

May 1981 to April 1987

1) 71L Administrative Assistant

2) 95 Bravo Military Police

CERTIFICATIONS

Advanced Computerized Medical Billing, Physician Office Billing 1) Medical Terminology

2) Advanced Computerized Medical Billing

3) Physician Office Billing

4) Medical Billing/Coder



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