Customer Service Insurance
Resume:
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Lesha Marshall
**** ****** **** ****** ****, Texas 77449
**********@*****.***
Experience / Qualifications
ICD-9, CPT, & HCPCS Coding, Medicare/Medicaid, Insurance Verification, Insurance Billing, Claim Submission/Follow Up, Chart Retrieval, Electronic Health Records, ten years’ experience with EOB’s, Payment Posting, Physician Scheduling
Avid, AdvancedMD, Allscripts, Advantix, MedsAmerica, Meditech, Medisoft, Availity, NaviNet, IVANS, Medicaid Portal, Passport
Customer Service, Microsoft Office Word, PowerPoint, Access, & Excel, Typing 35+ WPM, Type Writer, Data Entry, Scheduling, Receptionist, Business Phone Experience, Admin. Assistant.
HIPAA Certification & Medical Terminology.
Extensive knowledge of medical billing, health claims, and processing insurance claims.
Self-Starter, Self-Disciplined, Motivated, Independent Worker, Team Player, Time Efficient.
Employment History
Houston Pain & Spine Houston, Texas
Anesthesia Billing Specialist 04/2015- 03/2016
Monitor/Maintain/ patient demographics & charge entry accuracy
Enter CPT & ICD 9, ICD 10 on UB for electronic claim submission
Run monthly and daily concurrency reports
Claim submission/Follow up to ensure claims are paid accurately.
Consolidate charges for the month end report.
Gessner Anesthesia Associates Houston, Texas
Billing Specialist/Charge Poster 10/2012- 04/2015
Monitor/Maintain/Manage patient demographics & charge entry with accuracy.
Insurance Verification/ Authorization/ Precertification
Monitor/Maintain/Manage patient financial accounts with accuracy.
Claim Submission/Follow Up to ensure claims are paid in a timely manner.
Physicians Endoscopy Center/HCA Houston, Texas
Insurance Coordinator Administrator 07/2008- 10/2012
Insurance Verification/Account Processing/Charge Management
Prompt and accurate completion of referral/intake forms
Maintain statistical data maintaining prompt/accurate service.
Adhere to compliance & HIPAA laws and regulations.
River Oaks Imaging and Diagnostics Houston, Texas
Patient Services Coordinator 11/2009-10/2010
Monitor/Maintain/Manage patient profiles with accuracy.
Insurance Verification/ Authorization/ Precertification
Monitor/Maintain/Manage patient financial accounts with accuracy.
Manage and Report Accounts Receivables to management.
HCA – Hospital Corp. of America Houston, Texas
Insurance Collections Administrator 12/2004-08/2008
Monitor/Maintain/Manage patient insurance information with accuracy.
Work with MD to determine insurance coverage and payable claim amount.
Provide direct support to the PCP regarding authorization/referrals
Verify eligibility of members and participation of providers
Coordinate appointment scheduling/registration according to company policy.
References Available on Request
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