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Insurance Medical

Location:
Toms River, New Jersey, United States
Posted:
October 18, 2016

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Resume:

Crystal Dewey

** ********* ******

Manchester, NJ 08759

860-***-****

acw38n@r.postjobfree.com

EXPERIENCE:

*/**** -*/**** **********

Medical Reimbursement Specialist

Proficient in all major Insurances

Processed all denials

Working delinquent accounts

Specializing in psychiatric billing

4/2015 – 9/2015 John Dempsey Hospital (Contract Assignment)

Medical Reimbursement Specialist

Proficient in all major insurances

Processed all appeal and denials

Working on delinquent accounts

Specializing in workers compensation and personal injury accounts

1/2014 – 11/14 Faculty Practice UCLA (Contract Assignment)

Medical Biller Collections Specialist

Proficient in all major insurances including PPO, HMO, Medicare and Medi-Cal

Processed all appeal, denial and authorizations

Maintained Quarterly Financial Statements

Oversaw budgets

Oversaw accounts payable

Assisted in month end closing statements

Assisted in managing staff of twelve

Specializing in psychiatric billing

3/09 – 9/13 Medical Practice Partners/Healthwise Family Care Network

Medical Biller Collections Specialist/Team Lead.

Managed physician’s services with regards to all aspects of insurance billing.

Proficient in all major insurances including PPO, HMO, Medicare, Medicaid, BC/BS, Aetna, Cigna and commercial insurances

Processed all appeal, denial and authorizations

Maintained Quarterly Financial Statements

Oversaw budgets

Oversaw accounts payable

Assisted in month end closing statements

Assisted in managing staff of twelve

Managed vendor contracts

Specializing in hospitalist and psychiatric billing

2/01-3/09 Integrated Physicians Management Services

Medical Biller Collections Specialist.

Transmitted claims to insurance companies in manner that avoided denials from insurance companies.

Billing /Collections included Blue Cross Blue Shield, Cigna, Aetna, Government Medicare, Government Medicaid, Commercial Insurances)

Specializing in Pathology, Anesthesia and Optometry

Submit and follow up claims with health insurance companies

Followed up on delinquent accounts

Managed cash reconciliation

Managed customer complaints in accordance with the Health Insurance Portability and Accountability Act

4/92-2/01 New England Holistic Health Center

Collections Specialist/Office Manager

Managed collections division of upscale holistic health center billing department

Billing /Collections included Government Medicare, Medicaid and Commercial PPO, HMO Insurances)

Specializing in Workman’s Compensation claims/Personal Injury

Instrumental in developing division

Worked closely with practitioners in overseeing Psych Insurance Accounts

Researched accounts with delinquent balances

Prepared deposition records for physicians

Submitted and collected on claims to attorneys and insurance companies

EDUCATION

1996 Central Connecticut State University, New Britain

2004 HIPPA Training; IPMS and MPP



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