YOULANDA Y. CUNNINGHAM

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

Killeen, Texas 76541

512-***-****

acw54n@r.postjobfree.com

Technical/ Office Skills:

•Telephone (multi-line) reception techniques

•Authorization referrals

•Patient Billing, CMS-1500 (HCFA)

•Medical terminology

•MS Office –Excel, Word, PowerPoint, Access, and Outlook

•Customer Service

•Data entry

EXPERIENCE:

ATP2 / Veteran’s Affairs Financial Services Center 02/2015-11/2015

General Clerk II - Healthcare Claims Processing

•Possess knowledge of electronic claims editing and submission capabilities, including Medicare and other on-line claims processing and query systems

•Familiarity with Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM), and International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) standards

•Strong computer skills

•Inputting and validating medical claims data on all medical claims received

•Analyzing rejected claims data

•Reviewing documentation authorizing benefits payments

•Determining the appropriate amount due to recipient

•Processing all necessary payment transactions

ASI /NobisWorks/Symtec 03/2011 - 09/2014

Accounting Tech III

•Served as an Accounting Tech III, providing a variety of Vendorizing services in support of the VA-FSC and its customers, such as: Other Government Agencies (OGAs), Commercial and Individual Vendors, VA Employees, Veterans and Caregivers

•Maintained technical expertise over various Vendorizing systems and applications including: Financial Management System (FMS) Vendor File, FMS Automated Veteran Input System (FMS-AVIS), Document Management System (DMS)

•Trained new employees on team phones, FMS, DMS & ABC

•Processed team E-mails as well as requests sent via postal mail

•Served as a Vendorizing Customer Service Representative (CSR), as required

•Answered Vendor file maintenance calls from: VA employees, Commercial and Individual Vendors, Veterans and Caregivers, and updated FMS Vendor records using source documentation, when required

Department of Veterans Affairs- Symtec Corporation 05/2010-09/2010

Clerk II

•Analyzed and input medical claims into automated claims processing system

•Take action to correct the condition causing the pending status

•Performed billing and follow-up functions within medical claims processing environment Demonstrated experience working with inpatient and outpatient billing requirements of UB-92 and HCFA 1500 billing forms

•Demonstrated success working in a team environment focused on meeting organizational goals and objectives required

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