KEY SKILLS
Health Educating
Office Coordinating
Medical Billing
Managerial Skills
Public Speaking
Seminar Facilitation
EXPERIENCE
Seniors Wellness Group of Michigan 2015 – Present
Medical Biller
Responsible for billing claims to various insurance companies for rendered services
Status claims
Created and worked a “hold report” for unbillable claims
Requested patient demographic information
Scheduled appointments
Posted patient and insurance payments
Obtained authorizations
Blue Care Network 2014 – 2015
Medical Information Specialist/ Medical Assistant
Analyze and investigate authorization requests for specialized medical/surgical/outpatient procedures and general medical service authorization
Provide information and assistance to the Medical Management program, providers, hospitals, Primary Care Groups and members
Facilitate communication with providers to problem solve issues, educate on medical management policy, procedures, plan benefits and insurance products
Assist with on-the-job training of new employees and engage with team members to perform other duties as assigned
St. John Hospital Corporate Office 2010 2012
Medical Biller
Created and billed hospital and nursing home claims
Verified patient demographics, insurance coverage and mailed related statements
Resolved patient account issues, posting insurance payments and collecting delinquent debts
Billed claims to several commercial insurance companies including Medicaid and Medicare
Urgent Care Management 2008-2009
Medical Biller
Registered new patients and updated current patient demographics
Scheduled patient procedures/appointments and collected fees accordingly
Input proper ICD-9 and CPT codes during billing process
EDUCATION
CAREER HEALTH STUDIES 2013
●Certified Nursing Assistant Program
ROSS MEDICAL BUSINESS SCHOOL 1992
●Medical Assistant/ Medical Biller Program
LICENSES & CERTIFICATIONS
Certified Nursing Assistant
Home Health & Hospice Aid
Medical Biller
Medical Assistant