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Medical Assistant

Location:
Detroit, MI
Posted:
August 30, 2016

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Resume:

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



Contact this candidate