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Medical Customer Service

Location:
Modesto, CA
Posted:
December 27, 2016

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Resume:

ELVIRA RODRIGUEZ

**** ***** *****, *******, ** **350

Cell: 209-***-**** - acx09e@r.postjobfree.com

PROFESSIONAL SUMMARY

Experienced Medical billing professional with strong leadership and relationship-building skills.

SKILLS

Communicates Effectively

Good people Skills

Presents a Professional Image

Maintains Privacy and confidentially

Demonstrate initiative strive to exceed

expectation

Ability to manage multiple tasks with little

supervision

Data entry skills

Documentation skills

Analyzing information

Problem solving

WORK HISTORY

05/2016 to 08/2016 medical biller

Office Works/Valley retina Temp position – Modesto, Ca schedule patients appointments

Answered incoming calls from patients as well as taking messages. Prepared chart for upcoming appointments.

Verified insurance coverage as well as Billed various insurance for services rendered. 01/2016 to 04/2016 Claim examiner

Allcare/Aerotek temp agency – Modesto, ca

Resolves medical claims by approving or denying documentation; calculating benefit due; initiating payment or composing denial letter.

Maintains quality customer services by following customer service practices; responding to customer inquires.

protects operations by keeping claims information confidential 08/2010 to 10/2014 Team member

Memorial Medical Center/Sutter Shared Services – Roseville, ca Responsible for effective accounts revivable management of outstanding claims Responsible for routinely researches and effectively preforms follow-up on unpaid claims, denials and tracers.

Works with insurance companies to resolve patient billing/carrier issues to ensure expected payment. As well as analyze and resolves credit balance accounts. 07/2007 to 08/2008 Patient account representive

Tenet Healthcare – Modesto, ca

Responsible for processing Medi-cal claims for assigned hospitals and for follow-up on all billed claims to ensure final accurate disposition by Medi-cal. Works remittance advice from Medi-cal ensuring accuracy of payment, changes accounts financial class as appropriate; correct account balance in accordance with Medi-cal disposition; follows up on denied claims.

11/2004 to 07/2007 Medical Biller /Collector

Kindred Hospital – modesto, ca

Reviews patient account files and ensures their accuracy and completeness processes refunds for overpaid accounts receives and answers to billing related inquires and assisted in the preparation of billing reports.

Receives and reviews past due bills and follow up documents and obtains other information on past due accounts

EDUCATION

1993 vocational training: Medical administration and certified medical assistant San Joaquin Valley College - Visalia, ca

REFERENCE

Kindred Hospital Karen Wrede/ 925-***-****

Memorial Medical Center/Sutter 916-***-****.

Memorial Medi-cal Center Linda Onteriver/209-***-**** St Joseph's Medical Center Irma Vargas/209-***-**** Kindred Hospital Diane Bingham /Payroll/ Benefits 209-***-**** Kindred Hospital Melinda Williams/Accounts Payable 209-***-****. Sutter Shared Services Theresa Perez/916-***-****



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