Medical Customer Service
Resume:
YVONNE LEONARD
***********@******.***
SUMMARY OF SKILLS
Experienced Medical Biller with Insurance Verification Experience and Strong Knowledge of Medical Terminology. Claims: CMS-1500, UB-04. Coding: ICD-10, 9, CPT. EOB Review, Insurance Verification, AP/AR, Denials/Appeals, Grievances, Medical Administration. Insurance: Medicare, Medi-Cal, HMO, PPO. Software: Medisoft, Office Ally, MS Excel, Word. Office Skills: Emailing, Printing, Scanning, Copying, Data Entry/Typing: 55WPM, Filing. HIPPA Compliant.
PROFESSIONAL EXPERIENCE
Dusk to Dawn Urgent Care 03/2015 – 11/2016 Medical Administrator
Maintained medical records and called for missing medical records when needed
Handled data entry for patients’ demographic and insurance information; Entered into database
Created patient records report on Excel and presented to the physician
Touched 60-70 accounts/day
Reviewed EOB; Verified insurance for eligibility and benefits; Worked with Medicare, Medi-Cal, HMO and PPO plans
Worked with the following commercial providers: Blue Cross/Blue Shield, Apple Care, Healthcare LA, Omnicare, Cigna, etc
Answered calls and assisted patients with questions or concerns
Worked on billing, collections, and accounts payable and called insurances inquiring about refunds
Handled the call center calls as well, assisting patients with insurances questions, grievances and appeals; Assisted back office when needed
S D&A Teleservices 04/2014 - 03/2015
Call Center Representative
Worked in a call center organization as a Professional Fund Raiser, with outbound and inbound calls
Communicated with members within the organization, senators and congressman
Department of Public Social Service 10/2013 - 03/2014
(In Home Supportive Services)
Clerk Typist/ Administrative Assistant (Temporary Assignment)
Assisted with the Suspense File Room by entering data the into a suspense database
Filed Provider Folders by alphabetical order
Mailed out timesheet and correspondence letters to the provider clerks
Provided first rate customer service communicating with the providers and social workers clientele by Tele-Communication
Labeled correspondence envelopes
Assisted the providers and social workers with their files
Purged the social workers’ files
Filed providers cases in alphabetical order
Sorted the mail by the provider and social workers case number
Argus Medical Management (Millers’ Children’s Hospital) 08/2012 – 09/ 2012
Accounts Receivable Clerk (Externship)
Pulled and processed billing claims from patient accounts
Applied over 200 notes to patients accounts
Scanned medical records onto Millers’ Children’s Hospital accounts
Posted payments and researched over 80 patients accounts a day
Processed and applied notes in HMO, PPO, and Medi-cal claims using UB04 and CMS-1500
Separated the CPT Codes in patients’ accounts
Removed collection notices on over 200 accounts
Pulled and Corrected appeals on over 75 accounts
Pulled medical records along with the appeals, EOBS UB04 or CMS-1500 claims
Worked with approximately 50-75 patient accounts/day
Defense Finance and Accounting Services 12/1981 – 02/2008
Administrations Assistance of Contract/Financial Accounts Technician
Called 10 departmental offices to request, finalize and close out contracts
Scanned and filed over billion dollar payments into Mechanism of Contract Accounting system (MOCAS)
Addressed document problems by requesting a copy from the contractor’s office and internal office
Researched and resolved line item issues from the invoice via an Electronic Data Invoice Systems
Ensured that the invoices were billed in accordance with the contract some contracts had over 100 pages
Researched and ensured that the clauses were in compliance with the contract and processed for input
Promoted from Invoice Input Technician to Lead Technician within 6 months
Invoiced technicians exceeded quota of inputting 60 invoices a day
Reviewed correspondence documents that needed to be sorted into the contract for filing
EDUCATION
Everest College
Medical Billing & Coding Certification (2012)
Colorado Technical University
Business Administration/Healthcare Management (2010)
El Camino Community College
Microsoft Office/Office Administrative / Business Administrative (2010)
Gardena High School - High School Diploma (1981)
Relocated and went to school full time at Everest College and Colorado University 2008 – 2012
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