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Medical Microsoft Office

Location:
Ada, MI, 49301
Salary:
12.50 hr+
Posted:
December 07, 2016

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Resume:

Amy Kugel

*** * ****

Lowell MI *****

616-***-****

*********@*******.***

EMPLOYMENT HISTORY

Advanced Radiology Services (STARS) Grand Rapids MI 49525

Professional Radiology Reading Group

08/2012-11/2016 (official hire in date 12/2012) Billing Clerk

Billed insurance companies for outpatient, inpatient, and interventional radiology readings and services.

Prepared services for coding, which includes insurance verification and printing of hospital reports.

Batching of incoming mail for further review by other departments.

Bartech Group, Livonia MI 48152

Temp agency

01/2012-03/2012 Contractor

03/2011-06/2011 Contractor

Placement at Blue Care Network: Doc Management Department

Prepare HCFA-1500 and UB-92 claim forms for adjudication for payment.

Prepare member and physician reimbursement forms for payment.

Sent letters to Blue Care Network members to update and/or verify coordination of benefits.

Bartech Group, Livonia MI 48152

Temp agency

06/2011-01/2012 Contractor

07/2009-01/2010 Contractor

Placement at Blue Care Network: Clinical Editing Department.

Review multiple physician reports to determine appropriate payment levels based on standard billing practices and medical coding standards.

Provide related technical expertise to internal departments for correct payments.

Coordinate with senior staff to update the system with current coding edits.

Train fellow employees on system upgrades.

MICHIGAN EMPLOYEE BENEFIT SERVICES, Grand Rapids MI 49546

Third party administrator insurance company

08/2000-03/2009 Medical Processor

Receive processed claims from BCBS and paid additional benefits through MEBS medical plans.

Review ICD-9/M, CPT, and HCPCS coding for proper and accurate payment of benefits.

Sent letters to clients to update and/or verify coordination of benefits files.

Review coordination of benefits with Medicare and other insurance companies to ensure proper payment from MEBS.

Received and mailed out BCBS explanation of benefit letters to subscribers when needed or requested from the groups contact personnel.

EDUCATION

UNIVERSITY OF PHOENIX, Phoenix AZ 85040

Associates in the Arts in Health Care Administration

Graduation date: January 2013

SKILLS AND ABILITIES

Recognition of medical insurance forms, claims processing and collection strategies, current procedural and diagnostic coding, medical terminology, and office procedures.

Knowledge of Microsoft Office programs such as Word, Excel, Outlook, PowerPoint and multiple line phone systems.

Experience working in Facets and Macess XP (billing systems for BCN and BCBS), HEALTHPAC (billing system for ARS (STARS), Cerner, and Epic (computer systems for Spectrum, Metro, and Bronson Hospitals).

CPR/AED Certified 04/12/2016 – 04/12/2018

References available upon request



Contact this candidate