Customer Service Medical Billing

Julie Marsh

**** ****** **** *** ******: 937-***-****

Midvale, UT 84047 *********@*****.***

CAREER SUMMARY

My experience has enhanced and strengthened my interpersonal, analytical, customer service and problem solving skills. I have a professional work ethic, strong attention to detail and an ability to produce top quality results in deadline driven environments.

SKILLS/KNOWLEDGE

Microsoft Office – Excel, Word, Power Point, Access Databases

PeopleSoft/Oracle Software

Accounts Receivable/Billing

Alternately Funded Billing System

Customer Service

FACETS

Knowledge of health insurance products, benefits and systems including claims, membership, billing and financial system flows

EMPLOYMENT HISTORY

Digestive Specialist, Inc Springboro, Ohio

Receivables Billing Specialist June 2015 to March 2017

Analyze and post payments from all payer types

Review, correct and resubmit corrected claims in a timely manor

Respond to patient inquiries concerning insurance payments and patient responsibility

Take payment information over the phone as well as set up payment plans per guidelines

WellPoint Inc./Anthem Mason, Ohio

Financial Operations Billing Specialist October 2013 to February 2015

Receive, validate and enter information into financial system

Respond to routine and complex customer inquiries and issues

Analyze financial situations and communicate explanations

Follow precise protocol for delinquent accounts and document outcomes

Complete financial activities for the purpose of accurate and timely reporting both internally and externally

Act as liaison with bank regarding premium collection status

Home Care Network Centerville, OH

Account Receivable Specialist August 2012 to October 2013

Analyze and post payments for commercial & Medicaid accounts

Adjudicate claims within designated software

Correct & resubmit rejected claims

Authenticate benefits, coinsurance & deductible amount

Respond timely to customer inquiries and concerns

Care Source Management Group Dayton, OH

Claims Analyst I January 2007 to February 2011

Confirm active coverage and dates of coverage

Enter primary payer information, billing id and policy numbers

Authorize over payments

Complete forms for recoupments

Make corrections on returned claims and resubmitted for payment

Public Health Dayton and Montgomery County Dayton, OH

Billing Clerk II May 1990 to March 2004

Certify benefits, deductibles & coinsurance amounts

Contact patients to establish fee for service based on income

Approve coding & orders for long term home health care

Complete entries of patient visitor information

Submit claims for payment to Medicare, Medicaid & third-party insurances

Correct and process rejected claims

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