Customer Service Medical Billing

Shondale Burch

*** ****** ***** **** ******, NC *8110 980-***-**** *****************@*****.***

Medical Billing Professional

Talented Medical Billing and Coding Professional, with customer service experience, seek to administer high quality medical billing and coding oriented solutions within the medical / health industry. Seeking an organization offering a challenging environment with the opportunity to apply existing skills and develop new ones.

EDUCATION

Medical Billing and Coding Diploma

Brightwood -Charlotte, NC June 2016

Certifications

First Aid and CPR Certified July 2017

CORE COMPETENCIES & TALENTS

PROFESSIONAL EXPERIENCE

Server

Bankers Raw Bar and Billiards Charlotte NC June 2014 - Present

Took customer orders and handled customer service requests

Maintained dining room in clean, neat, and stocked fashion

Buss, clear, clean, tables for new customers to set down

Guide customers through menus while demonstrating thorough knowledge of the food, beverages, and ingredients

Demonstrate genuine hospitality while greeting customers

Precisely describe menu items and special offerings

Worked busiest weekend shifts

Relayed customer orders to the kitchen by quickly an accurately recording customer selections and keying them into the register

Guide customers through menus while demonstrating thorough knowledge of the food, beverages, and ingredients

Medical Billing & Coder –Externship May 2016 – June 2016

Capital Anesthesia Billing Services, Charlotte, NC

Verified medical insurance information and entered patient data into Medical Manager

Followed with insurance carriers and companies, including Blue Cross Blue Shield and verified Medicare and Medicaid eligibility

Ensured reimbursement of insurance payments

Utilized medical terminology and ensured HIPAA compliance

Performed return mail and observed payment posting procedures

Site Coordinator October 2015 –February 2016

Lash Group(Talentbridge), Charlotte, NC

Completing patient benefit verifications through outbound calls to payers

Completing all required information for completion of benefit coverage in the database

Providing quality review of benefit summaries completed by candidate

Performing fax reviews and is the final reviewer of the patient information documents before the final is submitted to physician’s offices

Auditing benefit information on the benefit verification within the database and identifying any inconsistencies

May perform outreach to clarify any inconsistencies with the payers

Customer Service Rep

Xerox LLC Business, Charlotte, NC October 2014- May 2015

Answered member’s questions regarding premiums

Helping member understand their benefits as far as what is their deductible, how much have they accumulated towards their deductible, explain the breakdown of their premium rate

Processing payments

Assisted providers with getting benefits for CPT and J codes, and if certain services being perform need a Pre Cert, Pre authorization or referral

Checked on claims for members and providers

Cashier

Pizza Spiga Mint Hill NC October 2009 – February 2013

Maintained dining room in clean, neat fashion

Guide customers through menus while demonstrating thorough knowledge of the food, beverages, and ingredients

Took customer orders

Delivered hot or cold food to customers

Cashed customers out in the forms of cash, credit or debit cards and dispensed correct change

Count money in cash drawers at the beginning of shifts to ensure that amounts are correct and that there is adequate change

Bag items carefully

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