Joyce Washburn

*** ******** *** #*** **********, DC 20017 202-***-**** aczgyc@r.postjobfree.com

PROFESSIONAL SUMMARY

Medical Billing Experience • Coding Terminology • Uniform Billing • Insurance Verification • Referral and Payments • Productivity Oriented • Supervisory Experience • Medical Billing Software • Initiative • Diverse Customer Service • Problem Solving Skills • Sensitive Document Handling • Strong Work Ethic • Team Player.

EDUCATION:

Medical Billing and Coding- (Certificate) - Medical Billing Course.Com

PSI, Washington, DC (Data Entry/Programming) – Certificate

Berkley College, Berkley, California (Business Management) – AA Degree

PROFESSIONAL EXPERIENCE

ICMARC

Client Services Specialist 11/2015 -06/2616

Processed enrollments, contributions, investment allocations, disbursements, beneficiary designations, address changes and perform quality assurance. Provide issue resolution support to clients by researching, analyzing, calculating, posting, and accounting for any adjustments that need to be made to participant and plan level accounts. Provide remittance support and processing support for IRA/Retirement Health Savings Plan account. Senior

Senior Reimbursement Counselor/ Case Manager 11/14-09/15

Amerisource Bergen

Manage inbound and outbound client calls

Secured medical and pharmacy insurance verification and obtain prior authorizations

Performed online claims testing, resolve online claim rejections and submit claims appeals

Accurately assigned insurance payers to client accounts

Evaluated insurance policies to determine benefits for therapy services based on site of service

Identify existing insurance contract and identify covered services for specialty products. Determine next steps for non-covered services.

Confirmed pricing and financial reimbursement schedules

Determine pharmacy specialty provider’s ability to dispense specialty drugs based on contract

Submit detailed and complete benefit reports to manufacturer and specialty pharmacies

Office Manager 05/10 - 11/13

William F. Milton DDS / Christine Hinds-Noel DDS

Managed a staff of four Doctors, two assistants and one front desk administrator. Entered new patient information. Verified patients insurance benefits. Trained all new employees. Processed Payroll. Updated all schedules and meetings for Doctors, staff and patients.

Office Manager 10/05-12/09

District Dental

Managed a staff of several Doctors, students and assistants. Responsible for the day to day operation which included but not limited to patient scheduling; employee payroll, new employee training, and shipping & receiving medical supplies.

Billing Specialist 10/04-03/06

Office Team

Working for a group of Doctors and hospitals doing the patient billing and insurance verifications. Managed staff of 30 individuals. Payroll scheduling staff and patient, Updated new accounts, new patient data entry Downloaded front office work into system at night and worked with various systems Set Processed past and current accounts for Doctors, and hospitals Upgraded various networks, i.e. IDS/SMS software and coding

Legal File Clerk 01/04-10/04

International Finance Corporation

Legal Documentation. Bookkeeping. Assisted attorney with document retrieval and scanned documents. Process e-mail on daily basis. Researched/filed documents by project classification scheme. Assisted attorney with document retrieval and scanned documents Process e-mail on daily basis Process e-mail on daily basis.

Medical Billings Specialist 05/98-11/00

Health Care Finance

Working for a group of Doctors and hospitals doing patient billing and insurance verifications.

Manage staff of 20 individual, Working on updated on all system Set Processed past and current accounts for Doctors, and hospitals

Medical Billing Specialist 09/95-06/02

Med Temp

Working for variety of Doctors and hospitals doing the patient and hospital billing, insurance verification, updating system and patient information. Updated new accounts, new patient data entry and insurance benefit verification. Downloaded front office work into system at night and worked with various systems

ADDITIONAL QUALIFICATIONS

Eaglesoft, Dentimax, Easy Dental, NEA FastAttach ASC(dc medicaid software) Dental Quest Maryland mediciad, Mico Soft IDS/SMS software

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