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Insurance Medical Billing

Location:
Hialeah, FL
Salary:
$16 to $18 an hr
Posted:
March 25, 2017

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Resume:

**** ** ***** *******

Hialeah Gardens, FL *****

Cell Phone: 786-***-****

Email: aczhdk@r.postjobfree.com

Ana H. Julia

Objective To pursue a career and obtain a professional position in the medical field where

I can utilize and enhance my knowledge, analytical and experienced skills

now and in the future.

Experience 10/28/15- 07/15/2016 . Sports Medicine Associates of South Fla.

Weston, Florida

Contact : Elizabeth Mendoza (Payment/Charge Posting

Supervisor)

Phone: 305-***-****

Charge and Payment Posting Clerk:

Posting of payments from insurance EOB’s, EFT’s and patients.

Retrieving electronic payments and adjustments.

Handle multi-task functions as well as working under pressure.

Creating Reports for the company of the monthly payments posted.

Balancing Reports of all the Posting done on a daily basis.

Folowing up with Collections which were not posted.

Experience 02/20/2012- 03/06/2015 . Stern Visual Centers/ Coordinated Podiatry Networks.

Miami, Florida 33122

Contact : Tiffany Solis (Billing Mngr. Billing Dept.)

Phone #305-***-****,ext.225

Billing Supervisor for the Podiatry Department.

Billing/Collections Dept:

Collecting on unpaid claims from insurance carriers.

Posting of payments from insurance EOB’s, EFT’s and patients.

Retrieving electronic payments and adjustments.

Data entry of patient demographics for new patients and updating for established.

Handle multi-task functions as well as working under pressure.

Creating Reports for the company of the monthly payments.

Verifying Eligibility thru the Humana Website and Availity.

Posting Payments.

Monthly Check Runs done from our office to mail to the providers.

Credentialing of new Providers for the Network.

Answering heavy volume of phone calls from providers and from patients.

Experience 03/28/11-10/21/11. Medical Associates of South FL Miami Springs, FL

Contact: Roselyn Bonilla, OB/GYN and Guillermo Santos, DO.

Phone # 305-***-****

Medical Office Receptionist/Surgery Scheduling/Billing/Collections Dep

Welcome patients as they contact the office personally or by phone.

Schedule appointments for patients over the phone and walk-ins.

Surgery Scheduling and Insurane Verifications for Surgical Procedures.

Answer all in-coming calls and route them to the appropriate staff.

Register all patients per registration protocols and collect all documentation.

Review and verification of patient’s coverage of insurance or other agencies and

computing the charges to be paid by the patient.

Billing/Collections Dept:

Collecting on unpaid claims from insurance carriers.OB/GYN and General Surgeon.

Posting of payments from insurance EOB’s, EFT’s and patients.

Retrieving electronic payments and adjustments.

Sending monthly statements and collecting on patient’s balances, co-payments and deductibles.

Electronic Billing/Coding for PCP office visits and OB/GYN office visits, deliveries and surgical procedures.

Responsible for the medical Billing and Collections of the General Surgeon’s

Procedures.

Experience: 07/11/05-01/17/10 Southeast Med. Financial Systems Miami, FL

Assistant Manager/Billing Dept. for the Urgent Care Physicians at

Baptist Health

Electronic submission of Urgent Care Facility claims for doctor’s services,

General Surgeon and Chiropractic Procedures.

Accounts Receivable revisions and adjustments for General Surgeons.

Posting payments from insurance companies and from patients for Urgent Care

Services, General Surgeon’s Services, and Chiropractor Services.

Collections, re-filing and appeals of unpaind insurance claims for the General Surgeon’s Surgical Procedures and Office Visits.

Mailing, collecting, and follow up of patient statements.

Revision and completetion of HCFA 1500 forms, which were mailed, not

electronically submitted.

Coding patient’s charts and revision of superbills, before submitting the

Data entry of patient demographics, including insurance information.

Insurance verification before the claims were created for billing. Billing for insurances such as Medicare, Medicaid, Worker’s Comp., HMO’s, Commercial,

Computer Literacy

Microsoft Word

Microsoft Excel

Microsoft Outlook

Microsoft Powerpoint

Internet electronic claim filing

EMD’S/ EMR computer software

Internet Based Programs such as Availity, Humana, Aetna, NHP, Preferred Medical plan, Geico, State Farm, All State and Infinity Auto Ins.

Education 07/20/2015 ICD-10 Implementation Bookcamp. Recently attended a Book Camp Seminar for the Medical Billing and

Coding of the new changes which will be effective as of October 2015. Items discussed in this Seminar were the New Policies and Procedures, additional CPT Codes and ICD-9 Codes, and the conversion to the ICD-10.

07/98-05/91 Miami-Dade Community College North Campus, FL

Medical Secretary Courses

G.P.A.: 4.0

High School Diploma

Bilingual: English/Spanish. Able to write and speak both languages fluently.

Personal Volunteer work at Hialeah General Hospital, Palm Springs General Hospital. Responsibilities included: Information desk, transporting patients, Emergency Room Aide, and Medical Records.



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