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Medical Billing Customer Service

Location:
Pawtucket, RI
Posted:
November 12, 2023

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Resume:

Eric J Arnold

Central Falls, RI

401-***-****

ad021l@r.postjobfree.com

OBJECTIVE: Solution oriented professional, eager to apply past experience and current education in Medical Billing and Coding towards launching a successful career with an organization that will capitalize on administrative, analytical, communication, and leadership skills while providing opportunity for ongoing professional growth in exchange for a solid work ethic, integrity, and commitment to superior performance.

SKILLS

●Office Administration Skills

●Microsoft Suite (Word/Excel/PowerPoint)

●Medical Terminology

●ICD-10 CM Diagnosis Coding

●Pathology and Anatomy

●CPT Procedure Coding

●ICD-10 PCS Hospital Coding

●M.O.S.S Revenue Cycle

●HIPPA and Confidentiality

●Communications/Customer Service

●Telephone Techniques and Etiquette

●File Management and Creating Patient charts

CERTIFICATION

9/23 AAPC

CPC (Certified Professional coder)

EDUCATION

12/22-07/23 MTTI Technical Training Institute, Seekonk, MA

Medical Billing and Coding/Office Administration Certificate

6/19-9/19 911 Programs, Warwick RI

Medical Billing Certificate

EXPERIENCE

7/23 - present: Acadia Healthcare, Providence, RI

Revenue Cycle Specialist

Responsible for accessing eligibility. Obtaining prior authorizations. Submitting claims for payment. Working with the Senior Revenue cycle manager to achieve optimum results. Learned different software systems such as SMART and Wave Star, and eligibility search engines for Medicare, Medicaid, and private insurers. Responsible for working Aged claims–A/R for a clinic with over a thousand patients.

11/19 - 7/23 Pharmerica, Taunton, MA

Claims Specialist

Responsible for adjudicating pharmacy claims denied by Med D and Medicaid prescription plans. Worked on projects that required attention to detail, and high level communication with prescription drug plans, mail order, retail pharmacy, and team of adjudicators, leads and supervisor. Responsible for working quickly and accurately to meet daily production goals, and documenting adjudicated claims.

7/16 - 10/19 Professional Ambulance. Providence, RI

Advanced EMT

Responsible for medical transport from and to outpatient, inpatient, and private residence. Responding to emergency calls for both medical and accidental injury, provided first aid treatment or life support to sick or injured patients. Responsible for documenting all runs for accurate medical coding and billing.



Contact this candidate