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Customer Service Medical Billing

Location:
Kings Mountain, NC
Salary:
18.00/hr
Posted:
November 09, 2023

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Resume:

TIEADEVONDA PETTY

*** ****** **, ***. ** Kings Mountain, NC 28086 704-***-**** ad0y6g@r.postjobfree.com

PROFESSIONAL PROFILE

A detail-oriented individual with general knowledge of HCPCS, CPT, ICD-9 and ICD-10 coding preferred. I have a global understanding of commercial and government payers and will apply company policies and procedures to resolve a variety of issues. Currently, I'm seeking an entry level medical billing position with a growing company to provide outstanding service in the revenue cycle of a medical office or health insurance industry.

Medical claims and collections (2 years)

Medical Billing (2 years)

Medicare (3 years)

Data Entry (3 years)

Medical Coding (2 years)

Medical Terminology (9 years)

Excel (10+ years)

Customer Service (10+ years)

EDUCATION

Ultimate Medical Academy Associate of Science Degree – Medical Billing and Coding, 2019

Certified Medical Reimbursement Specialist- May 2022

WORK EXPERIENCE:

Talent Bridge- Lash Group 11/2020 -Present

Benefit Verification Specialist

Review all necessary documentation required to expedite benefit investigation. This includes demographic, authorization/referrals, National Provider Identification (NPI) number, and referring physicians.

Call insurance companies to verify patients' medical insurance coverage.

Obtain pre-authorization information for an eye injection procedure performed in a specialist office.

Verify and enter ICD-9/ICD-10 codes in billing system.

Update Patient Plus notes and profile during every benefit verification.

Patient Service Representative

Received inbound calls.

Assisted and provide patients with program information.

Reviewed patient records for accuracy, supply any missing information and ensure compliance with company policy, and government regulations.

Reviewed patients EOB and verify amounts paid toward deductibles for Medicare.

Reviewed and processed applications for enrollment.

Processed refill request by triaging prescriptions to mail order pharmacies.

Initiated contact with other departments and patients to obtain missing information.

Goodwill- 03/2020-11/2020

Sorter

Sorted through four or more bins of donated items.

Inspected items that have been donated.

Organized clothes into sorted piles for hanging.

Managed time to ensure productivity of clothing.

Cleco Primary Care - 09/2019- 12/2019

Switchboard Agent

Received inbound phone calls.

Provided exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly.

Effectively utilizes phone, fax, mail, and online methods, to contact physicians and patients for needed information and documents.

Utilized Greenway Suites to cancel and schedule health appointments for patients.

Communicated with providers on behalf of patients effectively.

Transferred calls to appropriate departments by request.

Family Dollar – 06/2018- 01/2019

Assistant Manager / Customer Service Associate

Trained employees in job duties and company policies.

Implemented corporate and departmental policies, procedures, and service standards.

Resolved customer complaints and answered customer questions.



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