Jaime Limon

**** *. ***** ***. ******** Az, *****

Phone: 480-***-****/Email: ad1v0n@r.postjobfree.com

SUMMARY OF SKILLS AND QUALIFICATIONS

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• Completed a 32 week program for Medical Insurance Billing and Coding from an accredited institution

• Enforces medical office compliance with HIPAA, OSHA and CLIA regulations for maximum quality and control

• Exceptional customer service skills; 7+ years of experience with 2 years within a call center environment

• Creative thinker with the ability to solve customer issues efficiently and effectively

• Extremely detail oriented with excellent time management skills EDUCATION

Brookline College – Tempe, AZ

05/2012 – 01/2013

Medical Insurance Billing and Coding, Diploma

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• Fluent in medical Terminology

• AHA, CPR, & First Aid Certification

• Medical Insurance Billing and Coding

• HIPAA and OSHA Trained

• Insurance Verification

• Front Office Medicare

• Medicare Fraud and Abuse

• ICD-9-CM, CMS Form 1500 and UB-92

• Computer Literate: Microsoft Office

• Detail Oriented

• Outstanding Time Management Skills

• Work well independently or in a team environment Satellite Healthcare – Mesa AZ

12/2012 – 01/2013

Medical Biller (Externship)

• Created Medicare Bad debt packets

• Contacted numerous insurance agencies to verify patient insurance information

• Entered and/or updated new patient eligibility into system Verified the completion of the Release of Benefits and that benefits are assigned PROFESSIONAL WORK EXPERIENCE

CHANDLER UNIFIED SCHOOL DISTRICT 07/2022-PRESENT

I HAVE 2 POSITIONS AT CONLEY ELEMENTARY SCHOOL. I AM THE AM AND PM CROSSING GUARD. I AM ALSO A NOON-AIDE, WHICH MEANS I WORK LUNCH/RECESS.

● CROSSING GUARD I MAKE SURE THE SIGNS ARE OUT IN THE AM, THEN CROSS ALL THE KIDS IN THE MORNING.

● CROSSING GUARD AT NIGHT I CROSS ALL KIDS AFTER SCHOOL AND THEN BRING IN ALL THE SIGNS AND LOCK UP THE GATES.

● NOON-AIDE THERE A SCHEDULE FOR EVERYONE THAT WORKS LUNCH AND RECESS. WE WATCH THE KIDS ON THE PLAYGROUND AND MAKE SURE THEY'RE SAFE AND DEAL WITH ANY ARGUMENTS THEY ARE HAVING AMONGST EACH OTHER OR IF ANYONE GETS HURT. CALL FOR HELP IF NEEDED.

● NOON-AIDE WHEN THEY'RE EATING WE HELP THEM GET THROUGH THE LUNCH LINE IF THEY NEED TO BUY LUNCH. HELP THEM OPEN THEIR LUNCHES, GET SILVERWARE ECT.. AND KEEP THEM QUIET/BEHAVING IN THE LUNCHROOM. APRIA HEALTHCARE O5/ 2014-

10/2020

DURING MY EMPLOYMENT WITH APRIA I WORKED IN MANY DIFFERENT DEPARTMENTS. WE WOULD MOVE AROUND AS BUSINESS NEEDS.

CUSTOMER SERVICE-

• ANSWERING INCOMING PHONE CALLS OF PATIENTS AND PLACING ORDER FOR SLEEP APNEA SUPPLIES.

MEDICARE PATIENTS-

• PLACED ORDER FOR MEDICARE PATIENTS NEEDING SLEEP APNEA SUPPLIES.

• VERIFYING COVERAGE ONLINE AND CONFIRMING COORDINATION OF BENEFITS.

• CALLING PATIENTS WHEN NEEDED TO CONFIRM SUPPLIES ORDER AND INSURANCE COVERAGE. OPT-IN DEPARTMENT-

• WHICH IS PATIENTS THAT HAVE SIGNED UP FOR AN AUTO SHIP OF THEIR SLEEP APNEA SUPPLIES. THEIR SUPPLIES WOULD AUTOMATICALLY SHIP EVERY 90 DAYS OR 6 MONTHS, WHICHEVER THEY CHOOSE.

• I WOULD WORK THE ORDER WHEN THE PATIENT WAS ELIGIBLE,

• VERIFY SUPPLIES/ORDER, VERIFY COVERAGE ONLINE USING EMDEON, CIGNA WEBSITE, ONE SOURCE WEBSITE, AND IF VERIFICATION COULD NOT BE MADE CALL THE PATIENT FOR NEW COVERAGE

• PROCESS THE ORDER, SEND FOR AUTHORIZATION IF NEEDED

• IF CREDIT CARD WAS NOT ON FILE OR EXPIRED AND COINSURANCE OR DEDUCTIBLE IS DUE CALL PATIENT TO COLLECT THE AMOUNT DUE.

FLORIDA SLEEP PATIENT ORDERS-

• OVERSEAS REPS WAS NOT ALLOWED TO CALL FLORIDA PATIENTS. JUST LIKE THE OPT-IN DEPARTMENT I WORKED THE ORDER AND CALLED THE PATIENT IF NEEDED. INCOMING FAX QUE-

• WE WOULD REVIEW THE FAX AND CALL THE PATIENT TO SEE IF ANYTHING IS NEEDED LIKE CPAP SUPPLIES, MASK REFIT, PRESSURE CHANGE, NEW UNIT ECT..

• PLACE ORDERS AS NEEDED AND WOULD SEND THEM OVER TO BE PROCESSED BY ANOTHER TEAM. IF WE DID NOT REACH THE PATIENT WE LEFT A VOICEMAIL AND TIRED PATIENT AGAIN THE NEXT DAY. NOTATE THE ACCOUNT, SAVE THE FAX TO THE PATIENT ACCOUNT. Medix Staffing Solutions- Phoenix, AZ

07/2013-10/2013

Medical Billing-

• Getting everything ready to post by pre-batching insurance checks using excel

• Posting insurance check, EFT’s and denials for primary and secondary insurance.

• Cleaning up old insurance check batches, deleting old batches that were not used but payment was already posted to the patient account.

• Sorting all the billing mail and delivering it to the right department. Preferred Homecare- Phoenix, AZ

02/2013-05/2013

Reimbursement- Held Biller

• Gathered Letter of Compliance from doctors’ offices for patients Oxygen tanks and other medical equipment

• Processed claims

• Billed secondary insurance

• Updated demographics reports daily

• Worked on Zirmed fixing on denied claims

Safelite Auto Glass – Chandler, AZ

06/2010 – 04/2012

Sales Representative

• Professionally answered incoming phone calls from potential customers

• Utilized tools available to select the appropriate glass part for replacement

• Sold products and accurately entered/updated customer information

• Located appointment sites or found a solution to ensure the customer received quick and convenient service

• Utilized Microsoft Office and other web based applications to complete daily tasks Macys – Chandler, AZ

08/2005 – 05/2010

Sales Associate

• Interacted with customers in a positive, upbeat manner

• Processed retail transactions, managed inventory levels and stocked the shelves/racks

• Worked one-on-one with customers to build clientele base

• Provided honest and confident feedback to customers regarding merchandise style and fit

• Achieved personal sales goals while supporting the goals of the team

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