Medical Insurance Customer Service
Resume:
Kye Harry
ad2dvt@r.postjobfree.com
Experience:
Rodeo Dental/Thomas Edwards
Physician Credentialing/Collections Specialist *(Remote) Fort Worth, TX. 01/2023 – 12/2023
- Medical/Dental payment posting processes.
- Medical/Dental insurance payment collection processes.
- Data and physician credential entry processes.
- Physician credentialing processes.
Kaner Medical Group Bedford, TX. 03/2016 – 11/2022
Medical Billing Specialist/Medical Insurance Collections
- Interact with consumer advocates in regards to payment of medical claims.
- Consumer/Carrier collections and payment processes.
- Diagnosis/ICD-10 and procedure/CPT coding and processes.
- PPO, HMO, Medicare and Medicaid HCFA claims filing processes.
- Medical insurance benefit verification.
- Explanation of benefits specialist.
Academic Health Plans Colleyville, TX. 03/2011 - 03/2016
Customer Relations Specialist
- Interact with university healthcare providers regarding healthcare policies and payments.
- Medical billing and coding processes.
- Consumer healthcare enrollment processes.
- Medical insurance benefit verification.
- Multiple telephone line operation.
Hospital Corporation of America/HCA Irving, TX. 04/2009 - 02/2011
Medical Claims Collections Specialist
- Interact with consumer advocates in regards to payment of medical claims.
- Interact with consumers in regards to collection of medical claim payment.
- Familiar with diagnosis/ICD-9/10 and procedure/CPT codes.
- HMO, PPO, Medicare, Medicaid HCFA claims processing.
- Medical insurance benefit verification.
- Medical collections 90 days to Charge-Off.
Blue Cross Blue Shield of Illinois Chicago, IL. 08/2002 - 12/2008
Technical Business Specialist I
- Interact with consumers regarding medical claim payment and processing.
- Medical Collections 90 days/Charge Off.
- Enhancement testing of system data base and functions.
- Multiple telephone line operation.
- Medical insurance benefit verification.
- Commercial and government medical insurance claim reprocessing.
Skills:
Microsoft Office, Word, Outlook, Excel, PowerPoint. Various Windows based
applications. FDCPA rules and regulations skills. Knowledge of all HIPAA regulations. All general office
equipment. SalesForce. Centricity. CredStream. CSPro. Brightree. MediSoft. NextGen. MOMS. MediTouch. Kareo. eClinical Works. Office Ally. Office Mate. Dentimax. EagleSoft. Quickbooks. Lotus Notes. FDCPA certified collector. Availity. Simplicity. Gateway. Platinum Systems. iPatient Care. HDMS. Aprima. MicroMD. (EMR) applications.
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