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Insurance Verification Medical Billing

Location:
Romeoville, IL
Posted:
January 09, 2024

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Resume:

Joanne Dipietrantonio

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

Joliet, IL 60435

815-***-****

ad2l9s@r.postjobfree.com

Education

●Joliet Junior College - Associate Degree in Business

Work Experience:

Billing Physician Charges/ Patient insurance

Edwards Imaging

Feb 2022 to March 22.

●Verifying Insurance benefits, process authorization for XRAY, MRI and Scans

●Worked on co-pays and processed documents to the insurance companies.

●Medical billing and follow up on claim

●Billed Commercial and Managed care Billing

●Pre registering patient for medical testing

● Insurance verification

●Medical Insurance billing: billed patient claim. Commercial plans. Managed care plans, Medicare and Medicaid billing.

●Medicaid billing: process claim thru Medicaid billing systems.

●Verify insurance eligibility

●Medical record

● Pulling file for physician

● Copying medical records

●Worked with Clients such as Cadence Health, Silver Cross Hospital, Aunt Martha’s Clinic, Vein Clinic of America, Edward Hospital, IKS, and Edward Imaging

IKS

Nov 2021 to Jan 2022

●Medical billing, post doctor charges,

●Billed doctor’s charge

●Insurance verification

●Commercial plans

●HMO plans

●Medicare and Medicaid billing

●Secondary billing

Northwestern Clinic

Warrenville, IL

Jan 2020 to Sept 2021

●Answer patient calls, Schedule MRI and SCAN, Verify Insurance, Message to Doctors and Nurses.

●Answered Incoming Calls

Covelo Group-Amita Hospitals

Aug 2018 to Oct 2019

●Medical billing

●Primary and Secondary Insurance Verification

●Answer inbound call

●Accept co-pay and co-insurance payment

●Accept credit card payment

●Patient finance assistance.

Edward Hospitals

Naperville, Il

March 2017 to June 2018

●Register patient, Demographics, Insurance Information, Patient Benefits,

●Co-pay and Co-insurance payment

●Billed primary and secondary insurance

●Pulled Explanation of Insurance benefits

Aunt Martha Clinic/Receptionist

Sept 2015 to Sept 2016

●Answer phone, pulled patient file, call patient to remind them of their appointment, schedule appointment. Cancel appointment, Patient Co-pay, payment plan.

●Insurance Verification

Cadence Health

Dec 2011 to June 2012

Job Duties:

●Medicaid billing, insurance verification and benefits online and on the phone, answered incoming calls

●Insurance Verification

●Secondary Billing with explanation of benefits.

●Explain charges to the patient.

Vein Clinic

Schaumburg, IL

Oct 2016 to Jan 2017

●Insurance Verification

●Insurance Benefits

●Primary and Secondary billing.

●Pulled explanation of benefits for secondary billing.

●Answer patient

●Made appointments

Medical Receptionist

Provena St. Joseph Clinic - Downers Grove

July 2010 - December 2011

●Answered inbound calls and scheduled appointments.

●Verified insurance to make sure patient information is accurate

●Worked on insurance billing

Patient Finance Representative

University of Chicago Finance Office

February 1990 - April 2010

● Fielded inbound patient calls regarding invoices and patient refunds.

●Data entry of patient information

● Responsible for billing and collecting from all commercial and government insurance agencies.

●Handled all disputes regarding charges, accepted credit card payments and adjusted invoices accordingly.

● Provided explanation of benefits to patients over the phone

●Processed UB92 hospital claim forms daily.

● Mailed and faxed claims while preparing appeal letters, correspondence mail.

●Insured proper contractual adjustment were posted to accounts.

●Knowledge of Medical Terminology.

●Payment Posting

● Primary and Secondary Billing; Medicare and Medicaid Billing

● Oversaw pre-approval for hospital and some inpatient procedures

●Reviewed medical claims and EOB's with no response or denials and followed up with insurance companies.

●Verified insurance coverage.

● Made follow-up calls to patients to insure claims were process correctly.

Customer Service Representative

Cigna Healthcare

September 1989 - February 1990

●Answered inbound calls for customer inquiries.

● Checked status of outstanding HCFA claims and proved followed up with the customers/clients.

● Sent claims back for reprocessing and reviews.



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