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Customer Service Medical Claims

Location:
Moravia, NY
Salary:
26 an hour
Posted:
January 12, 2024

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Resume:

Moravia, NY ***** 315-***-**** ad2pc8@r.postjobfree.com

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MICHELLE MURRAY

PROFESSIONAL SUMMARY

Versatile Billing Coordinator bringing 25 years of healthcare experience. Familiar with confidentiality requirements, patient care standards and insurance claims processes. Flexible, reliable and goal-focused.

SKILLS

Interest Calculations

Recordkeeping

Invoice Processing

Teamwork and Collaboration

Customer Service

Problem Solving

Decision Making

Time Management

Adaptability and Flexibility

Payment Posting

Claims Processing

Collections

WORK HISTORY

BILLING COORDINATOR 08/2022 to Current

Barclay Damon Law Offices, Syracuse, NY

Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.

Used data entry skills to accurately document and input statements.

Generated and submitted invoices based upon established accounts receivable schedules and terms.

Set up effective invoicing procedures alongside accounting staff and contracts department to maximize effectiveness of billing operations.

Billed standard and electronic bills, worked denials and made sure they went through for payments.

Answered emails from client and attorneys.

Worked on Adarant and Tymetrix

MEDICAL CLAIMS PROCESSOR 01/2021 to 07/2022

Retina Vitreous Surgeons, Liverpool, NY

Evaluated medical claims for accuracy and completeness and researched missing data.

Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.

Verified patient insurance coverage and benefits for medical claims.

Monitored and updated claims status in claims processing system.

Used administrative guidelines as resource or to answer questions when processing medical claims.

Processed insurance payments and maintained accurate documentation of payments.

Made contact with insurance carriers to discuss policies and individual patient benefits.

Prepared insurance claim forms or related documents and reviewed for completeness.

Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.

FACILITY BILLING TEAM LEAD 06/2005 to 12/2020

Syracuse Orthopedic Specialist, Syracuse, NY

Researched and resolved billing discrepancies to enable accurate billing.

Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.

Provided excellent customer service, developing and maintaining client relationships.

Monitored customer accounts to identify and rectify billing issues.

Responsible for 10 billing people, and trained new hires.

Worked electronic payments, NYS Surcharge posting for accurate state reporting.

Processed and verified invoices to secure accuracy of billing information.

Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.

Generated and submitted invoices based upon established accounts receivable schedules and terms.

CLAIMS BENEFIT SPECIALIST 04/1998 to 05/2005

APA Partners, Syracuse, NY

Escalated files with significant indemnity exposure to supervisor for further investigation.

Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.

Followed up with customers on unresolved issues.

Understood requirements for disputes, gathered evidence to support claims and prepared customer cases to handle appeals.

Quoted medical and dental benefits to patients

EDUCATION

Herkimer County Community College, Herkimer, NY

Associate of Arts, Applied Science/Data Processing, 05/1992



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