Medical Biller Billing

Jose Irwin S. Poblete

*** ****** ****** ******, ** 08817

Home Phone # 732-***-****

Cell # 848-***-****

***********@*****.***

OBJECTIVE:

To gain employment with the prestigious

institution with diversified cultural background and for

growth opportunity.

EMPLOYMENT:

University Radiology Group

East Brunswick, NJ

Medical Biller

August 2013-Present

Processed outpatient claims of radiology charges under

Medicare, Medicaid, hmo and other private commercial

carriers.

Verified patient insurance eligibility verifications with

the use of different software operating systems like emdeon,

navinet, optimum, patcom, zyrmed, and other systems.

Demonstrated strong follow ups of denied claims and

rebilled claims accordingly.

Coordinated the medical coders for valid procedure codes.

Keep abreast with the latest medical insurance information,

or guidelines by physician’s manual, online or e-mails.

Paid attention to details and knowledge of medical

terminology of the radiology procedures.

Reviewed referring and rendering provider credentials.

Resolved issues with the insurance provides representatives

of consistent contacts via phone calls, & e-mails with

the complete details entered in the spreadsheets for

review.

Robert Wood Johnson University Hospital

Robert Wood Johnson Place

New Brunswick,NJ

Medical Biller

February 2009-July 2013

Inpatient and outpatient biller with 5 years experience

in the ambulatory surgical setting.

Demonstrated as a team player with a positive attitude in a

fast paced, and friendly environment.

Familiarity with the medical terminology and insurance

guidelines or policies.

Communicated issues effectively to the carriers, patients,

management and staff.

Processed claims in timely and accurate manner based in the

billing cycle.

Resolved denied claims in timely fashion by effective

follow ups and appeal resolutions.

Processed direct related group, revenue code, contracts and

fee schedule payments.

Attended seminars for updates of medical insurance

information.

Represented in teleconference calls with the different

providers for payment collections.

Increased the claim productions, and prioritized high dollar

value claims.

Verified pre-certification with the insurance manage care

plan for medical or surgical claims.

Mckesson Inc.

20 Davidson Street

Somerset,NJ

Charge Entry Specialist

May 2008-Jan 2009

Responsible of charges entry, and payment posting from

insurance carriers in accurate and timely manner. Expertise

includes verifying insurance coverage, filing patient

medical records, and coordination of benefits.

EDUCATION:

Everest Institute

South Plainfield,NJ

Medical Insurance Billing

Oct 2006 - June 2007

Contact this candidate