CARAD .. KIKO

**** ******* ***. **, ******, OH **618 • M: 330-***-**** • ad3n17@r.postjobfree.com

PROFESSIONAL PROFILE

!Quality-driven professional with extensive knowledge and experience in the medical billing field, an uncanny ability Ito implement company policies and procedures and robust medical training seeking career opportunities with a iwinning healthcare organiziition.

• Strives to provide excellent patient support by ensuring complete customer satisfaction.

• Skilled problem-solver with ability to anticipate problems and devise creative solutions.

• Impeccable attention to detail with team player attitude and spirit.

• Expert administrative skills, capably baodling front: office duties and typing 60 WPM. KEY MEDICAL COMPETENCIES

Medical Office Procedures ~ Scheduling _,_-\ppointmeots ~ Insurance Verification ~ Office Management ~ HIP AA Collecting Co-Payments and Deductibles ~ Customer Service~ Insurance Claim Processing~ ICD-9-CM ~ CPT Insurance Billing Procedures ~ E1ectronic Medical Records (EMR} ~ Managed Care (HMO, PPO & POS) Medical Terminology ~ Anatomy & Physiology ~ Third-Party Payers ~ Government Payers ~ Office l\fanagement HCPCS ~ TRI CARE ~ Data Entry ~ Administrative Support ~ Filing~ Documentation EDUCATION AND PROFESSIONAL DEVELOPMENT

Ultimate Medical Academy - Tampa, FL

Medical Billing and Coding Diploma (359 GP A)

Assoc. Of Applied Science Medical Billing and Coding Diploma Nov,2012

May,2013

Skills: Disease Processes, Surgical Procedures, Life Cycle of an Insurance Claim, Health Care Settings, Health Care Payers, Procedure and Diagnosis Coding from Medical Records, Reimbursement Systems, Facility Billing, Keyboarding, Word Processing and Life Skills for Success.

Stark State College - North Canton, OH

'i/'vledical Billing and Coding

MEDICAL WORK HISTORY

2011

5 STAR METERING JAN 2022 -DEC 2023

Office Assistant, monthly water billing, daily payment posting and customer service calls. Monthly

!allocation reports, and meter reading reports.

!VILLAGE OF DALTON OHIO JUNE 2020-DEC 2021

[Board of Public Affair clerk. Utility account billing, payment posting and answering phones. Clerical iwork for the Water and Waste Water treatment plant. Monthly balancing of software and utility bank iaccount, correction of meter readings, loading/unloading handheld meter reader with route information

!monthly. Posting municipal tax forms, proc ss final return payments, corporate tax returns and

!Withholding tax payments.

IBER'IY HEALIBSHARE DEC 2018-APRIL 2020

ucliting medical bills prior to payment/share being made to the member or provider. Checked bills for uplicate charges and bills, proper paperwork, correct member/provider information, making sure that rompt pay reports are done in a timely manner, working reports as necessary to maintain good nancial flow to our members and providers for outstanding bills. EROTEK TEMPORARY AGENCY AUG 2018 -DEC 2018

emporary to hire position with Liberty HealthShare for a new :financial auditing department. Auditing edical bills prior to payment/share being made to the member or provider. Checked bills for duplicate barges and bills, proper paperwork, correct member/provider information. FFINI'IY MEDICAL CENTER PHYSICIAN PRACTICE JUNE 2016-MARCH 2018 ata entry, answering phone, maintaining patient medical records, readying paperwork for billing, scanning documents to charts as well as obtaining documents from other providers and/or hospitals for hysicians. Covering front desk for patient check in, scheduling and insurance verification processes. ustomer service, helping patients understand what their insurance would pay, and taking payments fo ills that were sent out as well as copayments.

• FFINI'IY MEDICAL CEN1ER SEPT. 2015 -JUNE 2016

andled incoming phone calls, directing to nursing staff and patients rooms. Admitting and discharging patients from the

• t. Assist with answering call lights when necessary and directing patient visitors to the correct room when asked. rocessing special charges for in room procedures as well as supplies required for the procedures. Census report run when ceded for nursing staff and evening census reporting. BLS certification obtained and is current. PROFESSIONAL WORK EXPERIENCE

PECTRUM ORIBOPAEDICS MAY 2015-JULY 2015

• Handled daily incoming Medicare and Medicare Managed care mail, denials and patient questions regarding their claims. Worked with Commercial Medi.care carriers to correct and appeal claims that were denied for medical necessity, providing docmnentation on claims. Processed claim batches through the clearinghouse for processing with the carriers, completed necessary appeals, :redetermination and reconsideration forms when necessary.

OHN C. ROSEMAN JR., DPM AUG 2013-NOV 2014

• Handled daily billing to l\feclicare, Medicaid, Commercial insurance and patient accoums, posted daily payments made daily deposits. Verified digibility, made calls for prior authorizations to insurance au:riets. Printed and mailed weekly patient bills, HCF A claims and wound care billing. MHEALIB -COPLEY, OH 2013-AUG 2013

• Handled daily credit reports on ovetpaid to Medicare, :.Medicaid, Commercial insurance and patient accounts.

• Complete all paperwork required to return overpayments to clients, verify eligibility, contact insurance providers to obtain missing information required to post/ retum payments to correct invoices. RQIS MOBILI'IY -CANTON, OH 2010-2011

illing and Collections

• Handled daily billing of claims to Medicare,. Medicaid and c01Ittilffl:ialinswaoce..

• Printed and mailed weekly patient statements, HCF A claim forms to insurance carriers, and filed electronic claims to Medicaid

• Reviewed insurance A/R and contacted the insurance canier to obtain payment or denial information.

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