Alice Rice

Huntington Beach, CA *****

Email: ad3wmf@r.postjobfree.com

Phone: 714-***-****

Administrative Roles/ Billing Specialist with over 35 years work Experience Account Manager- Acme Billing Solutions, Irvine, CA March 2020 - Present Billing, collections,posting payments, processing claim denials, appeals, claims f/u with ins companies, rate negotiating, customer service, medical records, EOB's review. Sending out Patient statements. Responsible for 3-4 different facilities generating $550-$650k monthly for each. Additionally recuperating old outstanding balances of up to $200k. Billing Specialist - NextGen Labs - Newport Beach, CA March 2017 to February 2020 Billing, posting payments, denials, appeals, claims f/u, credentialing EOB's review. Receive cash receipts and reconcile deposits, scan deposits to bank manual/live checks, high volume accounts, generate receivable financial reports, recording accounts receivables data. Generate financial statements and reports detailing accounts receivables status. Verifying patient eligibility/claim status, working on resolving denials with various insurance companies, print invoices and mail to patients, reconcile accounts receivables, customer support, handle correspondence to intended recipients of medical records.

Medical billing specialist/collections- North Bristol Medical Clinic- Santa Ana, March 2015 to March 2017

Authorizations and collections, billing, posting payments, denials, customer support, insurance verifications. EOB’s review.

Lab Tech- West Pacific Lab - San Juan Capistrano, September 2011 to March 2015 Performing phlebotomy on different age groups, Lab samples processing and packaging specimens, chemistry and paternity DNA, verifying patient eligibility,entering data. In charge of inventory and supply ordering.

Clinical Research Coordinator - Dr Rosenberg- Huntington Beach, CA January 2009 to August 2011

Patient recruitment, interview and consent patients for clinical trials, completion of source documentation and case report forms, what support the clinical research efforts in physician's office, perform lab, procedures to process lab specimens, P.F.T’s. Clinical Research Coordinator Assistant/Lab Director - Diabetes Research Center- Tustin,CA January 2006 to January 2009

In charge of performing phlebotomy, packaging specimens as per Protocol, U/A's, A1C's, lft's, lipid panels, hct's, vitals, EKG's. Pulmonary Function Tests for several different studies. Updating Regulatory Binders, taking care of Queries, ordering lab supplies. Office Manager - Downtown Women and Children Medical Center October 1991 to January 2006

Medical Administrator Generated over $2.5 million dollars in billing yearly. Supervise up to 12 employees and provide training in office procedures and medical billing, denials and posting payments, authorizations. Other responsibilities include: payroll, preparing accounting reports, preparing and updating financial statements. In charge of patient services, phlebotomy, suture and staple removal, injections, pregnancy tests, vitals, NST's, minor office procedures. Education

Associate in Computer Applications- ASE, Romania

Certificates Medical Billing and Coding Certificate- US Career Institute 1

Certificate Accounting 1 and QuickBooks 1,2

Certified Phlebotomy Certificate

Skills

Excellent written and oral communication skills, customer service, Quicken accounting software, ICD10, CPT coding. Full understanding of Medical Terminology, Accounts payable/receivable/collections. Extensive knowledge of medical billing (Medi-Cal, BlueShield, Blue Cross PPO,UHC, Cigna, Arta, Cal Optima etc.) Keeping regulatory binders updated, Certified Phlebotomist, Micro Slides, HbA1c, Lipid Panels function testing, Hemoglobin testing, Urine Dipsticks, Lab Samples Processing, Packaging Specimens, NST's, Pulmonary Function Testing, EKG's, Safety Pak Training.

References provided upon request.

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