Medical Claims Specialist
Resume:
Zandrea Perez
Dumas, TX *****
ad4c37@r.postjobfree.com
Authorized to work in the US for any employer
Work Experience
Insurance Claims Processor
Moore County Hospital District - Dumas, TX
September 2018 to Present
Familiar with UB/1500 forms, can read RA/EOB’s, working on Meditech and Quadax for claims, medical billing, handling ROI’s, familiar with commercial, Medicare, Medicaid and WC insurances. Verifying insurance and patient information is all correct on insurance, getting referrals if needed, checking claims for correct HCPCS and ICD10 codes, determine benefit due, and start the denial or payment process to resolve medical claims, Ensure all claims information remains confidential, working mail regarding claims/denials, appeals, Collecting/Posting patient payments. Patient Coordinator/Medical Records
Amarillo Medical Specialist - Amarillo, TX
February 2018 to September 2018
Answering phones, scanning, placing referrals, medical records, scheduling, checking in/checking out patients.
Sales Associate
Dollar General - Lakin, KS
December 2016 to January 2018
Greet customers, clean front end of store and help setup displays when necessary, collect payment from customer and make change, operate cash register and flatbed scanner to itemize and total customer's purchase; bag merchandise, comply with company policies and procedures. Administrative Assistant
City on a Hill, Inc - Garden City, KS
August 2013 to October 2016
Opening/Closing facility, answering phone, greeting clients, billing clients and billing insurance for 3 facilities, ICD-10 coding (substance abuse Inpatient/Outpatient) balancing books, collecting payments, data entry, inputting payments in QuickBooks, calling and mailing completion/successful/unsuccessful reports to Probation/Diversion/Correction and or Parole Officers or attorney's/courthouses. Admissions Clerk
Southwest Texas Regional Medical Center - Jourdanton, TX October 2012 to November 2012
Admitting patients, answering phone, greeting patients/customers, verifying patients information, checking insurance eligibility, collecting payment, filing medical records, balancing cash box, receiving mail, faxing.
Admissions Clerk
Kearny County Hospital - Lakin, KS
August 2011 to October 2012
Opening/closing, admitting/discharging patients, receiving/placing orders from doctors/nurses/hospital staff, greeting patients, verifying patient information, verifying/checking insurance eligibility, collecting payments, answering multi-line phone, copying, faxing, filing medical records/lab/radiology orders, audit report spreadsheets, balancing cash box.
Education
None in Health Information Management
Hutchinson Community College
August 2014 to December 2018
Diploma
Lakin High School
Skills
• ANSWERING (6 years)
• DATA ENTRY (6 years)
• QUICKBOOKS (3 years)
• FAXING (10+ years)
• FILING (6 years)
• Front Desk (5 years)
• Front Office (4 years)
• Hospital Experience (7 years)
• Medical Records (4 years)
• Medical Scheduling (3 years)
• Medical Billing (5 years)
• EMR Systems (3 years)
• Insurance Verification (4 years)
• Medical Office Experience (7 years)
• Medical Terminology (5 years)
• 10 key calculator
• Medical receptionist
• Typing
• Customer service (10+ years)
• CPT Coding
• HIPAA
• Time management
• ICD-10
• Medical records
• HIPAA
• EMR systems
• Hospital experience
• Clerical experience
• Front desk
• Computer skills
• Medical terminology
• Microsoft Excel
• Microsoft Office
Assessments
Protecting patient privacy — Proficient
January 2022
Understanding privacy rules and regulations associated with patient records Full results: Proficient
Principles of accounting — Proficient
January 2022
Preparing financial records according to federal policies Full results: Proficient
Work motivation — Proficient
August 2020
Level of motivation and discipline applied toward work Full results: Proficient
Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.
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