Qualifications

Over ** years of experience with various specialties in third party medical billing, Working knowledge of medical accounts, receivable software programs and office skills. Competence in math and knowledge of GAAP accounting principles. CPT and ICD-10 knowledge. Excellent communication and interpersonal skills and ability to use initiative and independent judgement.

Education

Rhode Island College, Providence, Rhode Island – enrolled for 3 years

Diversified curriculum majoring in Education minor in Business Management

Davies Vocational High School, Diploma 1986

College preparatory concentration- High Honor & Honor Society

Experience

Care New England, Providence, RI Professional Biller II 7/11 - present

Provides support to the management of CNE accounts receivable and functions as billing liaison to intermediaries, insurance carriers, patients and guarantors.

Responsible for the processing of denials, payments, refunds and secondary claims, filing and balancing monthly spreadsheets and functions as liaison between billing office and the finance department. Responsible for addressing edits and rejections and facilitates all activity in regards to electronic and paper claims submission.

CPM, Lincoln, RI Medical Billing Specialist 2/08-7/11

Supervised three employees with overall day to day questions and issues that may arise in the office. Maintained and managed the claims edits and scrubber system. Worked closely with the Director and the Finance Department to assure client’s accounts was in good standings. Communicated with patients and practice managers with concerns and resolved issues within the office.

Automated Medical Systems, Cumberland RI Medical Billing Specialist 1/03-2/04

Processed medical claims utilizing ICD9 & CPT4. Implemented Patient data and augmented communication with patients, doctor’s office and insurance carriers. Facilitated charged entry and processed payments for insurance carriers.

Attleboro Radiology, Attleboro, MA Asst. Office Manager/Billing 10/01-12/02

Facilitated in the daily operation of a busy office while managing and resolving patient

concerns, supervising employees and processing medical claims. Verified

weekly time cards, processed daily checks and minor banking functions. Handled special projects to assure office was operating proficiently.

Skills

Billing Software- EPIC, IDX, E-Clinical, Medical Manager/ Cache, Window Office

Bilingual – Cape Verdean – Some Portuguese

References: Furnished upon Request.