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Billing specialist

Location:
Austin, TX
Posted:
March 29, 2024

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Resume:

Pamela Cheney

Cedar Park, TX *****

ad4nzl@r.postjobfree.com

+1-248-***-****

Authorized to work in the US for any employer

Work Experience

Billing Specialist

Optum rx - Cedar Park, TX

January 2022 to March 2023

Medical billing for skilled nursing, specialty drugs Customer Service Representative

SGS Consulting - South Lyon, MI

September 2021 to November 2021

Customer Service Representative for BSwift Cobra and Direct Billing. Answering calls from members about their cobra or direct billing coverages.

Billing Specialist

Galaxy Brain and Therapy Center - Ann Arbor, MI

January 2020 to March 2020

Billing, collections, verifications, authorizations Billing/Collection Specialist

Moriah Inc - Ann Arbor, MI

2012 to 2017

Billing and Collection for Inpatient TBI Facility. Also set up billing system and electronic billing system. Set up BCBS and Medicare contracts. Posted payments. Reimbursement Specialist

Walgreens Specialty Pharmacy - Ann Arbor, MI

2008 to 2011

Billing electronically for Specialty Drugs and working EDI errors. Secondary billing and did claim status for BCBS and BCN plans, checking pricing from fee schedules and J Code billing. Lead Analyst

Corvel Corp - Farmington Hills, MI

2007 to 2008

Did Medical Review for auto/PIP claims. Interacted with PIP adjusters in processing bills. Handled appeals and adjustments and customer service. Billing Specialist

Infusystem - Madison Heights, MI

2006 to 2007

Set up patient files, insurance verifications, obtain authorizations and referrals, customer service and billing of DME equipment.

CSR Claims

Geico - Virginia Beach, VA

2005 to 2006

Completed training and transition in handling automotive claims in call center. Took loss reports, maintained and handled claims to closure. Set up estimate appointments and rental vehicles. Took inquiry calls on progress of claims.

Claims Analyst

Citizens - Austin, TX

2003 to 2005

Processed accident, health and dental claims for individual and supplemental policies. Customer Service as needed.

Claims Analyst

Boon Chapman - Austin, TX

1999 to 2003

Supervised a claims team for one year. Processed medical and disability claims, appeals, refunds, voids and pre-determinations, maintained backlog of claims and processed and refined process of electronically submitted claims and helped in training new analysts. Education

High school or equivalent in Medical Office Procedures North Harris County College - Houston, TX

1987

High school diploma

SW Oakland Vocational School - Walled Lake, MI

1972 to 1974

Skills

• Microsoft office, typing, calculator, computers (10+ years)

• Medical Coding

• Customer Service

• EDI

• Medical Billing

• ICD-9

• Medical Records

• EMR Systems

• CPT Coding

• ICD-10

• Microsoft Outlook

• Medical Terminology

• Medical Scheduling



Contact this candidate