Customer Service Medical Billing

Celeste Anderson

*** ****** *** ******, ** * **** 202-***-**** ************@*****.***

PROFESSIONAL PROFILE

Customer service oriented professional with medical billing, medical insurance, and administrative experience. Able to provide timely and accurate data to ensure reimbursement for patient services and communicate effectively with co-workers, patients, and staff. Follows all applicable policies, procedures, and guidelines to ensure quality. Maintains and safeguards patient privacy and confidentiality.

High Academic Honors: Dean’s List, Member of the Alpha Beta Kappa Honor Society (ABK).

Demonstrates independent work initiative, sound judgment, and attention to detail.

Shows sound judgment and good decision making when dealing with problems.

Medical Billing and Coding Software - Mitchell Decision Point Software (MDP).

Microsoft Office Applications - MS Excel, MS Word, MS PowerPoint, MS Access, MS Outlook.

Typing Speed: 35 WPM with 10-key Data Entry skills.

KEY QUALIFICATIONS

Medical Billing Accounts Receivable Collections Co-Pay Deductibles Co-Insurance EOBs

Revenue Cycle Management Posting Payments Government (Medicare & Medicaid) Third Party Payers

Electronic Health Records (EHR) Electronic Medical Records (EMR) Managed Care (HMO, PPO, and POS)

Workers Compensation Insurance Verification Insurance Claim Processing CMS 1500 CMS 1450 (UB-04)

Front Office Operations Medical Office Procedures Scheduling Medical Terminology Anatomy & Physiology

HIPAA Compliance Medical Coding (ICD-10-CM HCPCS CPT)

EDUCATION

Ultimate Medical Academy Associate of Science Degree - Medical Billing and Coding, 2021

Ultimate Medical Academy HIPAA Essentials for Healthcare Professionals Certificate

Olivet College Bachelor of Business Administration Degree - Concentration in Insurance, 2001

PROFESSIONAL EXPERIENCE

Progressive Insurance - Silver Spring, MD 06/2015 - Present

Claims Processor / Administrative Assistant / Customer Service - Call Center

Process medical bills, collect data, enter data into Decision Point, and correct outsourced bills.

Answer inbound phone calls, distribute mail, maintain paper and electronic files, and work in multiple positions.

Locate provider tax IDs, update billing information, and answer questions regarding submitted bills.

Clear queues, file paperwork, scan documents, perform claim assignments, and respond to voicemails.

Assist employees, enter information on total losses for claims, and order and stock office supplies.

Baltimore Housing Authority - Baltimore, MD 10/2012 - 02/2015

Program Specialist I / Customer Service - Call Center

Performed income verification to pre-qualify customers for housing vouchers and scheduled appointments.

Answered inbound calls, conducted interviews to determine eligibility, and maintained paper files.

Entered data into database, updated files, and completed tasks with attention to detail.

Illinois Action for Children - Chicago, IL 08/2010 - 08/2012

Family Resource Specialist / Customer Service - Call Center

Processed applications, determined eligibility, maintained electronic files, and trained new employees.

Fielded inbound phone calls from individuals checking status of applications and answered technical questions.

Documented interactions, updated client information, determined eligibility, and maintained files.

VOLUNTEER EXPERIENCE

Keys of Progress / Progressive Insurance - Silver Spring, MD 10/2019 - Present

Volunteer

Participate in annual event, assist with paperwork, set up tables and chairs, and assist with providing gifts.

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