Customer Service Data Entry
Resume:
AW
AKESIA WILSON
*****.**********@*****.*** 917-***-**** Hartford, CT 06112
Results-Oriented Biller proudly offers over 14 years' experience in reviewing accounts and maintaining patient records. Driven professional with background in medical terminology, coding and Customer Service. Offers task prioritization expertise in fast-paced environments. Successful at resolving disputes and billing inquiries. Medical claims expertise
Medical Terminology
Medical Scheduling
Knowledge of ICD-9 and ICD 10 coding
Knowledge of CPT code and modifiers
Insurance Verification
Office Practicum Use
EPIC
Account management
Data entry
Account follow-up
Microsoft Office (Word,Excel, Outlook}
EMR Systems
Customer service
Attention to Details
Positive attitude
Critical thinking Skills
Team work
Orthopedic Associates of Hartford
Hartford, CT
Medical Collector
04/2024 - 05/2024
Followed up on unpaid claims in a timely manner while maintaining excellent customer service skills.
Performed research on denied and unpaid claims using various resources such as the internet, medical records.
Assisted with coding issues when needed to ensure accurate reimbursement from insurance companies.
Communicated effectively with outside agencies concerning patient accounts, credit balances, refunds.
Responded promptly to requests from internal staff members for additional information or clarification related to collections activity. Analyzed data trends related to denials and appeals activity to identify opportunities for process improvement.
Supert Tech Medical Billing The Bronx,
NY
Medical Biller
11/2021 - 09/2022
Handles Billing and claims for Medicare and Commercial Patients. Submitted and accurately process insurance claims. Reviewed claims for coding accuracy.
Posting Payments to accounts using ERA systems.
Follow up with Insurance companies on submitted claims, denials and appeals.
Tribeca Pediatrics, llc New York, NY
Medical Biller
11/2010 - 11/2020
Handling Patients personal information effectively. Completed and submitted appeals for denied claims. Reviewed claims for coding accuracy.
Coordinated communications between patients and insurance carriers. Contacted insurance providers to verify insurance information and obtain Summary
Skills
Experience
billing authorization.
Reviewed account information to confirm patient and insurance information is accurate and complete.
Submitted and accurately processed insurance claims with related medical code verifications and assessments.
Answering telephone calls from patients regarding inquiries about their account balances.
Post Payments to patients account (checks, ERA/EFT payments) Running daily reports to record outstanding claims and balances. High School Evaluation Certificate
Evaluation Certificate-North American Educational Group (NAEG) 04/2010
Universty of Technology Kingston, Jamaica
Bachelor of Arts in Human Resources Management And Banking & Finance 07/2007
Minor in Banking and Finance
Initiative Award Recipient
Old Harbour High School Kingston, Jamaica
High School Diploma
07/1995
Education and Training
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