Follow Up Health Care

PAULA GRAHAM

MIRAMAR, FL *****---754-***-****

ad5nqw@r.postjobfree.com

EXPERIENCE

NOVEMBER 5, 2019 – April 12, 2024

MEDICAL BILLER-CODER MEDIRNA/H2-HOSPITALIST

Billing: Software Used (EZ-Claim, Care-book, Availity, Change Health Care, Vida guard, MD-Flow, NPPS-NIP Registry, Bill-flash) Review Claims and submit electronically. Address all billing issues that prevent clean submission. Review all – 99T acknowledgement report, EBT, IBT and 277. Review all claims (REJECTIONS) make corrections and resubmit claims in a timely manner. Follow up on all claims past 10 days without a denial weekly. Post all ERA’s, Paper Checks and Payments received for Deductibles/CO-insurance from Denial from Members – address all Overpayment Recovery. Review all adjustments (DENIALS) for eligibility, Remark Codes, Denial Reason and do necessary corrections; make calls or send appeals to insurance Company for payments for a cleaner AR report. Answer and process payments from Telephone calls from Members (Bill-flash).

FEBRUARY 10, 2010 – OCTOBER 29, 2019

MEDICAL BILLER-RECORDS MTGMT, HUMANA

Billing: Software Used (EZ-Claim, Care-book, Availity, Med star, HC2000, Storan), Enter Claims and submit electronically. Highlight any denial trend to manager Address billing issues that prevent clean submission. Obtain all Availity reports-EBT, IBT, 277 address all exceptions daily. Follow up on all claims past 15 days without a denial weekly. Research and post all denials from electronic remittance (ERA) daily Reconcile all bank statements, billing totals and posting totals daily for monthly closing Post all ERA and or EOB – address all Overpayment Recovery. Records Management: -Process Patients Charts – Scan, rename individual files and Upload to different Vendors FTP site, and upload to Company’s site for future reference. Assist in other areas of the department that are necessary. Assist with updating of Policies and Procedures annually.

AUGUST 10, 2009

TITLE PROCESSOR WATSON TITLE

Updated Title commitment (Atids/ Data Trace), Lien Search, estoppels. Open files and uploaded information from contract (in softpro) and send out disclosures, (Request for Title Commitment) - Provided Cpl, chain of title, Warning Letter, Wiring Instruction, Survey, Title Commitment, entered fees on HUD 1 (Sofpro). Name Search (US Treasury) HOA (Sunbiz). Research taxes (Netro online) uploaded information form examiners sheet for Title Commitment Schedule “A” and “B”.

EDUCATION

JAN 30,2019 MAY 15, 2019

CERTIFIED PROFESSIONAL CODER (CPC-ICD10) UNIQUE CODING ACADEMY

JAN 3, 2000 DEC 31, 2000

ADMINISTRATIVE ASSISTANCE VOCATIONAL COLLEGE –BROWARD

(PROFICIENT IN MICROSOFT EXCEL, WORD, POWERPOINT,

ACCESS, PUBLISHER) (CERTIFICATION) --- QUICK BOOK (CERTIFICATION)

MAY1995 JUNE 1995 HOME HEALTH AID ACADEMY

CERTIFIED NURSING ASSISTANCE (LICENSED)

SEPT 2, 1985 JUNE 2,1986 DUFFS BUSINESS - COLLEGE/JAMAICA

BUSINESS ADMINISTRATION AND ACCOUNTING PROCEDURES

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