Ruth Brown
**** *** **** ** **** ***, Arlington, TX 76011 314-***-**** ad5pjb@r.postjobfree.com
Skills
RX Claims CPT/ICD-10 CODING Type 45 wpm
Data Entry MS Word MS Excel
MS PowerPoint Access Salesforce
Work Experience
Optum/Quest Diagnostics, worked from home 01/23 - 12/23 Lead Medical Billing Specialist/Customer Service
Assisted with solutions
Addressed supervisor calls
Advised on current third party billing and collection regulatory guidelines and requirements Breg Inc, Southlake, TX 04/22 - 10/22 (Contracted) Medical Billing Specialist
Using coded data to produce claims to insurance companies. Appealing and reviewing denied and unpaid claims.
Verifying patient’s insurance coverage
Answer patient’s billing questions and handle collections on unpaid accounts AMN Healthcare, Dallas, TX 08/21 - 12/21 (Covid Related) Credentialing Analyst 1
Processed credentialing applications and supporting documentation. Track license and certification expirations to confirm renewals. Maintain accurate information for providers and update their credentials as necessary Brinks Armored Security, Coppell, TX 2019 - 2020
Customer Service Representative
Provided support to customers, clients and vendors via telephone. Call types included updates on scheduled/dispatched services, delivery/deposits of cash and online assistance.
Provided technical support to access locks, revised service requests and answered inquiries for ATMs and safes.
Documented information regarding supplies and repairs for safes and ATMs. Optum, Schaumburg, IL 2009 - 2019
Manual Claims Processor
Adjudicated claims appropriately per contract or standard processing guidelines. Met and maintained 95% quality expectations.
Assist with the escalated claims by identifying, clarifying and correcting issues regarding claims. Trained and audited other processors while maintaining quality and production metrics. Healthlink, Inc., St. Louis, MO 1999 - 2008
Customer Care Associate III/Researcher
Received 90+ inbound calls; quoted and clarified benefits regarding processed claims. Researched and adjusted claims with eligibility, and benefits issues. Audited an outsourced vendor's routed requests for adjustments. Managed Prescription Services, St. Louis, MO 1994 - 1999 Lead/Client Customer Service Representative
Supervised CSR staff of five, monitored attendance, handled performance issues. Regulated workflow and trained new employees.
Education
Business Administration Courses, University of Missouri-St. Louis, St. Louis, MO Certified Medical Assistant, Bryant Institute, Bridgeton, MO
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