Medical Billing Clerk
Resume:
Lori Rhodes-Copeland
Medical Billing Clerk
Florence, AL 35633
*******@***.***
Obtain a position in a people-oriented, well-established yet growing organization where I can maximize my experience in a challenging environment to achieve the corporate goals of maximizing reimbursement and decreasing rejections. While continuing to expand my knowledge of the ever - evolving healthcare industry.
Authorized to work in the US for any employer
Work Experience
Insurance Billing Clerk
Shoals Kidney and Hypertension Center - Florence, AL April 2019 to May 2020
Post insurance payments as well as patient payments to accounts. Communicate with commercial insurance companies to dispute denied claims, file grievances and appeals. Post Medicare and Medicaid electronic remittances. Code hospital charges and submit for reimbursement. Verify and correct insurance information and billing errors, schedule appointments. Insurance Billing Clerk
Center for Blood and Cancer Disorders P.C
June 2017 to April 2019
• Maintained all aspects of medical billing including coding, charge entry, transmission, correction and resubmission as required, posting of payments including patient, mail and ERA's.
• Resolved billing issues identified by insurance carriers and patients
• Researched and replied in a timely manner to insurance, patient, and internal customer inquiries.
• Quickly identified and resolved medical billing, coding and insurance discrepancies
• Followed the guidelines in order to be in compliance with local, state or federal laws and regulations Posting clerk, Accts receivable
Operative Resource Management
April 2016 to May 2017
• Prepare daily deposit for multiple places of service
• Pull payments and remits over from Trizetto, post payments to patient accounts
• Research and post rejections from commercial insurances and refile claims for multiple places of service
• Reconcile multiple monthly bank statements
Accounts Receivable Manager
Shoals Primary Care LLC
May 2015 to April 2016
• Prepare deposits, post BCBS, Tricare and other insurance payments to patient accounts
• Post Medicare EFT payments and work daily audit trail
• Research denials and correct claims for resubmission
• Assist patient with account balances and payment information
• Reconcile monthly bank statement
Education
Certificate
Northwest Shoals Community College
2013 to 2015
Certificate
The Allen School
2011 to 2012
University of North Alabama
1994 to 1995
Skills
• Scheduling
• Billing
• EMR
• Practice Management
• Healthcare Management
• Medical Collection
• Transmissions
• Medical Coding
• Medical Billing
• Insurance Verification
• CPT Coding
• ICD-9
• ICD-10
• Medical Records
• Medical Office Experience
• Accounts Receivable
• HIPAA
• Clerical Experience
• Medical Terminology
• Anatomy Knowledge
• Hospital Experience
• QuickBooks
• Data Entry
• ICD Coding
• Medical Scheduling
• Phone etiquette
• EMR systems
• Customer service
• Accounting
• Transcription
• Quality Assurance
• Microsoft Powerpoint
• Microsoft Outlook
• Microsoft Excel
• Microsoft Word
• Multi-line phone systems
• Communication skills
• Computer literacy
• Documentation review
• Typing
Certifications and Licenses
Medical Coding Certification
Assessments
Medical billing — Highly Proficient
May 2021
Understanding the procedures and forms used for medical billing Full results: Highly Proficient
Work style: Conscientiousness — Proficient
April 2020
Tendency to be well-organized, rule-abiding, and hard-working Full results: Proficient
Following directions — Highly Proficient
April 2020
Following multi-step instructions.
Full results: Highly Proficient
Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.
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