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Medical Billing Data Entry

Location:
Charlotte, NC
Posted:
June 28, 2024

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Resume:

Inga Geller

**** ********** ****, *********, ** *8227

954-***-****

******.****@*****.***

OBJECTIVE:

To obtain a challenging position that will provide me with the opportunity for advancement and professional growth.

SPECIAL SKILLS & QUALIFICATIONS:

Bilingual (English/Russian)

Microsoft Word, Excel, Power Point, Outlook, and Access, Zirmed, Availity, Kareo, MrBill, IDX, eClover, Provider Flow, and Centricity (12)

Type 40-45 wpm & data entry

Excellent written and verbal communication skills, organizational skills, time management skills, problem solving skills, ability to multi-task, team player, and work well under pressure

Knowledge of medical terminology, CPT codes, ICD-9 codes, ICD-10 codes, Medicare, Medicaid, HMOs, PPOs, Commercial, & Worker’s Compensation Insurances

Charge entry, payment posting, accounts receivables, collections, claims processing, and resolving billing issues

EDUCATION:

Atlantic Coast Institute, Ft. Lauderdale, FL 2003

Insurance Billing and Coding Specialist

WORK EXPERIENCE:

Family Urgent Care, Monroe, NC March 2023-Present

Medical Billing/Collection Specialist

Daily billing medical claims

Follow-up including denials, rejections, and remittance

Payment posting

Answering phones and help out patients with statements

Fixing corrected claim: electrically, paper or by fax

Reviewing/preparing for secondary billing

Starmount Healthcare, Charlotte, NC September 2022 – March 2023

Medical Billing Specialist

●Spearhead quality control of EMR systems holding patient registration, diagnoses, and insurance card information.

●Reviewed thousands of patient records to identify potential errors and report findings to senior team members.

●Collaborated with senior management to determine billing and documentation policies and ensure compliance.

Complete Therapy USA, Aventura, FL May 2021 – October 2022

Billing Manager/Medical Billing/Collection Specialist

Billing physical and occupational therapy on a daily basis, and sending claims out electronically, fixing denials, posting ERA's and calling on claim status negotiation with insurance companies contracts, and helping with phones and making appointments. Supervise office staff.

Therapies 4 Kids, Inc,. Ft. Lauderdale, FL October 2020 – March 2021

Account Receivable Specialist

Billing for mental health providers on a daily basis and correcting denials and resubmitting them electronically and helping out with posting ERA's.

B.R. Valentine Billing Services, Hallandale, FL September 2019 - March 2020

Medical Billing and Collection Specialist

Three facilities responsible daily claim status and denials for all insurance companies

Resubmitted corrected claims on paper printed CMS-1500, electronically

Corrected claims were email out or faxed to proper insurance company.

Checked for patient eligibility through Availity, Epiclink, and Medicaid web portal

Path Medical, Ft. Lauderdale, FL April 2018 - March 2019

Medical Billing Specialist

Daily billing for multi clinics in Florida

Submit claims on daily basis for PIP and motor vehicle claims

Research for billing errors.

Advance Care Solutions, Coral Springs, FL August 2017 - April 2018

Medical Collection Specialists

Daily confirming sales orders

Billing for Humana and Simply/Better Healthcare on Availity

NPV Medical Billing Solutions, Hallandale, FL June 2015 - May 2017

Medical Billing and Collection Specialist

Daily entry of charges from all locations, account receivables

Reviewing/preparing secondary billing

Collected and entered insurance and demographic information.

Qualified all accounts for billing investigated and resolved all billing issues with unpaid

Accounts

Pediatrix Medical Group, Ft. Lauderdale, FL November 2014 - June 2015

Medical Collection Specialist

Responsible for claim status and denials for Managed Care claims.

Communicated with insurance companies and noted in patient accounts for reprocessing or

for follow-up status.

Corrected claims were faxed and mailed out to proper insurance companies.

Checked for patient eligibility through Availity, Navinet and Emdeon.

Responsible for balancing accounts.

Hyperion Billing Solutions, Boca Raton, FL July 2014 - November 2014

Medical Collection Specialist

Responsible for claim status and denials for substance abuse facilities submitted and

resubmitted claims on daily basis.

Apollo Health Street, Sunrise, FL July 2011 - June 2014

Medical Biller Specialist

Responsible for checking eligibility Medicare patients if they have: part B, HMO, working

aging insurance, system Connex, Availity, and Epaces.

Updated demographics and insurance information, primary or secondary for billing.

Responsible for fixing denials from Medicare and Commercial insurances.

Marina Diagnostic Lab, Brooklyn, FL March 2003 – June 2010

Payment Poster/ Medical Collection/Biller Specialist

Responsible for payment posting, coding, billing, claim status tracking, denial reconciliations,

maintaining super-bills for each provider.

Responsible for educating providers on new codes to be used for this multi-provider practice.

Electronic billing for Medicare for three providers.

Additional responsibilities include ordering office supplies, filing, answering the phone,

scheduling patient appointments, generating account receivable reports for each provider.

Education:

Newfield High School, Selden, NY

High School Diploma, Graduation Date: June 1988

REFERENCES:

I will provide upon request.



Contact this candidate