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Medical Records Customer Service

Location:
Minneapolis, MN
Posted:
November 13, 2024

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Resume:

Josephine Hill

**** ******* ***** ******** ****, MN 55444 763-***-**** **.******@*****.***

https://www.linkedin.com/in/Josephine-Hill

Healthcare Information Professional with over 15 years of experience in the medical field with specialization in patient care, medical records, and billing. Accurate and efficient regulation compliance when dealing with patient accounting and cross-departmental communication within medical facilities. Quickly learning policies, procedures, and medical software systems.

SKILLS AND QUALIFICATIONS

Pharmacology and Anatomy

ICD-CM, ICD-PSC, and ICD-10

Health Information Laws / HIPAA

Medical Insurance and Billing

Medical Data Analysis

Healthcare Technology/EHR

Database Management

Credentialing

Accounting

Medical Records / Charting

EDUCATION

Associate of Applied Science Degree/Health Information Technician 2016

Rasmussen College, Brooklyn Park, MN

Medical Billing and Coding Diploma 2013

Sanford-Brown College – Dearborn, MI

PROFESSIONAL EXPERIENCE

FMS Billing Support Specialist Accra Health Homecare, Minnetonka, MN 2019- 2024

Verify client eligibility through the DHS MN-ITS website and related source data.

Review, process client authorizations, and send out monthly client invoices.

Research and resolve unpaid claims to maximize reimbursements.

Membership Accounting Robert Half Int/Health Partners, Bloomington, MN 2018 – 2019

Web accounts and setting up online billing for single or recurring payments.

Process monthly payment premiums payment navigator and IVR.

Inform management of deficiencies, erroneous items, or electronic errors on member billing accounts

Customer Service Specialist Robert Half /Center Diagnosis Imaging. St. Louis 2018 - 2018

Customer Service Specialist in our Revenue Cycle Management (RCM) group, assisted patients, clinics referring to doctors, attorneys, and insurance companies with medical billing questions.

Collaborated effectively with departments within Revenue Cycle Management Research explanation of benefits (EOBs) and/or denials in imaging system to assist patients and explain balances.

Security routing itemized statements and letters of protection (LOPs) to attorneys requested pre ensuring proper authorization was on file.

Account Follow Up Specialist Right Staff/ U of M Physicians Minneapolis, MN 2018 –2018

Research missed discounts, duplicate charges, reverse collection decisions and insurance denials.

Outgoing CS calls investigation of denials, checking insurance verifying.

Communicate with insurance companies for validation and resolution to solve issues and concerns.

Additional Professional Experience

Intake Prior Authorization, Aerotek/Blue Cross Blue Shield, Eagan, MN 2017 –2017

Claims Analysis, Robert Half Int/ Meridian Behavioral Health, New Brighten, MN 2017- 2017

Facility Biller, K Force/Gillette Children’s Hospital St. Paul, MN 2015-2016

Patient Account Rep, Robert Half Int. /Gillette Children’s Hospital St. Paul, MN 2013-2014



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