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Medical Billing

Location:
Los Angeles, CA
Posted:
October 15, 2019

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Resume:

Denise Inez Kennard-Wilson

**** ***** ******* *****, ***.#5

Los Angeles, CA 90008

323-***-**** (Cell)

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

Work Experience

(Temp Assignment)

Diversified Vocational College-Los Angeles, CA

May 2019 to July 2019

• Electronic Medical Billing Instructor

(Temp Assignment) Medical Collections Specialist

Med Rx - Inglewood, CA December 2018 to May 2019

• Infusion follow-up, Out of Network insurance, EOB review, Underpayment Appeals, Accounts Receivable, Rebilling, Posting Payments, and Claim Corrections.

(Temp Assignment) Data Entry Analysis Specialist

Health Net – Woodland Hills, CA August 2018 to November 2018

• Review provider contract, ensure all contract were up to data

(Temp Assignment) Medical Collections Specialist Unlimited Billing LLC - Reseda, CA February 2018 to August 2018

• Excessive follow-up of EOB, s, Underpayment Appeals, Accounts Receivable, Rebilling, Posting Payments, and Claim Corrections, and Scanning of all Correspondence. Billing Manager Diabetic Foot Institute - Inglewood, CA July 2015 to January 2018

• Responsible for obtaining and processing medical authorizations

•Billed and followed up on unpaid claims. (HMO, PPO, Medicare and Medi-Cal)

•Appeals, Denials Management

• Answer a high volume of incoming calls from patients to schedule appointments

• Assist back office when needed

Medical Biller/Collector Baldwin Hills Foot and Ankle Center - Los Angeles, CA April 1993 to March 2015

• Billed and collected for physician services utilizing the CMS1500 forms

• Reviewed and modified CPT and ICD codes when needed

• Processed insurance and patients refunds

• Audited patient accounts for insurance overpayments

• Responsible for inputting and maintaining patient accounts up to date for collections and overpayment refunds

• Private and state billing for PPO, HMO, Medicare and Medi-Cal insurances

• Verifying insurance benefits and eligibility

• Responsible for the insurance appeals and denials

• Interpreting EOB's and re-submitting insurance claims as necessary

• Answered calls and took messages for doctor

Education

Certificate Pasadena City College

High School Diploma John Muir High School

Skills

• CPT, PPO, Medi-Cal, MEDICARE, HMO

Additional Information

SKILLS

• Medical Biller & Collector

• Insurance Overpayments/Refunds

• Medical Authorizations

• Medicare, Medi-Cal, HMO, PPO, Managed Care and Commercial

• Insurance verification & EOB's

• Utilized CMS1500 Forms

• CPT / ICD9 &10 Codes

• Front Office Support

• Typing/ Data Entry

• MS Office, Practice Fusion EHR, EZ Medical, Office Ally Clearing House, Medisoft and Security Software



Contact this candidate