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Medical Billing Customer Service

Location:
Fort Lauderdale, FL
Posted:
May 12, 2020

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Resume:

Nicola G. Stephenson

*** ******* ******* ** *** * Dania Beach, FL 33004

Cell Phone: 754-***-****

adc6v3@r.postjobfree.com

SUMMARY OF QUALIFICATIONS

A highly accurate, detail oriented professional with strong medical billing and communication skills. I have proven success in learning new things quickly. I have the ability to train and encourage co-workers. Demonstrates patience and completes projects on time. Computer proficient. Takes on new challenges with proven ability to meet deadlines. PROFESSIONAL EXPERIENCE

Healthcare Financial System

Collection specialist current 2018

Responsibility

● Contact payers by phone regarding payment status

● worked claim in SSI daily hospital claims Medicaid /Medicare

● follow up on denials

● Process refunds request daily

● Worked WDS

● Make sure we file claims timely

Billing analyst MD live 2017-2018

Responsibility

● Review practicum parsed files daily to insure all imported consult billing files were accepted without error .

● Manuel charge capture credit card payments

● Process refund request

● Payment posting in Athena

● Athena Monitoring missing subscribers id number

● Monitoring Athena claims dashboard

Sheridan Healthcorp, plantation Florida 2016-2017

Collection specialist

Responsibility

Contacts payors by telephone regarding payee billing address in a professional manner while keeping and improving customer relations

● Provide information so the check goes to the proper billing address and follow up to assure billing address is updated

● Confirms and review all provider demographic online to make sure the billing address is correct

● Faxes documents to accounts and follow up Collect customer payments in accordance with payment due dates

Broadspire a Crawford Company, Sunrise, Florida 2007-2015 Claim Intake Rep I (Medical Services)

Responsible for FCM work comp cases, billing and reports/letters/invoices

● Bill Field Care Management (FCM) daily activity expenses

● Provides customer service by answering Case Managers and Claims Adjuster questions regarding patient information in an appropriate, accurate and timely manner.

● Set up new claims files from various client referrals.

● Obtain and input information to insure all reviewed cases & reports/letters contain required information.

● Review and process billing for each client

Broadspire, Plantation, Florida 2001-2007

Bill Specialist I (Billing Analyst)

Responsible for accurately and analytically adjudicating a bill

● Review and verify ICD-9 and CPT codes, provider and payer information

● Manually key bills

● Review and interpret medical information including medical records, and consultation reports to accurately determine adjudication

● Verify fee schedule and usual and customary rules according to state law guidelines

● Assign explanation codes, bill notes, bill type, modifiers and units

● Verify claimants name, CPT codes, and DX codes, service dates, date of initial injury, policy number

● Verify compensability of injury and the causal relation or authorization needed for the claim being billed

● Utilized Focus and PDC systems

● Detection of duplicate bills

Bill Specialist I (EDI/PROVIDER MAINTENANCE) 2000-2001 Responsible for verifying provider & patient info is correct, resolving bill errors, reviewing physician/hospital bills to detect duplicate and inappropriate charges and medical procedures

● Verify correct patient, provider service and billing address are correct for the bill

● Verify & update provider files

● HCFA-1500 & UB-92

● Utilized PowerTrak and Image Viewer Systems

● Consistently meet production quotas in a fast-paced, high volume productivity based environment

● Resolving bill errors

● Workers Compensation/Medical Bill Review

EDUCATION

Health Occupations/ High School Diploma, Norland senior High SKILLS

PC skill- Typing Speed 40 wpm- Clerical-Internet- Data Entry- Customer Service- Verification 10-Key-CPT Codes- Medical Billing-HCFA-1500/UB 04 Forms- Microsoft Office- /Word- Excel



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