Medical Billing Customer Service
Resume:
Nicola G. Stephenson
*** ******* ******* ** *** * Dania Beach, FL 33004
Cell Phone: 754-***-****
***************@*****.***
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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