Bobbye Jones

adchbk@r.postjobfree.com 520-***-****

Medical Biller with extensive experience in Eligibility, Billing, Coding and Insurance Verification. Proficient in Accounting Software. Typing 45 words per min. Medical knowledge of EOB's, Patient information forms, Medical Insurance and Terminology.

Supervised 12

•Benefits Verification

•Mental Health and Substance Abuse, Detox, Eating Disorders, Pain Management

•Mood Disorders, PTSD/Trauma

•Sexual Addiction

•Customer Service

•Make Insurance Calls for IND DED and OOP OON benefits

•Worked for Client: Sierra Tucson

•Email notification and distribution

•Sales Force

•Excel

•Word

•Outlook

•Microsoft Lync Responsibilities

•Leadership

•Team Player

•Problem Solving

•Data-Entry

•Administrative Support

•Accounting Software

•Soft Skills

•Ambassador

•Detailed orientated

•Open-minded

•Computer literate

•HIPPA and OSHA Certified

Work Experience

Revenue Cycle Analyst, Insurance Verifier/Billing Manager/Billing Specialist, Appointment Scheduler

Robert Half/Accountemp /Office Team Agency.

Client: Pathways, Inc. Pima Lung & Sleep, Arizona Oncology, Conventry, Sierra Tucson, Pima Heart, Southwestern Surgery, CPES, COPE, Jewish Family & Children’s Services, Nationals Inc.

January 2014 - November 2019

Reconciliation of Aged claims, AR from 0-361+ days.

Appeals, Billing, Rebilling, Worker Comp, Insurance Verification, Behavioral Health

Claim follow up for Commercial and Medicaid claims, Crossover Claims, Eligibility and Insurance verification, authorizations. Void/edits

Make insurance calls to all insurances to check all levels of care for Mental health and Substance Abuse. Cardiology, Specialty, Sleep study. Supervisor of 8, Referrals, EMR, pre-op and Post-op appointment scheduling before surgery, workers comp.

Avatar, Revconnect, commercial portals, Availity, Excel, WebEx, MS Office

Billing Specialist

Arizona Community Physicians - Tucson, AZ

May 2017 to March 2019

Reconciled Aged claims, Insurance Verification and Eligibility, collect payments, make Payment arrangements, Bill claims electronically and paper UHCCP, Health Choice Generations and Arizona, One Care Medicare and Care 1st, CMDP, AZ QMB, SLIM, Cenpatico, Arizona State (FFS), Indian Health. Maintain Communication internal and External, Appeal, Resubmissions, make and Receive insurance and Patient calls. Manage 4-person desk.

Data Entry

Appleone - Tucson, AZ

March 2014 to May 2015

Sorted, scanned, entered Health Questionnaire, updated all patient demographics. Mailed out needed information.

Accuracy and consistency as well as organization skills.

Skills Used

Leadership and trainer

Responsibilities

Check Inbox for incoming email requests. Print, sort and scanned medical documents in pdf form to file. open mail for referral request for DUA/P2P. Create letters for timely filing. Citrix

•Allegro

•Outlook

•Excel

•Adobe Reader

•Word

•Lync

•WCMS

•Crystal Reports

•Multipurpose Desktop

•DUA/P2P Intake

•Coventry Connect

•Import and Export Files

Medical Exam Coordinator

QTC Medical Group/All Med Staffing - Diamond Bar, CA

September 2013 to November 2013

Responsibilities

Contract with DHCS.

Medical Biller and Coder

Financial Healthcare Services - Pasadena, CA

June 2013 to November 2013

Responsibilities

Insurance and patient calls. Cold calls. Bill and re-bill claims. Post payment, verify payments.

Accomplishments

Ability to adjust to changes daily to incorporate new training protocols.

Skills Used

Microsoft Office, Phone, Fax and copy machines as well as Internet Explorer.

Medical Assistant /Receptionist/ F/O & B/O

Mission City Community Network, Inc - Inglewood, CA

June 2012 to December 2012

•Medical Assistant Receptionist

•Front Office Duties (Phones, Greet, Administration, Follow-up, Appointments)

•Back Office Duties (Vitals, Room Patients, Assist Physician/FNP)

•Insurance Verification (Family Pact/Medi-cal/Health Way Los Angeles)

•Blood Draws, EKG’s, Administered Injections Medical Records (requests)

•Education

MIBC in Medical Insurance Billing and Coding

Everest College - Gardena, CA

2011 to 2012

Certificate in Medical Assistant

Apollo College - Tucson, AZ

2000 to 2001

Centricity (3 year), Allscripts (2 year), EMR (4 years), IDX (2 year), Touch works scan (2 year)

Contact this candidate