Medical Billing Service Representative
Resume:
ERICA HORTON
**** ******** ****** ***. ** Durham, NC 27703
919-***-**** *******.******@*****..***
PROFESSIONAL PROFILE
Customer service oriented professional with healthcare industry experience and a demonstrated ability to work with a team to review and discuss documentation, coding, and reimbursement issues. Ensures that complete and accurate documentation is obtained to allow for compliant coding and reporting outcomes and upholds confidentiality of all information as stipulated in HIPAA privacy rules.
Attentive to Detail: Review and correct errors, and maintains compliant documentation
Medical Billing: Process insurance claims, appeals, and denials
Medical Coding: Assign and enter appropriate procedure and diagnostic codes
Accuracy: Ensure correct and thorough demographic information for medical records database
Administrative Skills: Microsoft Office (Word, Excel, and PowerPoint) - Type 35 WPM
Academic Honors Recognition / Honor Roll
Electronic Medical Records (EMR / EHR) Greenway Prime Suite EHR
Accurate data entry; knowledgeable of office equipment and procedures
KEY QUALIFICATIONS
Payment Posting Scheduling HIPAA Compliance Medical Terminology
Insurance Verification Insurance Claim Processing EOBs Co-Payments Deductibles
Managed Care (HMO PPO POS) Government Payers Third Party Payers
Greenway Prime Suite EHR Electronic Medical Records (EMR) Electronic Health Records (EHR)
Medical Billing Medical Coding ICD-9 ICD-10 HCPCS CPT
Medicare Medicaid Tricare CMS 1500 CMS 1450 (UB-04) Fee Schedules Medical Office Procedures
EDUCATION
Ultimate Medical Academy Associate of Science Degree – Medical Billing and Coding, 2020
Center for Employment Training Certificate – Medi-Soft Practice Management / Medical Billing and Coding, 2015
Durham Technical Community College Early Childhood Education – Credentials I & II, 2001
RELEVANT PROFESSIONAL EXPERIENCE
Teleperformance Express Scripts – Durham, NC 12/2019 – 05/2020
Patient Care Advocate (PCA)
Communicate with doctor offices and insurance companies
Handle mail order medications and prescriptions from retail pharmacies
Help members manage their pharmacy benefits
Refill medication and answer questions through chats pertaining to drug coverage
Review copays, deductibles and out-of-pocket information
LL Billing, L.L.C. – Durham, NC 01/2012 – 06/2016
Medical Biller / Accounts Receivable Specialist
Processed OB/GYN insurance claims
Input fee scheduling and laboratory codes
Added and edited procedure and diagnostic codes as needed
American Red Cross – Durham, NC 07/2014 – 09/2015
Distribution Technician
Answered multi-line phone system and logged inbound and outbound shipments
Prepared plasma and blood orders for couriers
Completed temperature checks on blood and plasma storage units
ADDITIONAL PROFESSIONAL EXPERIENCE
Alorica WI Unemployment – Durham, NC 07/2020 –Present
Operations Customer Service Representative (Virtual)
Communicate with Unemployment Clients via Azure Virtual Service
Handle unmemployment claim questions
Help clients manage online accounts
Complete all verification processes
Transfer calls to Tier2
Schedule call back appointments
Alorica TurboTax WI – Durham, NC 07/2020 - 07/2020
Operations Customer Service Tax Support Representative (Virtual)
Communicate with Tax Customers via Amazon Phone System
Handle tax file questions
Help members manage online accounts
Complete all verification processes
Send emails with tax information to customers
Alorica Walmart Canada – Durham, NC 12/2019 – 05/2020
Operations Customer Service Representative (Virtual)
Communicate with Customers via Avaya
Handle online eCommerce and eGrocery
Help customers track online orders
Complete returns and refunds
Complete cancellations of orders
Escalate/De-escalate order issues
Duke Regional Hospital – Durham, NC 09/2019 – 06/2020
Environmental Virus Protection Specialist
Sanitize unit and discharge rooms and bathrooms and remove trash
Prepare beds for incoming patients
Prioritize and organize work and follow through to ensure duties are accomplished
Duke University Hospital – Durham, NC 09/2018 – 06/2020
Environmental Virus Protection Specialist
Sanitize unit and discharge rooms and bathrooms and remove trash
Prepare beds for incoming patients
Prioritize and organize work and follow through to ensure duties are accomplished
Corning Life Science – Morrisville, NC 09/2019 – 10/2019
Production Associate
Operated flask line, performed quality inspections and documented production numbers
Packaged finished flasks and palletized all packaged products
Performed any combination of light cleaning duties to maintain the establishment
Circle Graphics – Durham, NC 10/2018 – 09/2019
Production Associate
Cut and laminated photographs and packaged finished products
Folded photos using automatic/manual folder
Scanned and shipped photo using RF scanner
Harvard Service Group – Durham, NC 07/2017 – 11/2018
Supervisor / Housekeeper
Completed employee timesheets and counted inventory
Thoroughly cleaned all rooms as assigned
Team-oriented and dedicated to ensuring highest standards were met
Maintained confidentiality of client information
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