Paulette Perkins

E-mail: adjjny@r.postjobfree.com

Cell Phone: 330-***-****

Proficient Billing and Administrative Assistant, over 5 plus years professional office experience. Competent in insurance verification and eligibility, payment posting, charge entry, data entry, proofreading, invoicing, client database management, trained staff on office procedures and software packages. Information technology proficiencies include: Spyglass Claims Processing, Oracle Claim Documents, MDI Achieve Hospital Billing, Mesta Med Charge Entry, IRMS Clinical Medical Documents, and online healthcare websites. Microsoft Word and Excel 2013 experience managing departmental work assignments. Processed HMO, PPO Insurance claims, PA Workers’ Compensation, Auto Claims, Life and Disability Policies. Understanding Billing Revenue Cycles in a Physician and a Retirement Hospital Facility. Efficient typist of 60 (wpm), 10 key calculator, multi-tasking work procedures, detail oriented, and consistent productivity levels. Ability to achieve departmental goals and work well under pressure, without supervision. Effective communication skills, typing correspondences and interacting with business representatives.

EDUCATION

Associate Degree, Office Technology, Administration, and Healthcare Completed 2014

C.C.B.C., Monaca, PA

Concentration: Microsoft Office Word and Excel 2013, Accounting 1, Office Administration, Medical Billing and Terminology, Anatomy and Physiology II

ADMINISTRATION, BILLING and INSURANCE EXPERIENCE

Wipro, LTD, Tampa, FL. 2019 to 2020

Claims Processor-Canfield, OH

Adjudicated Kaiser Permanente hospital (UB) and physician office (HCFA 1500) claims

Experienced and Efficient with Spyglass and Oracle Software claims processing systems

Worked remotely at home for 5 months with Health Plan Services, during COVID-19

Applied pricing to provider claims and verified Kaiser Region Benefits on exclusions

Entered Per Diem Rates, Case Rates, Standard Rates, Copay’s, Deductibles, out-of-pocket expenses and yearly plan benefit allowances

Applied Explanation and Coordination of Benefits to HCFA and UB Claims

Express Staffing Agency and Finalized Family Estate 2017 to 2018

Fulfilled a short-term assignment with Express Staffing, at Laubscher Insurance Agency

Finalized Family Home Healthcare and Financial Management of Assets

Kelly’s Staffing Agency, Allentown, PA 2016 to 2017

Sr. Data Entry/Policy Verifier Specialist, Temporary

Provided data entry support for Cigna Healthcare on disability and life policies

Calculated monthly, bi-weekly and yearly benefit coverage on insurance policies

Utilized MUP Software to enter customer policies and personal information

Typed and mailed out professional letters that requested missing information on claims

Cont. Page 2

Paulette Perkins

E-mail: adjjny@r.postjobfree.com

Cell Phone: 330-***-****

Premier Comp Solutions, Pittsburgh, PA 2015 to 2015

Validation Claim Processer/Data Entry Clerk

Authorized valid claims numbers on HCFA 1500 and UB Hospital Bills, for Repricing Highmark Workers Comp Bills, in the Claims Management Database

Verified and approved National Drug Control Numbers in Rebook, Micromedex Solutions and obtained drug, packing and shipping classifications

Researched and collected valid procedure codes and diagnosis codes for Repricing Bills

Streamlined calls and daily clerical operations, scanned, stored, faxed, and e-mailed Provider Letters on Explanation of Reimbursement and Timely Filing Denials, on PA Workers Comp Fee Reviews

Entered HCFA 1500 and UB Hospital Billing and patient data in the Oracle Database for Repricing

Account Temps Staffing Agency, Sewickley, PA 2012 to 2014

Medical Finance/Data Entry Clerk, Temporary

Behavioral Health Center:

Resubmitted denied, rejected claims on HMO, PPO and Board Funded Grant Programs for payments.

Utilized healthcare websites to verify health benefits on inpatient and outpatient therapy services. Mesta Med Billing Software to process invoices, post service charges, and released medical notes.

Reviewed and printed medical records in IRMS database, for medical re-evaluations, to qualify for continued state funding programs. Interviewed new patients and obtained personal information and insurance to qualify for behavioral health therapy programs.

Glade Run Lutheran Services:

Provided charge posting for an Autism Dormitory and Behavioral Health facility. Entered services in Fundware Billing Database, on inpatient and outpatient therapy services. Managed the petty cash, collected credit card and check payments.

St. Barnabas Health & Retirement Village:

Created and submitted monthly and quarterly electric billing invoices, on Excel Spreadsheets and Word Documents. Posted hospital charges in MDI Achieve Billing Software. Logged monthly mortgage rentals, utility and recreational costs on Billing Ledger, and mailed invoices to residents. Obtained Explanation of Benefits from insurance companies for verification on payments and denials. Submitted Certificate of Medical Necessity Authorizations for payment on Durable Medical Equipment.

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