Janine M. Karelas

**** **** ******

Melrose, MA *2176

781-***-****

adnwvh@r.postjobfree.com

Objective

Experienced and reliable medical biller seeking a permanent, full time position.

Education

2009 Medical Billing and Coding Certificate Malden, MA

2008 Phlebotomy course Melrose, MA

Skills

Microsoft Office Suite; Nextec; GE Centricity EMR; Emdeon; McKesson Clearing House; ICD/10

Experience

Halmark Health Care/Tufts Medical Center, Woburn, MA. 02148

03/2019-12/2020

•Keeping up to date with ICD codes and changes.

•Using Nextec and PaySpan to download EOBs:

•Posting of all payments electronic or manual, adjustments, co-insurance and co-payments.

•Researches any denials on Explain of Benefits(EOBs) and processed reconsideration requests

•Posting electronic credit card or paper check payments from insurance and patients.

•Answering billing phone calls

•Answers billing inquires

•Establishes payment plans as needed

Mystic Valley Dermatology Associates, PC. 06/2015 - 03/2019

Medical Billing Specialist

•Keeping up to date with ICD codes and changes.

•Using Nextec and PaySpan to download EOBs:

•Posting of all payments electronic or manual, adjustments, co-insurance and co-payments.

•Appealing any denied claims.

•Posting electronic credit card or paper check payments from insurance and patients.

•Answering billing phone calls

Center for Human Genetics Inc., Cambridge, MA 11/2013 - 05/2015

Medical Billing Specialist

•Verify Patient’s Insurance Benefits

•Process prior Authorizations as required for various genetic tests

•Data enters patient and institutional claims

•Posts payments for both patient and institutional claims

•Researches any denials on Explain of Benefits(EOBs) and processed reconsideration requests

•Answers billing inquires

•Establishes payment plans as needed

Melrose Family Sports Injury Center, Melrose, MA 1/2008 - 10/2013

Medical Office Specialist

•Download patient health insurance coverage benefits

•Posting insurance payments from all major insurance portals

•Clearing up discrepancies

•Documenting procedures, for new and current patient and recording fees and payments

•Implementing scheduled appointments in a timely fashion.

•Inputting all relative information into patient’s files.

Contact this candidate