Medical Billing Representative
Resume:
PEGGY SONS
Medical Billing and Follow up
Rock Spring, GA 30739
***********@*****.***
To be employed by a company that has a sincere interest in the well being of people. A company where I can apply my current skills and broaden my knowledge. Authorized to work in the US for any employer
Work Experience
Customer Service/Follow up Rep
MBM Radiology Billing - Chattanooga, TN
July 2020 to Present
• Answer incoming calls/customer service.
• Update and correct accounts.
• File/refile medical claims as necessary.
• Assign task to coders, posters, revenue cycle reps as needed.
• Account review and follow up.
• Post payments and adjustments.
Accounts Receivable Associate
Benchmark Rehab - Chattanooga, TN
August 2018 to July 2020
Review accounts, claims follow up with insurance companies, post adjustments, file appeals. Whatever is required to get the outstanding claims processed and paid. Account Representative/ Insurance Claims Follow-up North American Credit Services - Chattanooga, TN
February 2015 to August 2018
Follow up on insurance claim denial. Knowledge in Medicare, Medicaid, and Commercial payers. ICD-9 and ICD-10, Nextgen. Excellent attention to detail. Verifies insurance eligibility and authorizations. Customer Service Representative-Blue Care/TennCare Select BlueCross BlueShield of TN - Chattanooga, TN
April 2008 to October 2014
Answer incoming phone calls in a call center environment. Verify benefits and eligibility to members and providers. Researching and solving different issues for providers and members. Claims and Authorization inquiries. Completing logs in a timely manner. Knowledge of up to date products available to members and providers. Provide the best customer service during high volume times. Able to make independent and professional decisions to better serve our customer and provider needs. Various systems used: Microsoft Office, Amisys, TCRT, Facets, and Imaging. File Room Coordinator
Chambliss Bahner, & Stophel - Chattanooga, TN
November 2007 to April 2008
Organizing and setting up filing system, Data entry, and filing/organizing archived files and pleadings. Microsoft Office experience
Patient Account Representative
Memorial Hospital - Chattanooga, TN
November 2006 to November 2007
Insurance follow up on outstanding claims. Working collections on patient accounts. Providing the best quality customer service to patients. Correspondence with patients and insurance companies. Knowledge of billing and filing of all patient accounts. Microsoft Office experience. Insurance Billing Representative
Oncology & Hematology - Chattanooga, TN
April 2005 to November 2006
Accounts receivable, billing and posting of payments. Verified insurance eligibility and benefits for patients. Obtained authorizations and referrals if required. Filing of medical records and insurance claims. Provided the best customer service to patients and providers. Microsoft Office experience. Insurance Billing Representative
Women's Health - Chattanooga, TN
February 2003 to April 2005
Knowledge of insurance filings, billings and collections. Verification of insurance and benefits. Processing insurance claims. Providing customer service to patients with scheduling appointments and pre- certification policies. Microsoft Office experience. Patient Account & Customer Service Representative
Hutcheson Medical Center - Fort Oglethorpe, GA
August 2002 to February 2003
Providing quality customer service to incoming patients. Review and follow up of patient accounts for insurance claims. Working collections on outstanding bills or claims. Correspondence with insurance companies and patients. Microsoft Office experience. Education
CBCS in Medical Billing & Coding
Miller Motte College - Chattanooga, TN
March 2020 to May 2021
Associates in Science in Medical Records
Chattanooga State Community College - Chattanooga, TN 1982 to 1984
Skills
• Customer Service
• Accounts Receivable
• Call Center
• AR
• Receivables
• Medical Billing
• Medical Terminology
• ICD-9
• ICD-10
• Hospital Experience
• ICD-10
• ICD-9
• Insurance Verification
• Medical Scheduling
• Data entry
• CPT coding
• HIPAA
• Typing
• Microsoft Office
• Medical Records
• Medical Coding
• ICD Coding
• Transcription
• Medical Office Experience
• Anatomy Knowledge
• Documentation review
• Physiology knowledge
• Data collection
• Accounting
• Phone Etiquette
• English
• Medical receptionist
• Computer literacy
• Clerical experience
Certifications and Licenses
Driver's License
CBCS
June 2021 to June 2023
Certified Billing & Coding Specialist
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