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Customer Service Medical Billing

Location:
Round Rock, TX
Salary:
$16.00
Posted:
April 06, 2022

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Resume:

Sharon D Harris

*** * ** ****

Hutto, TX *****

512-***-****

************@*****.***

**Please note I went on Medicare Disability 12/2008 until 3/31/2020, due to Peroneal Nerve Damage to

my Right Knee & Foot. My knee and foot are now at a 100% and I am no longer considered Medicare

Disabled. If you should give me the opportunity to interview with you, I think you will find a Loyal

Competent employee. Thanks for your time and consideration.

Medical Billing Services 1/2005 to 6/2008

Patient Account Specialist: Maintain accounts receivable for Family Practice, Neurology, Orthopedic, Oncology and Hospital Physician Billing Services. Enter patient demographics information using the Misys/Misys Tiger System, Medisoft, Lytec and e-MD. Also maintained Excel Spread Sheet and generate reports from the spread sheets, other duties included but not limited to verification of benefits, claim filing manual and electronic, research electronic claims for errors /rejections, proficient in coding ICD-9, CPT, and HCPCS, collection and customer service. Proficient in problem solving of all claims rejected or paid incorrectly. Provide liaison service for the billing and physicians offices (sorry the billing services are no longer in business)

Dr.’s Brumley, Akin, Seeker, Phillips, Uribe, Binford 4/1999 to 6/2000

Patient Account Auditor: Much of my work has been the same over the past 7 years. My experience with Medic/Misys software has become more specialized. Also my ability to work out payment plans and financial arrangements. My work skills have become more streamlined. I am proficient in data entry, alphabetical and numerical filing, photocopying, typing, good organizational skills, coding and affinity for detail.

Central Texas Neurology (Dr.’s Fox, Couch, Horvit) 10/1998 to 4/1999

Front Office: This was a one person satellite office with three doctors. Duties included booking appointments, insurance verification coordinate with other physicians and labs to insure that the patients receives adequate care, daily entry charges and payments.

Texas Orthopedics 2/1997 to 6/1998

Patient Account Representative: Evaluates information and presents a detailed analysis to Physicians monthly. Maintains accounts receivable and outstanding insurance reports daily. Organizes patient financial and demographic using the Medic system. Coordinate various duties such as verification of benefits, claims filing manual and/or electronic, ICD-9 and CPT coding, and collections in order to achieve account resolution.

Travis Quality Medical Management(TQMM) 7/1996 to 1997

Patient Account Representative: Provides liaison services to Travis Physicians Associates, PA, physician office staff, insurance companies and patients. Rebill accounts when requested promptly and efficiently. Furnished physicians with monthly reports, monitors age trial balance reports and provided them with a billing and collection service.

Pediatric Therapy Services/HealthSouth 8/1993 to 5/1996

Office Manager: As Office Manager, directs and supervises all activities and personnel in the business office. This also included human resources and payroll. Hiring and firing of all personnel. This included outpatient registration, billing and collections. Performs functions appropriate to position and in compliance with facilities policies and procedures in the patient accounts department. Maintains continuous written and verbal communications. Reviewed patient accounts to insure all information was obtained. Supervised the admission process and supported all of the intake of patient admission procedures. Evaluates, assesses and assist in the preparation of insurance documents. Assisted in the transition during the acquisition of Pediatric Therapy Services by HealthSouth.

Boon Chapman 6/1986 to 2/1993

Claims Analyst/Delta Kappa Gamma Coordinator (Claims Dept.): Insured that difficult and lengthy claims were processed promptly. Specialized in Cancer and Excess Major Medical Claims has well has all Medical Claims. Ability to understand insurance contracts. Act as a Customer Service Representative for all groups and individual plans. Research each claim filed using the RIMS system. Audit processed claims. Train new analysts on individual benefit plans and customer service.

Austin Regional Clinic 12/1982 to 6/1986

Lead Data Processing Operator: Assisted, planned and implemented the installation of the computer system, determining users and terminal locations. Trained staff on usage of the IBM 1137 medical computer and opened new computerized operations at a second site. Responsible for equipment and file maintenance, replace logic and mainframe boards, installed printer parts, updated and merged file directories. Coordinated with vendor to resolve system errors.

Education

Graduate of Anderson High School, 1977 Austin, TX

Data Processing and Business, Austin Community College 1978-1979 Austin, TX

Medical Terminology and Coding, Prucare of Austin 1983 Austin, TX

IBM 1137 Medical Physicians System 1983 Torrence, CA

Healthcare Cash Management/Insurance Collections and Office Management 1983 Austin, TX

HIPPA and Clean Claims Seminar, Texas Dept. of Insurance 1994 Austin, TX

References

Rhonda Lindeman Co-Worker at Boon Chapman and TQMM 512-***-**** or 512-***-****

Nancy Weaver Co-Worker at Austin Regional Clinic 512-***-**** or 512-***-****

Patricia Price 512-***-**** or 979-***-****

Becky Nitsche-Borah 830-***-****

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