Medical Billing Specialist

QUALIFICATIONS PROFILE

It is with great confidence to present myself as a hardworking, experienced professional equipped with reliable work habits and a principal of always striving to accomplish every task with a high level of detail and focus. I am proud to say that I possess the highest degree of integrity, both as a person and as a professional. Tenacity and persistence are a few words to describe me in all that I do. I am a self-motivated professional who always makes sure that I have a full grasp of the job at hand. I bring to the table maturity, experience, technical skills and dedication. I am looking for an opportunity to grow with an organization who values these traits.

CORE STRENGTHS

• Problem solving skills to manage a variety of concrete variables

• Ability to interpret instruction presented in variety of situations

• Strong organizational skills; ability to manage multiple projects simultaneously

• Proficiency with Microsoft Word, Excel, PowerPoint, and Internet Explorer

• Strong written and verbal communication skills

• Proficient knowledge of medical billing and coding

• Solid knowledge of medical terminology

EMPLOYMENT HISTORY

Tennessee Healthcare Management Parsons, TN December 2018-Present Medical Billing Specialist

• Import 835 payment files and post timely

• Submit commercial claims

• Submit Medicare secondary (MSP) claims in PCACE

• Review and submit CLIA claims; post CLIA payments timely

• Perform month end close and AR close

• Monitor DDE for claims status and make corrections; resubmit as needed

• Correct commercial claims; resubmit in a timely manner

• Contact payers to resolve discrepancies; appeal claims within timeframe guidelines

• Review all claims and resolve discrepancies prior to billing

• Maintain payer open accounts receivable balances in accordance with company guidelines

• Contact payers and settle claim discrepancies

• Ensure claims are billed in accordance with each payer’s requirements

• Review final claims and defer to late EMC for Branch Offices to complete pre-bill prior to release of claim

• Identify and process credits and write-offs with management’s approval.

• Coordinate with Branch Managers and office personnel as needed to ensure timely accurate billing.

• Submit all claims in accordance with established company policies and procedures, as well as applicable laws and regulations

Cassopolis Family Clinic Cassopolis, MI April 2014 – Aug 2015 Medical Biller and Coder

Michiana Oral and Maxillofacial Surgery South Bend, IN Feb 2010-Aug 2012 Oral Surgery Assistant/General Office

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