Medical Billing Data Entry
Resume:
Rachel Brockenbrough
Richmond, VA *****
**********.**@*****.***
Willing to relocate: Anywhere
Work Experience
Billing specialist
Magellan RX Specialty Pharmacy - Orlando, FL
November 2020 to August 2022
• Verify coverage and eligibility for medical services.
• Communicate with insurance providers and patients.
• Review patient bills and correct any missing or inaccurate information.
• Use a billing software to prepare and transmit claims.
• Collect unpaid claims and clear up any discrepancies.
• Arranging payment plans for patients, obtaining pre-authorizations for certain procedures, reviewing bills, and confirming eligibility.
• Proficiency with computers and medical billing software
• Knowledge of unfair debt collection practices and insurance guidelines
• Understanding primary code classifications: ICD-10-CM, ICD-10-PCS, CPT and HCPCS
• Communication skills with patients/healthcare companies. Billing Specialist
HEALTHCARE SUPPORT SERVICES - Orlando, FL
December 2018 to May 2019
• Obtain referrals and pre-authorizations as required for procedures.
• Check eligibility and benefits verification for treatments, hospitalizations and procedures.
• Review patient bills for accuracy, completeness and obtaining any missing information.
• Prepare, review and transmit claims using billing software, including electronic paper claim processing.
• Follow up on unpaid claims within standard billing cycle timeframe.
• Check each insurance payment for accuracy and compliance according to company guidelines. Medical Biller
Lifeline Consultant - Richmond, VA
December 2013 to September 2018
• Preparing and submitting billing data and medical claims to insurance companies voa billing software Epic.
• Ensuring the patient’s medical information is accurate and up to date
• Preparing bills and invoices, and documenting amounts due for medical procedures and services.
• Collecting and reviewing referrals and pre-authorizations.
• Monitoring and recording late payments.
• Following up on missed payments and resolving financial discrepancies.
• Examining patient bills for accuracy and requesting any missing information.
• Investigating and appealing denied claims.
Education
HIGH SCHOOL DIPLOMA
ATLEE HIGH SCHOOL - Mechanicsville, VA
Skills
• Data entry
• Research
• Insurance verification
• Customer service
• Data analysis skills
• Medical office experience
• Mentoring
• Medical Billing
• Medical Terminology
• CPT Coding
• ICD-10
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