Kameelah Ziyad

Lewisville, Texas *****

817-***-****

adrmph@r.postjobfree.com

Career Objective

Seeking a position which will allow me to utilize my experience in the customer service, collections,

Medical insurance, patient accounts and clerical field. I have over 23 plus years of experience in the healthcare industry, ranging from customer service to medical billing and coding.

Professional Experience

09/17/21-3/18/22 MD Capital Premier Billing, LLC Richmond, NY aka SW Star Logistics Plano, TX 75024

Follow-up Specialist

●Collections for OON Providers in the New York City/New Jersey area (High dollar payments received)

●Responsible for claim status, appeals, and negotiating payments with pricing teams

●Worked smartsheet reports with outstanding balances on patient accounts

●Proficient in all Microsoft Office Applications

01/18/21- 9/16/21 Baymark Health Services, Lewisville, Tx 75067

Billing Specialist

●Medical billing for Opioid Treatment Centers across the US.

●Responsible for billing medical claims to insurance payers

● Working EDI rejection reports to maintain clean claim submission

● Proficient in all Microsoft Office applications

5/27/18- 8/3/20 Vibra Healthcare, Irving, TX 75063

Commercial Patient Accounts Representative

● Long Term Acute Care Collections- responsible for the entire process & handling of resolving patient accounts. From the moment the claim is billed, the acct is my responsibility until the balance is at a $0 status.

● Very proficient in all Microsoft Office applications

● Responsible for billing and maintaining status on patient accounts.

● Benefit and eligibility verification

● Submit appeals and adjustments for claim reconsideration

● Coordinates with billing team, coding department, utilization & review, facility AR managers, Admissions coordinators, HIM department, Wound Care reps, and Outpatient Therapy department to make sure accounts are handled efficiently and timely.

02/27/17-03/23/18 Navigant Cymetrix, Lewisville, TX 75067

Patient Accounts Representative

● Responsible for billing and maintaining status on patient accounts.

● Obtained Claim status from Medicare customer service and their provider portal, Home

Health and Hospice providers, Behavioral Health facilities, Dialysis providers and Skilled

Nursing Facilities

● Benefit and eligibility verification

● Submitted appeals and adjustments for claim reconsideration

● Used all office equipment including fax machine, printer/copier

● Coordinated with the billing team, credentialing for pre-certifications, billing and coding department, and

Self- pay department regarding patient responsibility for collecting remaining balance of accounts

● Very proficient in all Microsoft Office applications

06/06/16-02/24/17 Critical Access Billing Service, LLC Sherman, TX

Patient Accounts Representative

● Responsible for billing and maintaining status on patient accounts.

● Obtained claim status from Commercial insurance companies,

● Benefit and eligibility research for patient accounts

● Submitted appeals and adjustments for claim reconsideration

● Used all office equipment to submit necessary information to Insurance companies for

The processing of resubmitted claims

● Very proficient in all Microsoft Office applications

08/13/13-02/05/16 NGS, National Government Services Denison, Texas

Customer Care Representative

● Responsible for taking customer service calls from Medicare Providers

● Gave information to providers regarding claim status and benefit information

● Updated patient and provider information in company system (data entry)

● Very proficient in all Microsoft Office applications

12/15/12-10/2013 Ross Stores Sherman, Texas

Sales Associate/Cashier

● Responsible for Customer Service and checking customers out at the register

● Answered questions regarding merchandise and store policy

12/5/11-1/2/13 West Asset Management Sherman, Texas

Insurance Validator

● Responsible for identifying and validating potential overpayments or incorrectly paid insurance claims

● Made inquiry calls to providers to determine status of claim payments

● Referred identified overpayments to overpayment department for recovery

● Assisted in special projects and other departments as needed

● Very proficient in all Microsoft office applications

9/08-10/10 OrthoRx Inc DBA Viscent, LLC Sherman, Texas

Revenue Analyst/ Billing Specialist

● Responsible for accurate and timely booking of new accounts and charge orders within the billing system to insure submission of clean claims per payer

● Demonstrated strong working knowledge of billing system functions to effectively execute job duties

● Maintained the billing for 5 Orthopedic sites; Tulane, Shreveport, Topeka, Willis Knighton, and Colorado Springs

● Made sure authorizations and pre-certs were handled in a timely manner.

● Very proficient in all Microsoft Office applications

10/07-09/08 PHNS Sherman, Texas

Patient Accounts Representative (PAR)

● Responsible for reviewing, analyzing and collecting outstanding receivables on patient accounts as

assigned per client specifications.

● Provided assistance to patients and insurance companies in resolving account balances

● Performed collection follow-ups within a defined segment of accounts to ensure timely reimbursement from third party payers and patients

● Very proficient in all Microsoft Office applications

04/07-10/07 Crescent Processing Company Sherman, Texas

Marketing Rep

● Appointment setter for credit card terminals

● Sales

● Data entry

7/05-1/07 Wilson N Jones Medical Center Sherman, Texas

Financial Counselor/Pre-Registration Associate

● Setting up accounts for patients with Radiology exams.

● Making arrangements for payments of services.

● Verifying insurance information and obtaining pre-certifications and/or authorizations.

● Updating patient account demographics

10/98-3/05 CIGNA Healthcare Denison, Texas

Phone and Claims Processor

● Processing medical claims

● Obtaining benefit determination

● As a Customer service rep, took calls from doctors & members for insurance information & claim status

● Very proficient in all Microsoft office applications

Education

(Aug 1986- June 1990)

Sherman High School- Sherman, TX

High School Diploma received

(Aug 1990- May 1991 & Jan 2011- Jan 2012)

Grayson County College- Denison, Texas

Major: Real Estate/Marketing & Radiologic Technology

Skills & Experience

Financial Specialist, Receptionist, Administrative Assistant, Patient Accounts Representative, Data Entry and

Insurance Claims Clerk

Computer Skills

Typing Speed: 60 Words per minute

Ten Key Speed: 15000 Keystrokes per Hour

References

Available upon request

Contact this candidate