PROFESSIONAL SUMMARY

Competent Medical Billing with 9 years of experience in handling wide

variety of medical coding and billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Expertise in accurately inputting procedure and diagnosis codes into billing software to generate invoices.

WORK HISTORY

Reimbursement Specialist, 08/2015 to 07/2016

HealthCare Support Staffing - Maitland, Florida

Medical Billing Specialist, 10/2005 to 11/2014

Pathology Associates of Alabama, P.C - Birmingham, Alabama CONTACT

Address: Birmingham, Alabama 35235

Phone: 1-659-***-****

Email: ads7l6@r.postjobfree.com

WWW: Online Digital Resume

SKILLS

RAYSHAWN PETTUS

Medical Billing Specialist/Customer Service Representative Followed up on denied and unpaid claims to resolve problems and obtain payments.

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Coordinated with insurance providers to verify customer's policy benefits in relation to claims.

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Reconciled past due accounts achieving 85% reduction in outstanding invoices.

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• Identified account discrepancies and issues inhibiting claim payments. Investigated and resolved denials and rejections within the standard billing cycle timeframe.

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• Identified and resolved patient billing and payment issues.

• Precisely evaluated and verified benefits and eligibility Prepared billing correspondence and maintained a database to organize billing information

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• Uploading patients' demographic data from hospital interface. Investigated and resolved denials and rejections within standard billing cycle timeframe.

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• Reviewed claim denials and payer requirements for corrective action Used electronic charges capture practices such as billing and account receivable system and medical billing clear-house accounts to submit codes and invoices on time.

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• Calculate CPT code in amount of $10,000 daily on path reports for

• Pathology billing knowledge

• Medical claims submission

• Medical coding knowledge

• Collection calls

• Customer service support

• Billing statement review

• Complaint resolution

• Professional telephone demeanor

• Creative problem solving

• Customer connect

• Customer service operation

• Customer service interface

Sales Consultant, 02/2005 to 09/2005

Brannon Honda - Birmingham, Alabama

EDUCATION

High School Diploma, 1989

Ensley Magnet High School - Birmingham, Alabama

inpatient's, outpatient's and outreach patient's my percentage average at end of day 10%.

Researched and replied to insurance, patient, and internal customer inquiries.

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Revised patient bills for accuracy and completeness and obtained missing information.

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Maintained and updated information on insurance coverage of diagnosis, procedures, and fees.

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Oversaw and ran necessary reports for monthly and quarterly reporting.

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Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.

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Printed and reviewed monthly patient aging report and solicited overdue payments

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• Located errors and promptly refiled rejected claims. Cold called and conducted face-to-face sales calls with C-level executives and directors in assigned sales territory.

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Created detailed sales presentations to communicate product features and market data.

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Improved sales by managing sales lifecycle from lead generation through contract negotiations and closings.

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Stayed knowledgeable on latest product innovations and technological advancements through continuous training.

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Managed and maintained personal sales funnel through effective networking and partnership development.

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Overcame objections with successful product demonstrations and persuasive communication skills.

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• Supported sales plans by building strategies, proposals, and forecasts.

• Greeting drop-ins, responding to inquiries, recommending. Developed positive and productive customer relationships as part of robust referral pipeline.

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