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Medical Billing Access Specialist

Location:
Detroit, MI
Posted:
October 30, 2022

Contact this candidate

Resume:

Quinana Jones

Silsiby Road.

University Heights, Ohio 44118

Cell:216-***-**** **********@*****.***

Objective

Seeking a position in medical billing/coding, where my skills of being an excellent communication and team player, will allow me to progress with your organization.

Skills and Qualifications:

Medical Billing and Coding

Typing 35 WPM/10 key touch Microsoft Windows Programs

Insurance Form/ Verification

Telephone Techniques Encoder Pro Bookkeeping Scheduler

ICD-9-CM/CPT Coding Accounts Receivable Articulate

Medical Terminology Punctual EOB Experienced

Computerized Billing Software Reliable Dedicated

Medical Manager OHSA/HIPPA Certified

Turbo

Ultra

EZ Claim

Epic

Employment History:

2020-2022 National Biological Corporation Beachwood OH

Authorizations, Insurance Verification, Referrals, team meetings. Payment Posting, Secondary and Tertiary Billing, Insurance Denials, PatientDataEntry

2019 – 2020 Cleveland Clinic

Triage calls, Create and assign Referrals, staff messages, collect copays

Schedule appointments, schedule procedures, fax, file, insurance verification,

Resolve patient issues, authorizations, wait list, schedule follow ups,

Attended huddles, coordination of benefits, training new hires,

Check in, check out, clinic operations, direct contact with physicians and nurses

2016- 2019 MetroHealth Hospital Cleveland, Hts OH

. Obtaining accurate information from patient or representative

. Preparing and processing the required forms and obtaining the necessary signatures

. Gather and analyzes patient demographics and payor data to achieve optimal reimbursement

. Ensures appropriate patient registration, scheduling, pre-certification and authorization for services

. Interacting with different ancillary services to complete patient schedules and resolve issues

. Serve as preliminary contact for ambulatory practice

. Greeting patients in person or via telephone in a pleasant and professional manner

. Utilize the 3 day-out reports for insurance verification and reimbursement

. Serve as access specialist to assist patient in receiving medical care/ Scheduling appointments and ancillary service based on hospital protocols and providing preparation instructions as applicable

. Integrating payor issues with patient needs

. Upholds mission, vision, values, and customer service standards

. Obtain specific eligibility requirements, plan limitations and plan exclusions

. Collecting cash for services rendered; balancing daily charge document/ ticket

. Keep up-to-date on any changes to the registration process

2014-2015 Cleveland Eye Clinic Brecksville, OH

Accounts Receivable, Insurance appeals

Re Billing, Explanation of Benefits

Coordination of Benefits, Mail Distribution, Answer Phones.

I Medic Software, Pay trace accounts.

2014-2014 Providence Home Health Highland Hts, OH

Answered Phones, Transfer Calls, filed Claims.

Entered times sheets.

Supply Inventory

2013- 2013 Geo Demo Office Clerk

University, Hts, OH

Operated office machines, such as photocopiers and scanners, facsimile machines, voice mail systems, and personal computers.

Maintain and update filing, inventorying, mailing, and database systems

Compile and sort filing records of office activities and business transactions

Completed work schedules, manage calendars, and arrange appointments

Medical Biller 2006-2012

Balance Solutions Physical Therapy Mayfield Hts., OH

Verified accuracy of billing data and revise any errors

Prepared itemized statements and invoices to record amounts due for services rendered, reviewed documents out patient records to computing fees, Performed bookkeeping records: concerning costs of goods or services, invoices and supporting documents and accounting, resolved and appeals discrepancies in accounting records.

Contacted customers to obtain or relay account information

Office Clerk 2000-2005 GEO Demolition South Euclid, OH

Operated office machines, such as photocopiers and scanners, facsimile machines, voice mail systems, and personal computers

Answered telephones, direct calls, and took messages

Maintained and updated filing, inventory, mailing, and database systems

Compiled and sorted filing records of office activities and business transactions

Completed work schedules, manage calendars, and arrange appointments

Education

Cleveland City School District Cleveland, OH:

Remington College Cleveland, OH

Medical Billing/Coding Diploma

References

Emily Gavanditti Manager CVS 216-***-****

Julie Robertson Nurse 716-***-****

Wendy Taylor Sterilization Tech 216-***-****



Contact this candidate