Data Entry Medical Billing
Resume:
Yvette James-Lewis
Billing Specialist - InMed Diagnostic Services of SC, LLC
Columbia, SC 29209
**********@*****.***
Professional with over 10 years experience in providing admin support, customer service, offering versatile office management skills, proficiency in Microsoft Office & Medical Billing programs. Strong medical coding & collections experience with exceptional planning, problem solving skills, who readily adapts to change; has the capability to exceed expectations. Willing to relocate: Anywhere
Authorized to work in the US for any employer
Work Experience
Remote At Home Rep
Alorica - Aetna Payflex HSA/FSA - Columbia, SC
October 2016 to Present
At home remote CSR answering questions relating to participants enrolled into Health Savings Accounts with Aetna Payflex.Questions concerning contributions, distributions, IRS 1099 SA forms, 5498 SA forms. Payments for reimbursement, navigation of service portal and website help, including unlocking accounts and password resets. Help participants with statement & front/back copies of cancelled check requests.
CSR - Customer Service Representative
Arise for Intuit Turbo Tax - Remote
February 2016 to April 2017
Remote position received incoming calls to help submit tax forms via online. Connected direct at times to guide and also to resubmit rejected forms. Looked up to see if taxes accepted/rejected & date of when refund(s)will be received. Helped with deductions, filing status, and all questions relating to refund(s).
Collector
InMed Diagnostic Services of SC, LLC - Columbia, SC March 2013 to November 2015
Contacted patients from aging reports indicating balances ranging from 30-210 days old
• Applied discounts, verified, and added in new insurance, HCFA's printed
• Re-billed claims, Proposed reduction on settlements on Worker's Compensation Claims
• Processed & posted payments received via Debit/Credit, added & removed accounts in write off status, referred to CRM Collections List
• Statements mailed on past due balances, appeals also sent to Insurance companies for denied claims Collector
Receivable Solutions, Inc - Columbia, SC
May 2011 to November 2012
Retrieved past due monies on Medical Accounts
• Inbound/Outbound call center
• Dialer system used to answer calls automatically populated
• Devised ways of making payments on plans for individuals facing financial distress
• Payments taken using secure payment methods
• PIF letters sent, Payment reminders including Initial and Final Notices
• Claims re-billed needing corrections for denied and non covered charges Patient Accounts Representative for TRMC Orangeburg Accountemps - Columbia, SC
March 2011 to May 2011
• Bill commercial and governmental payers on Cerner Millennium software
• Check patient eligibility on Healthport Direct software and retrieve patient info, medical records on Horizon Business Folder (HBF)
• Follow-up on Medicaid insurance edits for denied medical claims
• Communicate with insurance companies for ways to resolve issues and ensure reimbursement on denials
• Post money paid toward co-insurance, co-pay, and deductibles to accounts Customer Service
At Home Assessments, Inc. - Raleigh, NC
August 2009 to July 2010
Responsible for creating sales orders and invoices on Durable Medical Equipment (DME) for Veterans associated with the VA Healthcare System
• Requested payments from purchasing agents and prosthetic staff
• Performed administrative tasks such as faxing, electronic mailing, maintaining a record system for charts, answering a multi-line telephone system and distributing correspondence related to payments
• Communicated with Veterans to confirm receipt of equipment, services and/or supplies Medicare Biller/Collector/Patient Accounts Representative Medical Services of America, Inc. - Lexington, SC
September 2008 to July 2009
Responsible to re-billing Medicare/Medicaid claims for DME and patient billing to include researching accounts to ensure payment
• Performed collection activities for past due accounts
• Designed and established payment plans for patients, verified insurance, resubmitted claims corrected to various
• developed a formal letter to contact patients, providers and insurance companies
• consulted the ICD-9 codebook to determine appropriate billing for various medical specialties Medicare Benefits Specialist/Part B Claims Specialist Kelly Services - Columbia, SC
September 2006 to November 2007
Performed in-bound call center duties
• Enrolled Medicare beneficiaries into Part D Medicare Advantage Plans
• Performed administrative duties such as assisting with referrals, placed orders for publications, LIS applications, and authorization forms
• Communicated with patients to answer any questions regarding eligibility and coverage Claims - Cigna Claims Dept
OrthoNet, LLC - White Plains, NY
May 2003 to November 2005
Electronic Medical Claims Entry
• Responsible for processing electronic and paper claims
• Assisted clients with questions regarding delayed payments, additional information and explanation of benefits (EOB)
• developed a weekly spreadsheet to monitor quality and control reports sent to Senior Management Collector
AKZ Management - White Plains, NY
February 2005 to August 2005
Retrieved overdue payments on accounts for no-fault, workers compensation, major medical, secondary and third party type claims
• Responsible for keying payments into the system and setting up new accounts into the system Collector
NBC Billing Services, Inc - White Plains, NY
February 2001 to May 2003
Performed daily data entry of approximately 500 - 1500 fee slips for 5 branch offices
• Retrieved overdue payments on accounts for no-fault, workers compensation, major medical, secondary and third party type claims
• Maintained monthly quotas to qualify for bonuses
• Responsible for payment posting and adding new accounts in the system, verifying insurance and referrals
Education
Certificate in Medical Billing/Coding
Daytona College Online - Ormond Beach, FL
2015 to 2016
Associate's in Computer Science
Monroe College - Bronx, NY
1996 to 1998
Additional Information
TECHNICAL SKILLS:
Computer Skills: MS Word, MS Outlook, MS Excel, 10-Key Data Entry, 40 line Switchboard, Scanning, Faxing, Coping, Medi Soft, Mestamed, Bright tree, Peachtree, Criterions/TCMS, Intergy.
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