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Data Entry Medical Billing

Location:
Westmont, IL
Posted:
December 22, 2022

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Resume:

JULIANA M. WILLIAMS, CAC

*** *. **** ******, ********, IL 60559

708-***-****

adt7h1@r.postjobfree.com

Objective

Seeking challenges in an environment where relevant education, experience and organizational skills will be utilized and advanced.

Summary of Qualifications

Microsoft: Word, Excel, Access, and PowerPoint.

EPIC; RescueNet; Artiva; Centricity; Ecare; e-ClinicalWorks (ECW); CareLogic; OneSource/Passport; DentaQuest; ClaimRemedi; ESO; McKesson/Horizon; SSI Billing Portal; MedHost, Medisoft.

Medical Terminology. Medical ICD-9; ICD-10 Coding. Commercial, Medicaid and Medicare Medical Billing. Reimbursements.

Ambulance Service Coding and Cash Posting.

Typing – 60+wpm/10-Key – 13,260ksph

Able negotiator/liaison, dealing with professionals, clients and staff.

Accurate, organized, aware of importance of deadlines and maintaining goals.

Progressive, professional experience.

Experience

November 2021 – November 2022

Eden Transport for FedEx, Naperville, IL

Driver/Customer Service

Duties Included:

Route Deliveries

In person communication with customers and businesses

Problem solving issues customers have

Responding to customer inquiries

July 2020 – June 2021

Lasalle Staffing Agency/Pillars Community Health, LaGrange, IL

Medical Billing and Coding Specialist

Duties Included in the ECW and CareLogic systems:

Physician Billing

Behavioral Health Billing

Dental Billing

Reviewed and Resolved Insurance rejections/payer returns/denials

Edited and corrected HCFA (1500) Claims

Determined and billed out Daily Late Charges, Replacement Claims (removed charges)

Claim Edits

Posted Payments

Payer Returns (denials)

Updated Insurances and demographic information

Claim Review (claim status)

Late Charges/Claim Correction

Refunds (which included adjustments and write-offs)

June 2018 – May 2019

Canna Care Docs, Crestwood, IL

Regional Manager of Illinois

Duties Included:

Managed a team of eight people which allowed me to guide and motivate them to their full potential.

Managed daily office operations ensuring the needs of patient’s and staff were met.

Provided Patient Care and Education.

Performed Vitals – Blood Pressure, Temperature and Oxygen Levels

Resolved Patient Inquiries.

Recruited and trained staff members and created work schedules.

Created and maintained patient files.

Requested and obtained patient medical records in a timely manner.

Made bank cash deposits.

September 2005 - December 2017

University of Chicago Medical Center (UChicago), Chicago, IL (Burr Ridge, IL)

Lead Medical Insurance Biller (Non-Gov Billing Department)

Duties Included in the EPIC system:

Commercial Payer Insurance Billing

Edited and Corrected UB04 and HCFA (1500) Claims

Merged (combined) Account Charges necessary for avoiding missed claims, incorrect claims, and late charges.

Interim Billing.

Determined and billed out Daily Late Charges, Corrected Claims (removed charges) & Unbilled Accounts.

Handled Multiple Billing requests from the Collections Department.

Researched and mailed out Medicare and Non-Gov. Insurance Explanation of Benefits (EOBs) to Secondary

Insurance.

Data Entry.

Posted Payments from Blue Cross and United Health Care Insurance EOBs.

Completed daily tasks of multiple reports (Duplicate Diagnosis, Blue Cross Secondary, Black Hole Accounts,

Daily Claim Audit Summary, Deletion Review, Claim Holds, and Medicare Part B Claims).

Added and billed Insurance.

Verified and updated Patient Demographics

Receivables Clerk II (Refunds Department)

Duties Included in the EPIC system:

Reviewed written correspondence from Insurance companies to determine if a refund request is a denial or an issuance.

Processed refunds to patients and insurance companies.

Retrieved refunds that were processed to insurance companies and/or patients in error.

Consistent phone contacts to provide information and calculations requested by insurance companies.

Consistent phone contacts with patients and insurance companies to obtain other insurance and patient information.

Handled insurance projects (Blue Cross, Humana, UCHP, and Psych) in a timely manner.

Performed Adjustments, Transfers and Write-offs of monies on Patient Accounts.

Maintained and organized files.

Receivables Clerk I (Office Services Department)

Duties Included:

Organized, data entry and distribution of correspondence.

Researched and mailed out Medicare Explanation of Benefits (EOBs) and UB92 requests to insurance companies, general office duties, and telephone operations.

EDUCATION

National Academy of Ambulance Compliance (NAAC)

Certified Ambulance Coder (CAC)

Olympia College, Chicago, IL

Medical Administrative Assistant

PC Career Training Institute, Chicago, IL

Medical Billing & Coding

Roald Amundsen High School, Chicago, IL

General Studies



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