CLARE PIERCE

**** ***** ******* **. #** Oceanside, CA 92057 adtatj@r.postjobfree.com 760-***-**** OBJECTIVE Seeking a responsible position within your firm which could effectively utilize my 20 years of experience and education, allowing me to gain new skills and be asset to your company SKILLS & ABILITIES Responsible with diligent work ethics along with strong communication skills. Member of the AAPC. 30 years of medical, client, patient and account receivable. Knowledge of correct usage of CPT, Modifiers, ICD-10. Knowledge of the payer requirements. Work-Comp, HMO, PPO, Medi-Cal / Medicaid, Medicare, Medicare Advantage Tricare Ext. Working knowledge of the Insurance industry and medical terminology. Medical billing for OB/GYN specialist, 24 Hour Urgent Care, Family Practice Radiology, Physical Therapy and Diagnostic Genetic Testing. Software Experience: Medical Manager, Prime Clinical, Medinformatix, All scripts, Soapware, EZ claims, Telcor and Qudaxs, Xifin and Salsforce. (Gmail, Microsoft word, Excel spreadsheets. Export files etc.) EXPERIENCE

Invitae Corporation Appeal Specialist 2017-2022 Account receivable, molecular genetic outstanding reimbursement owed. Work denial reports daily. Client tag messages. Send out appeals to support our claim, request medical records when needed to further adjudicate the claim. Resolve any payor issues. Make proper patient balance adjustments and send out patient statements.

Ambry Genetics Medical Biller 2015-2017

Ensuring that patient accounts are properly and completely documented with insurance information and all other patient information. Enter genetic billing charges obtained from patient chart by the ordering Physician. Utilizing proper usage of CPT, Modifiers and ICD-10. Submit electronic and paper claims, including resolution of any billing errors. Work 50-60 accession daily or more and a few hours of patient collections. Responsible to make the correct adjustment for patient’s write offs.

MPMR Billing & Collection Specialist 2002-2013 Ensuring that patient accounts are properly and completely documented with insurance information and all other patient information. Enter billing charges for specialist listed under Skills & Abilities. Utilizing proper usage of CPT, Modifiers, ICD-9 codes. Submit electronic and paper claims, including resolution of any billing errors. Run daily reports. Direct contact with Insurance companies thru internet and by phone. Communicate with our client and their staff as well as with my billing team.

TEMECULA VALLEY OB/GYN Patient Services / Billing and Collection 1991-2001 Appointment scheduler for 5 physicians, reviewing financial contracts with patients. Responsible for incoming patient medical calls and other clerical duties. Up to 40 collection calls per day. Direct contact with Insurance companies. Responsible for inpatient statement calls and Insurance collections. Billed charges daily utilizing proper CPT, Modifiers and ICD-9 codes. Obtained Authorizations from IPA/HMO medical groups for various procedures done in the office along with in and outpatient hospital procedures.

EDUCATION SOUTHWEST COLLEGE, SAN MARCOS, CA MEDICAL ASSISTANT JAN 1989- JUNE 1989 ORANGE COAST COLLEGE, COSTA MESA, CA GENERAL EDUCATION 1988-1989 REFERENCES Jan Struwe, MPMR Supervisor, Contact 951-***-**** Kerry Menth, Coding Specialist, Contact 951-***-**** Barbara Schweers, Compensation Claims Examiner, previous co-worker, Contact 951-***-**** Chrissie Carr, sister and owner of Chrissie Carr Real Estate Group, Contact 760-***-****