DAWN ISOM

**** ******** *** ****: ***- ***-****

Elkins Park, PA 19027 Cell: 215-***-****

Summary

Medical Billing Specialist with 10+ years of experience with the ability to use independent judgment and impart confidential information. Thorough knowledge of medical insurance claims procedures and documentation. In-depth knowledge of medical billing procedures and submission of Medicare claims. Exceptional ability to prioritize work to meet goals and objectives within acceptable time frames.

Education

Community College of Philadelphia, Associates degree in Culture, Science & Technology

Experience

Abington Memorial Hospital, Abington PA 2006 to present

Senior Business Service Representative (2010 – Present)

Promoted to Senior Business Service Representative from Billing Rep. Responsibilities entail working assigned accounts receivable via the electronic billing systems. Answer inquires from patients, third party representatives and other hospital personnel. Also, perform account maintenance and follow up.

Fulfill role as back up in Team Leaders absence for recording daily Medicare payments in excel spreadsheets. Attend quarterly Medicare update meetings.

Serves as a trainer and leader for new employees and advisor for resolving issues.

Work with Team Leader and Supervisor to resolve problems, recognize trends and process accounts correctly.

Work special projects

Billing Representative (2006 – 2010)

Responsibilities include resolving Medicare claim billing errors in the SSI system and correcting returned claims in Medicare system. In addition to follow up contact with patients and Medicare for denied claims.

Utilized various reports such as the Credit Balance report, Inpatient/Outpatient No Pay report, Balance Remaining report and Inpatient/Outpatient rejection report to research and reconcile billing claims. Follow up on Medicare denials.

Fulfill role as back up in Team Leaders absence for recording daily Medicare payments in excel spreadsheets. Attend quarterly Medicare update meetings.

Work special projects as needed. Heavy contact with Ancillary departments to resolve medical necessity and modifier issues. Assist supervisor with compliance issues.

Research and resolve open balances and discharge status. Also, reconcile and research billed DRGS vs. paid DRGS. Verified and correct RC accounts for charges not agreeing with coding.

Obtained Certified Patient Account Technician status - 2/2010.

Dr. M.T. CHENNAT& ASSOCIATES, Philadelphia, PA (1998-2006)

Billing Clerk

Responsibilities include billing major insurance companies, data entries of insurance claims and follow up with insurance companies for denied and unresponded claims. Responsibilities also include answering incoming calls and scheduling appointments.

ICT MEDICAL MARKETING, Langhorne PA (2002-2006)

Customer Service Representative

Responsibilities entail answering incoming calls, data entry, pre-qualifying and interviewing applicants for Pfizer Pharmaceutical’s For Living Share program. Identify potential adverse drug events and received certificate for outstanding customer support. 1999-2002

CERTIFICATION/RECOGNITION

Community College of Philadelphia– Dean list honor student

ICT Group - Certificate of Merit for Outstanding Customer Service

ICT Group - Certificate of Merit for Above& Beyond Customer Service

Abington Memorial Hospital – Certified Patient Account Technician

Contact this candidate