CHINUA GEORGE **** Villena Ave Unit *** Tampa, FL 33612 Tel. 813-***-**** adu1y1@r.postjobfree.com

PROFESSIONAL PROFILE

Productive and accountable professional with diverse work history, hands-on skill sets and highly developed customer-service skills poised to parlay comprehensive medical education into career-advancement opportunities.

Proficiencies:

Microsoft Office Skills: Written and verbal communications (letters, emails, presentations, face-to-face communications), Proofreading and editing, Critical thinking skills, Attention to detail, Resource inventory (counting or tracking office supplies)

KEY QUALIFICATIONS

Centers for Medicare and Medicaid CMS 1500 CMS 1450 (UB-04) Tricare

Co-Payments Deductibles HIPAA Compliance Meaningful Use ICD-9/ICD-10

Electronic Health Records (EHR) Electronic Medical Records (EMR) Greenway

EOBs Payment Posting Revenue Cycle Management Scheduling

Insurance Verification Insurance Billing Procedures Insurance Claim Processing

Manage Care (HMO, PPO, and POS) Government Payers Third Party Payers Worker’s Compensation

Medical Billing HCPCS Introduction to ICD-10 EOBs Co-Payments

Medical Billing Medical Coding ICD-9-CM HCPCS CPT Introduction to ICD-10 Medical Terminology

Practice Management Medical Office Procedures Anatomy & Physiology

Reimbursement Methodologies Fee Schedules Outpatient / Physician Inpatient / Facility Accounts Receivable

Healthcare Settings Superbill Medical Records Management for the Billing Specialist

EDUCATION & CERTIFICATION

Ultimate Medical Academy

Diploma - Medical Billing and Coding, 2017

Associate of Science Degree / Health Sciences - Medical Office and Billing Specialist, 2018

PROFESSIONAL EXPERIENCE

Optum 360-Tampa, FL

1/2020-10/2022

Medical Billing Specialist

Answered inbound calls for Quest Diagnostics Laboratories providing patients assistance with billing inquiries regarding insurance payments with following duties:

●coordination of benefits with primary and secondary insuances

●investigated issues with claim processing

●communicated with patient's private insurance as well CMS (medicare & medicaid) to resolve any issues or update insurance information

●assisted patient with payments

●scheduled appointsments for lab work

●assisted patients with any inquiries regarding their Quest account

●communicated with doctor's offices to update CPT and ICD-10 codes for claim processing

Alorica LLC – Brandon, FL 10/2019 – 01/2020

Customer Service Representative

Answered inbound calls for United Parcel Service (UPS) customers providing assistance with the following duties:

●package tracking

●scheduling shipments

●rate quotes

●place orders for shipping supplies for account holders

First Source LLC - Tampa, FL 08/2018 – 05/2019

Claims Processor

●Processed claims for BCBS, Molina and Aetna Insurance

●Ensured claims were processed in a timely and efficient manner

●Claims were for Group Insurance and Medicaid/Medicare

Kablelink LLC - Tampa, FL 05/2009 – 08/2018

Dispatch / Billing Specialist.

●Answer inbound calls for Brighthouse (now Spectrum) customers concerning service and repair appointments for Kablelink technicians.

●Review and correct any billing discrepancies to ensure Kablelink technicians are properly paid for the job that is completed.

Tobacco Depot - Tampa, FL 11/2006 - 12/2008

Manager

●Directed all aspects of staffing, procedure and policy, facility maintenance and customer service.

●Implemented procedures for improved customer satisfaction

Master Collision Repair - Tampa, FL 12/2005 - 12/2006

Office Manager

●Planned, directed, supervised and evaluated workflow processes, ensuring highest levels of customer service and time compliance for the delivery of vehicles repaired in auto collisions.

●Verified quote system data with customer orders to ensure accurate processing.

●Prepared daily banking deposits.

Lt Graye Communications - Tampa, FL 02/2005 - 12/2005

Administrative Assistant / Secretary

●Devised comprehensive filing system to allow accessibility of files for small Bay area marketing firm.

●Oversaw daily office operations while operating front office equipment (i.e. copier, fax, and phone systems.)

Pacific Life & Annuity - Tampa, FL 02/1998 - 10/2001

Executive Assistant

●Promptly answered telephones and directed calls as needed.

●Provided administrative and clerical support to health and life insurance and annuity sales representatives while managing daily office operations and supply inventory.

●Prepared insurance quotes for employers from various PPO, HMO, and POS insurance plans.

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