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Medical Billing Service Representative

Location:
Oakland, CA, 94612
Posted:
December 29, 2022

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Resume:

SUMAN L. PRASAD

**** ******* ***** ● San Jose CA 95122 ● Phone 669-***-**** ● Mobile 669-***-****

OBJECTIVE

Seeking for a Medical billing position in a clinic/hospital environment where I can utilize my extensive computer and medical apparel knowledge, strong organizational abilities, demonstrating quality communications skills and patient service.

SUMMARY OF QUALIFICATIONS/SKILLS

• 21 years of progressive, professional experience, extensive experience managing customer relations.

• Proficient in Medical Insurance Billing, Medical Terminology, Medical Coding, and Medical Transcription.

• Strong ability to multi-task, organized, disciplined and detail oriented. Medical Software knowledge: CPT coding, ICD-9 coding, CM1500 forms and UB92 forms.

• Working knowledge Medicare, Medi-Cal, Worker’s Comp, Managed Care (HMO, PPO, and POS).

• Technical: Microsoft Office: MS Word, Excel, and Outlook, IDX, SMS system, and Type 35-40 wpm.

• Hardworking, motivated, energetic, dedicated, and professional individual able to serve clients in a conscientious and pleasant manner.

PROFESSIONAL EXPERIENCE - Stanford Health Care, Professional Coding and Charge Capture Department, Newark, CA February 2002 to-date Charge Capture Specialist - Department of Medicine

• ICD-10, CPT-10, & Medical Terminology

• High level of knowledge relating to interpretation of E&M services performed by physicians

• Basic Medical Insurance structure and knowledge

• Excellent Interpersonal Skills

• Ability to function in a highly complex and dynamic environment.

• Reliable and dependable. Good organizational skills.

• Various Practice Management Software

• Claim Entry & Payment Posting

• Records Organization & Management

• Insurance & Patient Aging

• HIPAA Compliance

• Online Claim Submission

• Ensure claims are entered and submitted in timely manner

• Advance Microsoft word and Excel

02/2000 – 02/2001 Bank of the West, San Jose, CA.

Teller / Customer Service Representative

• Initially hired as entry-level teller; promoted due to accuracy, speed, and skills.

• Responsible for maintaining proper cash limits, cashing checks, accepting deposits, paying / receiving large amounts of currency/coin, balance drawer, handle petty cash, and place orders for inventory

• Processing loan payments, night drops, opening accounts, activate ATM/Debit cards.

• Assisting in the training of new tellers.

EDUCATION

07/2001- 01/2002 Bryan College San Jose, CA.

Medical billing, coding, and medical terminology.

Graduated 01/2002 with Diploma.

06/1985 – 09/1991 Sangam Shadhu Kupswami Memorial College Nadi, Fiji Islands High school studies, academic, and general education. Graduate with Diploma/certificate.

REFERENCE

Available upon request.



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