Medical Billing Claims Examiner

Kimberly D. Zunic

*** **** ****** · Belle Vernon, PA 15012 · 724-***-**** · ******@*******.***

SUMMARY

With over 18 years experience, I am a dedicated professional who is a motivated, self-starter. I pay meticulous attention to detail whether working on a team project or on my own. I take pride in completing my daily tasks and striving to maintain 100% accuracy. I am more than ready to apply my experience in a new position, with room.

EXPERIENCE

Allegheny Health Network, Pittsburgh, PA 15212

January 2019 – December 2021

Credit Balance Specialist

Review all physician based accounts with credit balances from insurances.

Correct any errors resulting from automated postings.

Prepare and issue valid refunds to insurance companies.

Provides back up support for patient accounts with credit balances.

Assist Manager with miscellaneous tasks

Vale-U-Health, Belle Vernon, PA 15012

January 2002 – October 2018

Cash Applications Specialist

August 2011 – October 2018

Post all government and commercial insurance and patient payments via clearinghouse and EHR

Process credit card payments from insurances and patients

Report payments to accounting daily for reconciliation

Submit claims electronically

Submit statements electronically

Troubleshoot claims with payment errors

Process and post all insurance and patient refunds

Track down any missing remittances

Identify and notify management of any denial trends

Medical Claims Examiner / Customer Service Specialist

January 2002 – August 2011

Processed Physician, Hospital and other Ancillary medical claims with at least 95% accuracy.

Answered enrollee and provider questions quoting benefits, claim status, etc.

Assisted with the weekly check run

Investigated Coordination of Benefits and Student Status

Followed up on outstanding refund request

Reported pended claims to the Plan Administrator

SKILLS

Proficient in Microsoft Word, Excel and Office, eClinical Works, Instamed

Knowledge of various office machines including but not limited to multi-function copier, fax machine and multi-line telephone systems

EDUCATION

Westmoreland County Community College, Youngwood, PA 15697

Coursework in Accounting, Computer Technology, Medical Technology and

Medical Billing Management

Miscellaneous Microsoft Word and Excel classes, ICD-10 and CPT classes

Contact this candidate