Medical Billing Representative
Resume:
Michelle R. Vigil
Westminster, CO 80013
adug5c@r.postjobfree.com
OBJECTIVE:
To acquire a permanent position with a reputable company and establish myself as a professional who will actively contribute to company goals through knowledge, ability and dedication.
EDUCATION:
Diploma in Health Claims Examiner/Medical Billing. Heritage College of Health Careers. Denver, CO May 1994 to September 1995
EXPERIENCE:
Customer Service Coordinator
Department of Veterans Affairs, Denver CO June 2006 to August 2012
Responsibilities Included:
Performed customer reviews by examining medical records, community care authorizations, community payment records and historical tracking of submitted health care claims.
Communications to Veterans to assist in filing claims and inform them of what information is needed to support their claims.
Identified the elements of the clinical or administrative practices that contribute to and create an atmosphere for patient complaints and recommended changes that will reduce or eliminate complaints.
Investigate complaints and initiate actions, appeals or changes to rectify the situation and report this corrective measure to the parties involved.
Gather, analyze and prepare information while applying sound judgement when responding to inquiries.
Contribute to vendor recovery while completing complex requests in a timely and efficient manner.
Provide consultation services to Veterans, vendors, congressional offices, veteran service organizations, staff and other stakeholders to facilitate performance improvement.
Worked with appropriate departments to ensure fairness on policies and procedures to meet the needs of the diverse populations served.
Examines applications and/or the database for factual and legal accuracy, identifies possible errors and corrects erroneous data in the system.
Searches external databases and requests information from DOD, VBA, and from beneficiaries in order to determine administrative eligibility.
Interprets returned eligibility information and creates a sponsor file containing pertinent information on the sponsor and their beneficiaries.
Records eligibility status in the application processing database.
Medical Billing Representative
DNA Medical Software, Denver CO January 2003 to November 2003
Responsibilities Included:
Billed appropriate offices for medical payments.
Followed up with these offices to ensure payment.
Worked with various agencies and billing processes such as collections and customer service.
Coordinated self-pay and adjustments on client accounts.
Worked daily with the internal office and system and processed transactions through that system.
Served as the Assistant to the Vice President as well as the President to resolve complaints and troubleshoot programs on their behalf.
Medical Billing Coordinator
Columbia HealthOne, Denver CO May 1996 to November 2003
Responsibilities Included:
Processing billing transactions for Medicare and Medicaid of Colorado.
Billed private insurance companies on behalf of our clients.
Researched and resolved instances leading to insurance under payments on behalf of our clients.
Researched and resolved denials by insurance companies as well as past due accounts due to customer insurance issues.
Responded to patients inquires.
Resolved and reviewed past due credit balances.
Ensured insurance claims complied with company contracts.
Trained and monitored new employee progress on internal computer system, Meditec.
Contracted and organized training for the Admission Department at Rose Medical Center.
Counseled patients on bill alternatives as well as referred clients to various contacts to resolve payment issues.
Conducted debt management seminars to clients.
Counseled needy clients on services provided by our organization as well as external agencies that could provide services.
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