Medical Billing Representative
Resume:
KISHA
OWENS
adutgm@r.postjobfree.com
Baltimore, MD 21215
SKILLS
Insurance collections
Account Management
ICD-10 coding
Knowledgeable in Medical Manager and Cerner Software
CPT coding
Medical coding understanding
Cost Tracking
Invoice Documentation Management
Multitasking and Organizational
EDUCATION
National University
La Jolla, CA • Expected in 06/2023
Master of Arts: Health Care Administration
DeVry University
Downers Grove, IL • 04/2018
Undergraduate Certificate: Billing And Coding
College of New Rochelle, The
New Rochelle, NY • 05/1998
Bachelor of Arts: Social Sciences
PROFESSIONAL SUMMARY
Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information. Efficient billing professional with over 20 years of experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive.
WORK HISTORY
IQVIA - Cynet Systems - Medical Billing Associate
Bridgewater, NJ • 06/2022 - Current
Receive 30 medical claims from patients, ensuring that adequate supporting documentation has been provided.
Use exceptional organizational skills while interpreting EOB and ultimately determining if claim should be paid or rejected.
Provide initial support for customer requests via telephone, email, fax, or other available means of contact to Support Center.
Recognize operational challenges and suggest recommendations to management.
Communicated with pharmacy providers to resolve denied claims and resubmit.
MDI Newtwork - Robert Half International - Claims Scanner
Curtis Bay, MD • 06/2022 - 06/2022
Gathered, sorted and scanned over 200 documents to enter into computer system.
Archived documents to locate quickly by strictly following storage methods.
Organized documents by color coding, classifying and indexing under special headings and categories.
Supported staff by allowing access to records for viewing or processing, and followed up for return of original records for proper storage.
Carefully reviewed all documents and reports for completeness and accuracy.
Planned Parenthood of Maryland - Medical Biller
Baltimore, MD • 02/2015 - 01/2021
Completed and submitted appeals for denied claims
Organized information for past-due accounts and transferred to collection agency.
Submitted and accurately processed insurance claims with related medical code verifications and assessments.
Contacted 25 insurance providers to verify insurance information and obtain billing authorization.
Reviewed account information to confirm patient and insurance information is accurate and complete.
Chase Brexton Health Services - Medical Billing Representative
Baltimore, MD • 02/2009 - 08/2014
Prepared and submitted claims to insurance companies electronically and manually.
Verified proper coding, sequencing of diagnoses and procedures.
Performed full-cycle medical billing for fast-paced company, reducing errors by10%
Maintained timely and accurate charge submission through electronic charge capture, including billing and account receivables (BAR) system and clearing house.
Applied payments, adjustments and denials into medical manager system.
Sinai Hospital of Baltimore - Patient Registration Associate
Baltimore, MD • 01/2005 - 11/2008
Greet incoming patients, maintain daily sign in log.
Scan patient ID and insurance cards into patient management system.
Performed accurate manual entry of patient and specimen registrations.
Obtain, verify, and update insurance information to ensure proper billing and collection activities.
Respond to 50 routine inquiries from patients regarding co-pays and coinsurance.
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