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Medical Biller Insurance Specialist

Location:
Gastonia, NC, 28054
Posted:
March 16, 2023

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Resume:

Elizabeth D. Houston

**********@*****.***

**** ******* ****** ******** ** 28054

704-***-****

Dedicated and technically skilled Business Professional with skills developed through years of experience. Experience: Office Management/Full Charge Bookkeeper – Administrator Assistant Healthcare Provider- Insurance Adjuster and Processor – Business Owner for Several years.

White Oak Manor, Shelby January 2016 to Present Office Manager/Admissions

Perform all Business Office Management duties for Skilled/Rehab/Long Term facility.

Back-up Admissions/all financial processing. Collections, and Medicaid processing.

Alexandria Place, Gastonia 2007 to 2016 Office Manager/Bookkeeper

Perform all Business Office Manager Duties for Skilled and Assisted Living Facility.

Developed efficiency enhancing workflow/process of improvements that made it possible to

accommodate increasing responsibilities necessitated by staff. Handled all general ledger

duties for monthly and year end balances. Assist with CPA totals, process all insurance claims and collecting for company. Process all Medicare and Medicaid claims, private and third - party claims.

Saved thousands of dollars in fees, improved census and cut cost with Budget changes.

Neuroscience and Spine Center, Gastonia 2000 to 2007 Head Scheduler/Referrals/Medical

Scheduled all medical appointments and procedures, handled a busy phone system, functioned as primary liaison to patients and ensured a consistently positive patient experience.

Promotions and awards handled all medical disability forms for lawyers and social security disability claims. Created and processed state and federal reports for management with important decision making tools to help the budget. Award for new cost cutting ideas to benefit the company.

White Oak Manor, Burlington 1998 to 2000 Office Manager/Insurance Specialist

Performed all Office Management duties daily for nursing facility and assisted administer with all

necessary information to run the facility. Accounts Payable and Accounts Receivable.

Alamance County Hospital 1996 to 1998 Insurance Adjuster/ Insurance Medical Biller

Billed all Medicare and Medicaid claims, private and third party claims also. Coded claims and adjusted

information as needed before sending to final carriers. Promotion to other areas to teach coding and adjusting claims.

Alamance Memorial Hospital 1995 to 1996 Insurance Adjuster/ Insurance Medical Biller

Billed all Medicare and Medicaid claims, private and third party claims also. Coded claims and adjusted

Information as needed before sending to final carriers. Promotion to other areas to teach coding and

Adjusting claims.

Valdese Hospital, Valdese 1993 to 1995 Insurance Adjuster/Insurance Medical Biller.

Billed all Medicare and Medicaid claims, private and third party claims also. Coded claims and adjusted

Information as needed before sending to final carriers. Promotion to other areas also.

Clayton Motor Repair, Elon 1991 to 1993 Office Manager/ Full Bookkeeper. Payroll, Accounts

Payable, account receivables, Human Resources.

Holt Hosiery, Burlington 1987 to 1991 Payroll Manager/ Human Resources

Processed all payroll tickets and produced the payroll. Human resource duties also.

Blue Cross/Blue Shield, Durham 1985 to 1987 Insurance Adjuster/Insurance Medical Biller.

Trained Medical Terminology, ICD 9 Coding and all diagnostic coding to process all insurance claims.

Promotions to other areas.

Other experience: Employer for several employees in 1996 to 2000 Lawn Care/Construction Business.

Processed all payroll, taxes, withholding, processed monthly statements, prepared year-end taxes for

CPA. Worked with CPA owner part-time learning how to process taxes and closing.

Education: Ashbrook High School Business Courses, Graduated with 4.0 GPA

Elon College/ Business Management Courses

BCBS (certificates) Medical Terminology/procedure coding/surgical coding.

References: Available upon request.



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