Post Job Free

Resume

Sign in

Medical Biller Support Associate

Location:
Detroit, MI
Posted:
May 15, 2023

Contact this candidate

Resume:

Lisa A. Smith ***** Biltmore St., Detroit, MI ****5 H: 313-***-****

adw4lw@r.postjobfree.com

Summary

High-energy Medical Biller offering 10 plus years of related experience and strong motivation to

positively impact claim operations with good communication, organizational and multitasking abilities.

Smoothly coordinate customer and team needs with minimal oversight and sound judgement.

Expert with majority billing software.

Experience

12/19/2022- Current

Intake Representative Kabafusion Livonia Michigan

First point of contact when requesting referral for in-home fusion for acute and pediatric Home Infusion

Services specializing in IVIG, SCIG & Acute therapies. Verification of insurance coverage and medication

orders. Worked with applications ~ Epic and Ensocare as well ag Allscripts for referrals. Coordinated

discharge plans and delivery of patient's medication along with nursing. Processed referrals via CPR+,

with assistance of insurance verification by WayStar and phone calls to insurance for initial start of

services. First of the year verification of insurance for active acute patients for continued services.

Process credit card transactions for co-pays and deductibles, run credit card transaction daily report.

Experience

10/2019 - 11/2022

Current Medical Biller /Follow Rep Trinity Health- Farmington Hills Michigan

Initiate billing for Commercial, Government, Labs services. Maintain daily reports of incoming claims

from JVHL Labs, provide customer services for in-house customers. Research of States laws and

regulations when it comes to laws according to billing government insureds, medical coding. Verification

of health coverage. Claim stat using for payment. Preparations for weekly huddles to discuss data errors

and daily count of released claims for payment. Payment posting write off Contractual balances.

Experience

09/2009 to 07/2019

Web Support Associate BCBSM-C/O W3r Consulting — Southfield Michigan

Resolved conflicts and negotiated agreements between parties in order to reach win-win solutions to

disagreements and clarify misunderstandings. Created communication strategies to meet client

objectives Provided outstanding communications and service to new and long-standing customers by

attending closely to concerns and developing solutions. Proactively identified and solved complex

problems impacting operations management and business direction. Supported fellow employees in

operational improvements and resolution of clerical and fraud possibilities to for see future problems to

deliver top-notch customer service.

EDUCATION AND TRAINING CERTIFICATIONS

GED Detroit District of General Education — Detroit, MI

Abbcott Institute — Southfield, MI

Medical Asst/Billing &Coding

CNA License AHA Healthcare Provider

CPR Certification

Medical Assistant Billing and coding certification

American National University

Pharmacy Technician — 5/2022- Current



Contact this candidate