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Billing Specialist Medical

Location:
Toledo, OH
Salary:
17.00 and up
Posted:
April 24, 2023

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Resume:

B

VENUS BELL

1-567-***-****

adwqcl@r.postjobfree.com

Ohio 43612

SUMMARY

Talented Billing Manager familiar with Mental Health billing requirements. Offering an organized and quality-oriented mindset along with 4 years of experience in administrative, customer service and leadership positions. Eager to leverage abilities and experience in dynamic new position with room for growth and advancement.

SKILLS

Monthly reporting

Accounts payable and receivable

Submission of medical claims

Collections experience

Billing codes

ICD-10 coding

Insurance claims

CPT code modifiers

Mental Health claims expertise

EXPERIENCE

Medical Billing Manager

TOLEDO, OHIO

TOP SOURCE BILLING/ Jul 2020 to Current

Conducted insurance verification and pre-authorization, coded MENTAL HEALTH procedures and managed patient charts.

Set up and maintained KAREO,INSYNC,electronic billing system.

Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.

Posted charges, payments and adjustments.

Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.

Completed appeals and filed and submitted claims.

Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.

Prepared billing statements for patients, ensuring correct diagnostic coding.

Collaborated closely with other departments to resolve claims issues.

Remained up-to-date details of patient financial responsibilities, fee-for-service and managed care plans by participating in training programs.

Coding and Billing Specialist

Maumee, OH

Advance Billing and Cash Flow/ Apr 2019 to Jun 2019

Assessed billing statements for correct diagnostic codes and identified problems with coding.

Input statement information, reconciled accounts and resolved discrepancies.

Submitted claims to insurance companies.

Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.

Reviewed medical records to meet insurance company requirements.

Assessed medical codes on patient records for accuracy.

Applied HIPAA privacy and security regulations while handling patient information.

EDUCATION AND TRAINING

Associate of Applied Science: Medical Insurance Coding

Ross College Jul 2021

Sylvania, OH

CERTIFIED NURSE ASST

MED-1-CARE Jun 2016

PHLEBOTOMIST: Medical Laboratory Technology

HERZING UNIVERSITY May 2016

TOLEDO OHIO



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