Data Entry Service Representative

MELISSA BROWN

469-***-**** *** Fenet st unit B McKinney, TX 75069 *********@*****.***

Certified Biller and Coding Specialist

SKILLS

Anatomy and Physiology

BLS CPR Certified

CDC Guidelines

CMS-1500

Collections

Communication

CPT

Data Entry

Electronic Health Records

Filing

GEMS Crosswalk

HIPAA

HMO’s

ICD-10

Inpatient Coding

Insurance Authorization

Insurance Verification

Law and Ethics

Medicaid

Medical terminology

Medicare

OSHA Guidelines

Outpatient Coding

Patient Billing

Patient charting

Patient Forms

PPO’s

Reimbursement Procedures

Scheduling

Tricare/Champ VA

Typing 50 wpm

UB-04

Vital Signs

Workman’s Compensation

EDUCATION

Brightwood College Dallas, Texas November 2017

Medical Billing and Coding Program

WORK HISTORY

Blue Cross Blue Shield Richardson, TX July 2019-current

Auditor

Audit various providers to be credentialed with Blue Cross Blue Shield

Properly identifying application issues

Ensuring that correct info is submitted properly

Simple Sleep Services Plano, TX Feb 2018-Feb 2019

Benefits Verification Specialist

Verify Benefits with several insurance companies for sleep study

Follow up with Gap exceptions

Verify posted payments

Hospital Receivables Carrollton, TX 200 hour externship

Biller and Coder

Prepare AR billing documents, organize mail and record billing every week. Sort and delegate any mail items received.

TriWest Healthcare Alliance (Aerotek) Tiffany Springs, MO Oct 2015- July 2016

Patient Service Representative

Modify authorizations, comply with HIPAA laws. Assisted the VA with veteran benefits

Fax/emails medical records/ authorizations

KBM Group Westwood, KS Feb-2015-Jan-2016

Data analyst

Compare excel spreadsheets per master, determine correct info copy information over for billing

Housing Authority Kansas City, Mo Feb-2014-Feb-2015

Tenant Selection Coordinator

Taking inbound/out calls maintain & process 300-600 section 8 files per screening assist public housing, attend client screenings, filing. Maintain a professional image and attitude in keeping with the objectives of the Housing Authority and residents’ welfare.

Farmers Insurance(Office Team) Olathe, KS Nov-2013- Feb-2014

Data Entry

Enter Claims, Process Payments through different companies, performed work through excel

Certification-

Certified Billing and Coding Specialist J8D9M8E3 01/12/201*-**-**-****

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