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Billing Specialist

Location:
Knoxville, TN
Posted:
May 25, 2023

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Resume:

Shelly Wilson

**** ***** ***** **

Knoxville, TN 37932

865-***-****

adxb31@r.postjobfree.com

Skills:

•Proficient with MS, Word. Excel, PowerPoint, Micro MD, EMR, Internet Explorer, Chrome and Firefox

•Copy, print, scan and email

•Outstanding customer service and care

•20 Line Switchboard, 10 Key, 65-70 WPM

•Accounts payable/receivable management and leadership

•Shipping and receiving

•Inventory and purchasing

•Individual Physician licensing and business licensing renewals

Physician/Supervisor surgery, CEU class and customer scheduling.

Organization multiple offices

Document and letter composing.

EKG’S, Doppler Study Setup, Nuclear Medicine

Phlebotomist, packing and processing of labs

Rooming patients, confirmation of medication lists and refills written/called in.

Adherence to HIPAA Guidelines

Medical Billing

Referrals and pre-certifications

Teamwork:

•Resourceful, responsible and caring team player

•Excels at building trusting relationships with internal and external customers and colleagues

•Analytical / Medical Research skills

•Highly analytical thinker

•Experience with identifying, scrutinizing, improving and streamlining complex work process

•Positive relationship with all higher management including Physicians, Nurses, and fellow employees.

Leadership / Management Skills:

•Multi-tasking, training, and assisting in any other position in offices

•Goal driven leader

•Confidently motivate, mobilize, and coach employees to meet high performance

•standards

•Well-spoken and able to effectively impart information verbally or written.

Work Experience:

Express Employment Agency

Contract Employee part Time- Knoxville, TN

April 2023- Current

•Copy, print, scan and email

•Outstanding customer service and care

•20 Line Switchboard, 10 Key, 65-70 WPM

Zotec Partners, LLC

Billing Specialist- Carmel, Indiana

January 18, 2021-April 13, 2022

Third Party Customer coding and billing for approximately 300 Physician Groups, Surgery Laboratories, anesthesiologist and Radiologists.

Received calls and assisted patients with problems, questions or requests regarding billing and health insurance.

Handle 50-60 calls daily

Submit investigations for denied and rejected claims.

Refunds for patients requested via Investigations

Correct patient account information, Insurance. Guarantor, Address, etc

Adhere strictly to HIPAA guidelines

Submitted corrected claims with private

Insurances, Medicare and Medicaid

Medical coding and billing

Insight Global:

Early Interventions Specialist Nashville TN

January 2020 to June 2020

Assist and consult Private Providers and Agencies enrolled in the 0 month to 3 year old Early

Intervention Program to ensure they are being properly paid.

Corrected claims to be sent or resubmitted to Commercial Insurance, Medicaid or State managed

Escrow.

Documented every call coming Inbound and outbound in detail to ensure all involved was able to understand if they spoke next time to client.

Assisted customers with issue to assist them in gaining a resolution to said issues.

Verified proper medical coding and billing

Rapid Repair and Renovations: Administrator- Knoxville, TN

June 2019 to October 2019

Office Manager

Human Resources and payroll

Time & Material tracking for work and for estimates

Accounts Payable and Receivables for parts ordering and tracking Estimates and Invoicing clients

Administrative role

Emailed, faxed, emailed and mailed statements and estimates for signing payments.

Education:

Associate's degree in Business Management

Ashford University - Clinton, IA

September 2010 to October 2012

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References Upon Request

References

Eva Wilson 865-***-****



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