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Customer Service Data Entry

Location:
Lynchburg, VA
Salary:
$20
Posted:
August 03, 2023

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Resume:

Nina Brimm

Experience professional Medical Biller seeking a flexible remote contract position in a

diverse organization.

Lynchburg, VA 24501

adyo1o@r.postjobfree.com

+1-434-***-****

I am currently seeking a flexible contract position. . My experience is a vast knowledge of specialty provider claim processing. Medical Biller for specialist and FQHC Facilities. Authorized to work in the US for any employer

Work Experience

Claims Examiner

UST/HEALTHPROOF - Aliso Viejo, CA

August 2021 to Present

Claims examiner in the Medical health field. Reviewing claims errors and denials Medical Billing Specialist

Community Access Network - Lynchburg, VA

January 2020 to August 2021

Billing Specialist for Medicare,VA Medicaid and Commercial Payors. Working in E Clinical Works and Athena System at the present time. appeals and followup . Work with PMG group /Third party followup on all denials . I currently work in E Clinical Works system and I have worked in Athena for the last six years ias a Medical Biller.

Medical Billing Specialist

Ridgeview Dermatology - Lynchburg, VA

December 2018 to January 2020

Provider biller for all claims for practice in four different location. Work Denials and clean claim process daily. Work in Modernizing Medicine which is employers third party biller. Professional Reference

Manager Desiree Frye 434-***-****

Medical Liason (Remote) partime

Capital Anesthesia Billing Services - Lynchburg, VA July 2016 to January 2019

Pick up Anesthesia records and collect medial records from a hospital Portal computer system. Create Medical folders and upload it to companies main system .Data entry. Medical Claims Processor

Centra Health - Lynchburg, VA

September 2012 to December 2018

Responsibilities

Process claims for Cardiology physician in office and hospital setting. Athena health and Cerner Medical Application. In processing claims I register patients in system, Verify eligibility, adjudicate claims with primary, secondary and tertiary Insurances. Data Entry, Appeal denials from Insurance companies electronically and or paper reconsideration process. I work in Athena and Citrix,Cerner including system from McKesson Star, Centricity.

Accomplishments

I effectively maintain a good productivity on a weekly basis. Managing the expectation of a claims processor within my department.

Skills Used

Processing claims in a timely manner, Meeting deadlines on a monthly basis Medicare Specialist

Omnicare, Inc - Lynchburg, VA

August 2010 to September 2012

Responsibilities

Receptionist /customer service for a long-term care Pharmacy duties included customer service solving all customers complaints within a timely matter. Entering patient information into computer system and getting eligibility thru Emdeon for Medicaid and Medicare. Data Entry, Operating a multi telephone line and routing calls. Faxing insurance companies and long-term facilities. Accomplishments

I learned much about the long term care of facilities within the Virginia area. How insurances and prescription plan work for elderly and people who are in long-term facilities. Skills Used

front office skills and insurance experience was used on a daily within my job functions Education

Associates of Science in Medical Office in Medical Billing Centura University - Virginia Beach, VA

2010 to 2012

High school diploma or GED

Skills

• Excellent Customer Service (10+ years)

• Microsoft Office (8 years)

• Excel (8 years)

• Billing (8 years)

• Data Entry (10+ years)

• Health Insurance (8 years)

• Medical Billing (8 years)

• Medical Insurance

• CPC

• ICD Coding (6 years)

• CPT Coding (6 years)

• Accounts Payable

• Medical Coding

• Customer Service

• Athenahealth

• Medical Records

• EMR Systems

• McKesson

• Citrix

• ICD-10

• Medical Office Experience

• Anatomy Knowledge

• ICD-9

• Basic Math

• 10 Key Calculator

• Microsoft Excel

• Microsoft Word

• Cerner

• Epic

• Interviewing

• English

• Data Collection

• Insurance Verification

• Medical Terminology

• Physiology Knowledge

• Documentation review

• Office experience

• Triage

• Phone Etiquette

• Analysis Skills (7 years)

• Time management

• Host/hostess experience

• QuickBooks

• Medical collection

• Typing

• Google Suite

• Google Docs

• Accounting

• Accounts receivable

• HIPAA

• Microsoft Powerpoint

• Clerical experience

• Presentation skills

• Account management

• Financial acumen

• Supervising experience

• Project management

• Allscripts

• Experience Administering Injections

• Computer networking

• Microsoft Outlook

• Leadership

• Performance management

• Practice management

• Windows

• Management

• Contracts

• Laboratory Experience

• Root cause analysis

• EDI

• Negotiation

• Research

• HCPCS

• Organizational skills

• Workers' compensation law

• Workers' compensation

• Fraud

Assessments

Medical Billing — Proficient

July 2019

Understanding the procedures and forms used for medical billing. Full results: Proficient

Active Listening — Proficient

June 2019

Actively listening and appropriately responding in conversations. Full results: Proficient

Reliability — Highly Proficient

March 2019

Measures a candidate's tendency to be dependable and come to work. Full results: Highly Proficient

Medical billing — Familiar

February 2020

Understanding the procedures and forms used for medical billing. Full results: Familiar

Verbal communication — Proficient

March 2021

Speaking clearly, correctly, and concisely

Full results: Proficient

Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.

Additional Information

I have experience in Medical billing that include Specialty Physician billing which Cardiology and Dermatology, Behavior Health, Internal medicine. I am currently working FQHC facility which includes Pediatric, Behavior health, General, in EClinical works and Athena . I have commercial, Medicare and Medicaid experience with system which includes Athena, Centricity, Horizon plus, Cerner, Allscripts,Modernizing Medicine,EClinical Works. Contract offices in VA as partime remote Biller.



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