Medical Biller/Collector

SARAH KNUTSON

***** ******* ** ********* **** CA 93532 661-***-**** adzilu@r.postjobfree.com

OBJECTIVE:

To obtain a Medical Billing/Coding, Medical Records Representative or Insurance Verification Specialist position where I can utilize my extensive computer and medical knowledge, strong detailed and organizational abilities, demonstrating quality communications skills and readiness to learn new skills.

SKILLS:

ICD-9/ICD-10 & CPT-4 Coding

Medical & Insurance Terminology

Claim/Bill Reconsiderations & Appeals

Collection Techniques

CMS-1500

Medisoft/Office Ally/Medical Manager/AS400/Daisy Bill

Microsoft Office/Excel

Aging Reports

Keyboard (55+)

Ten Key (155+)

Customer Service

Patient Registration

Verify Insurance/Authorization Request

Posting Insurance Payments

Patient Statements & Billing

Scheduling Appointments

EXPERIENCE:

Proactive Work Health Services 6/14/2021-Present (Remote)

Workers Compensation Collector

Worked Aging Report and Correspondences for assigned work comp carriers from current to over 365 days.

Check claim and bill status via phone, online, email and/or fax.

Appealed denied claims and bills for various reasons.

Worked with adjusters to resolve unpaid claims and bills.

Regal Medical Group 7/24/2017-2/14/2020 (Remote)

Afterhours Inpatient Coordinator

Support the in-patient management process and identify which Medi-Cal members need to be transferred from a non-capitated hospital.

Support the process that manages all hospital and skilled nursing admissions, concurrent review, and discharge planning.

Set up and arrange transportation, home health durable medical equipment for member as needed.

U.S. Health Works Regional Billing Office 9/12/2013-7/14/2017 (Valencia, CA)

Workers Compensation Collector 7/8/2015-7/14/2017

Worked Aging Report and Correspondences for assigned work comp carriers from current days to over 365 days.

Check claim and bill status via phone, online, email and/or fax.

Appealed denied claims and bills for various reasons.

Private Insurance Collector 2/23/2015-7/7/2015

Worked Aging Report and Correspondences for contracted IPA and Insurance carriers.

Checked claim and bill status via phone, online, email and/or fax.

Appealed denied claims for various reasons.

Worked RealMed report for claim submission errors.

Handled patient billing and collections.

Workers Compensation Correspondence Clerk 9/12/2013-2/22/2015

Checked Bill and Claim status through Bill Review & Adjusters.

Worked Carrier Policy Resolutions

Updated Employer/Carrier files

Appeal Non-Compensable/Denied Claims

Appeal Not Authorized claims/bills

Obtained Correct Carrier Policy information from Employers.

MSAI (Medscribe Asia Inc.) 08/8/2011 - 4/30/2013 (Valencia, CA)

Medical Biller

Ran Aging Reports and checked claim status for Medicare, Medi-Cal, VA, Tricare/TriWest, Blue Cross/Blue Shield, Aetna, Cigna, Health Net, Workers’ Compensation and appealed when needed. Cleaned Repairables daily. Also obtained authorization from insurances for services rendered.

Set up new patient accounts along with verifying eligibility & benefits for new and existing patients.

Posted insurance and patient payments on daily basis, and generated patient statements.

EDUCATION:

Concorde Career College - November 2011 - Insurance Coding and Billing Specialist

Littlerock High School – August 2003-June 2007 – High School Diploma

AWARDS & AFFILIATIONS:

Certificate of Completion Medical Insurance Coding & Billing Specialist

Dean's List, High Honor Graduate (4.0 GPA)

Medi-cal Provider Training Seminar 2011

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