Customer Service Medical Billing
Resume:
Rebecca Shaw
Address *** *** ** ********, ** ****5
Contact 712-***-**** *************@*****.***
PROFESSIONAL PROFILE
Customer service oriented professional with strong understanding of the importance of accurate claims processing. Maintains attention to detail needed to review and correct errors and retain high levels of accuracy. Follows policies, guidelines, and procedures to assure consistent quality.
Experience using Microsoft Office Suite (Word, Excel, PowerPoint.
Manages time and prioritizes duties in fast-paced, multi-task environments.
Fully capable of organizing large number of records and documents. KEY QUALIFICATIONS
Medical Billing Medical Coding ICD-9-CM HCPCS CPT Introduction to ICD-10 Medical Terminology Centers for Medicare and Medicaid CMS 1500 CMS 1450 (UB-04) Tricare Co-Payments Deductibles HIPAA Compliance Meaningful Use Medical Billing EOBs Co-Payments Electronic Health Records (EHR) Electronic Medical Records (EMR) Greenway EOBs Payment Posting Revenue Cycle Management Scheduling Insurance Verification Insurance Billing Procedures Insurance Claim Processing Manage Care (HMO, PPO, and POS) Government Payers Third Party Payers Worker’s Compensation Practice Management Medical Office Procedures Anatomy & Physiology Reimbursement Methodologies Fee Schedules Outpatient / Physician Inpatient / Facility PROFESSIONAL EXPERIENCE
Stay Home Mom (Self-employed)
07/2018-Present
● Managed household responsibilities and child care duties
● Organized and planned family events and activities.
● Developed strong organizational and time management skills. HomeHealthSource of Humboldt – Humboldt, IA 07/2017– 07/2018 Office Manager
Collect and process payment, and review appeals, denials and third-party coverage.
Balance the day sheet at the end of the day and review CMS- 1500 claims forms.
Perform AR and AP functions, verify insurance, and communicate with insurance companies on claims/ authorizations.
Answer phone calls, faxes, and make copies of medically related documents. Stay in Home Care Inc. – Storm Lake, IA 01/2016 – 07/2016 Caregiver
Maintained a safe, secure and healthy environment.
Assisted with activities of daily living – personal hygiene, mobility and feeding.
Completed daily logs documenting patient condition and activities and any changes to patient care plan. Poet – Emmetsburg, IA 01/2016 – 04/2016
Housekeeper
Cleaned guest rooms as assigned and according to priority.
Followed OSHA regulations and hotel requirements. Rebecca Shaw
Address 307 6th St Griswold, IA 51535
Contact 712-***-**** *************@*****.***
Handled guest complaints and inquiries, and ensured confidentiality and security of guest rooms. Mc Donald’s – Emmetsburg, IA 05/2013 – 12/2013
Crew Member / Customer Service
Performed a variety of tasks including food production and serving customers at the cash register.
Ensured operation excellence by adhering to systems and standards of the store.
Maintained clean and organized workstation and guest area. EDUCATION
Ultimate Medical Academy
Diploma – Medical Billing and Coding, 2017
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