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Medical Billing Data Entry

Location:
Houston, TX
Posted:
February 11, 2025

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Resume:

Tamika Collins

Houston, Tx

832-***-****

***********@*****.***

Professional Summary

Seasoned Senior Claims Processor/Team Supervisor with 16 years of experience, adept in claims analysis, processing, and auditing. Proficient in ICD-9/ICD-10 coding, billing software, and insurance verification. Seeking a Billing and Claims Supervisor role. Proven record in training and leading teams to ensure accuracy and compliance in healthcare billing.

Education

MedVance Institute

Diploma, Medical Billing and Coding

M.B. Smiley High School

Diploma

Certifications

CPR Certification

Certified Medical Billing and Coding Specialist

Skills

Medical Terminology, Reimbursements, Patient Assistance Programs, Data Management, Data Entry, HIPAA, Medicaid, Medicare, UB-04, HCFA 1500 Claims, Billing Practice

Professional Experience:

Triada Healthcare

Senior Claims Processor/Team Supervisor Feb 2021- Present

Ensure accurate capture and verification of member demographic information to facilitate precise claims processing.

Conduct thorough reviews and analysis of claims, guaranteeing error-free submissions through meticulous verification of codes and claim details.

Oversee quality assurance by auditing team processed claims, coupled with comprehensive training for new employees to uphold processing standards.

United States Post Office

Processing Mail Clerk Nov 2019-Jan 2021

Managed the accurate processing and distribution of incoming and outgoing mail, adhering to postal regulations and timelines.

Operated multiple sorting and tracking systems to maintain high levels of accuracy in package handling.

Verified and applied appropriate postage on packages, ensuring all items were correctly labeled for delivery.

Pediatrix Medical Group

Hospital Associate Medical Biller May 2016- Nov 2018

Interpreted medical reports to accurately assign ICD-9 and ICD-10 codes, ensuring proper entry of diagnosis codes and patient information into billing systems.

Coordinated and managed routine documentation and coding audits, while maintaining up-to-date knowledge of coding best practices and procedural updates.

Reviewed charges for accuracy, including verification of service dates, services rendered, location, patient ID, and provider signatures, to uphold billing integrity.

Baylor College of Medicine

Scheduling Specialist/ Insurance Verifier Jan 2014- May 2016

Ensured accurate verification and updating of patient demographics, eligibility, and insurance information, facilitating seamless healthcare service delivery.

Coordinated effectively with patients and physicians to secure necessary procedure authorizations, entering approvals into the system to maintain current records.

Managed and maintained precise scheduling of patient appointments in alignment with provider availability, contributing to the optimization of clinic operations.



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