Customer Service Medical Billing

MALIA FINNEY

Mobile: 443-***-**** Email: *************@*****.***

SUMMARY

Energetic and enthusiastic medical billing and coding professional seeking an opportunity to join a highly collaborative team. As a detail-oriented and customer-focused team player with 8 years of experience solving complex customer problems, I hope to make a positive impact for the company in which I work.

KEY SKILLS & TOOLS

ICD 10 and CPT Coding, Medicaid / Medicare, Customer Service, Admin. Support, HCPCS Coding, Reimbursements, Insurance Carrier Relations, CMS 1500 Forms, Insurance Verification, MS Office, Digital, Social Media Tools, HIPAA Compliance, Digital / Electronic Health Records, Medical Anatomy & Physiology, OSHA Compliance, Medical Terminology, Anatomy, Medical Office Bookkeeping

EDUCATION

All-State Career School, Baltimore, MD

Certificate in Medical Billing and Coding, 2020

American Red Cross

CPR, BLS - Certified, 2020

WORK HISTORY

Iqvia (Contract) August 2023 - April 2025

Medical Biller (Remote)

- Received medical claims from HCPs or patients, ensured the adequate supporting documentation was provided, interpreted the EOB/CMS-1500, and determined if the claim should be paid or rejected.

- Provided support as needed for customer requests via telephone, email, fax, or other available means of contact to the Support Center.

Call Representative April 2021 - Aug 2023

United Health Group (Remote)

- Receives and relays internal and external calls and provides general information.

- Operates telephone software applications to route incoming calls and place outgoing calls.

- Operates the computerized system for patient transport including answering calls, entering information into the patient transport system, assigning Ambassadors, and clearing the task when complete.

- Receives and accurately prioritizes and distributes phone calls to providers and nursing staff as needed.

Server

The Iron Bridge Wine Company (Weekend Work)

Columbia, MD May 2022 - Present

- Using my knowledge of products and services to provide the best customer experience. Providing superior customer service for guests, while producing and serving quality products, and processing guest check transactions in a timely manner.

Patient Account Specialist

MEDSTAR, Baltimore, MD Mar. 2021 – 2022

- Provided coding and billing support associated with patient insurance claims and billing inquiries.

- Ensuring HIPAA guideline compliance associated with patient billing

- Reviewing and processing any inpatient/outpatient claims

- Processing patient insurance claims in conjunction with multiple insurance companies

- Maintaining a 95% accuracy rate daily

- Maintaining 95% productivity rate

- Reviewing claim rejections and troubleshooting any potential billing discrepancies

- Reviewing any insurance claim delays to determine and record the reasons for delays

- Contacting patients to confirm, update, and clarify any patient billing discrepancies

Intern, Billing and Coding Externship

TIME ORGANIZATION, Baltimore, MD

- Reviewing and analyzing aging reports of patients to determine insurance type, carrier, and plan terms

- Investigating and validating patients’ insurance coverage

- Evaluating patient co-pays and any associated deductibles for medical treatment services

- Contacting patient insurance providers to determine causes of denial of treatment services

- Verifying insurance company payouts associated with the cost of medical treatment

- Maintaining accurate practice billing data by updating the MDI Soft System

Server

MILLER ALE HOUSE, BEL AIR, MD 2017 – 2019

- Working to deliver the highest level of quality for each customer. Providing stellar customer service for guests, while addressing special requests, producing and serving quality products, and processing guest check transactions in a timely manner.

Server

THE PIKE, BEL AIR, MD 2019 – 2020

- Diligently creating a sense of welcome and inclusion for each customer. Providing quality customer service for guests, while producing and serving quality products, addressing special requests, and processing guest check transactions in an efficient manner.

COMMUNITY VOLUNTEERISM

Volunteer

Goodwill Retail Store & Donation Center, Owings Mills, MD 2021

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