Medical Billing Customer Service

SABRINA DAVIS

**** ***** ****** ****** ********,Georgia 31419

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

PROFESSIONAL PROFILE

Career driven professional with 27+ years of healthcare industry experience. Provides an understanding of administrative duties and workflows and the importance of accurate claims processing. Follows policies, procedures, and guidelines to assure consistent quality. Brings finely tuned attention to detail to all tasks and maintains patient privacy and confidentiality.

High Academic Honors Recognition / Honor Roll.

Customer service focused and committed to ensuring optimal client outcomes.

Medicare Billing 8371 and Form CMS- 1450 on 07/2015.

Medicare Fraud and Abuse trainings; Prevention, Detection and Abuse

Microsoft Word; Types 45 WPM.

KEY QUALIFICATIONS

Medical Billing Medical Coding ICD-9-CM HCPCS CPT ICD-10-CM Medical Terminology

Electronic Health Records (EHR) Electronic Medical Records (EMR) Greenway Prime Suite

Managed Care (HMO, PPO, and POS) Government Payers Third Party Payers Workers Compensation

Centers for Medicare and Medicaid CMS 1500 CMS 1450 (UB-04) Tricare

EOBs Payment Posting Revenue Cycle Management Scheduling Superbill

Insurance Verification Insurance Billing Procedures Insurance Claim Processing

Practice Management Medical Office Procedures Anatomy & Physiology

Co-Payments Deductibles Co-Insurance HIPAA Compliance

Reimbursement Methodologies Fee Schedules Outpatient / Physician Inpatient / Facility

EDUCATION

Ultimate Medical Academy

Medical Billing and Coding Associate of Science Degree, 2016

Diploma – Medical Billing and Coding, 2015

PROFESSIONAL EXPERIENCE

FedEx – Savannah, GA 06/2019 – Present

Package Handler

Maintains inventory by identifying, labeling, and placing materials and supplies in stock; recording location of inventory.

Locates materials and supplies by pulling and verifying materials and supplies listed on production orders.

Maintains in-process inventory at work centers by delivering and opening materials and supplies.

Documents materials and supplies disposition by recording units delivered and location of units.

Receives credit-return material and supplies from production by verifying materials and supplies code and lot number and quantity; placing materials in stock.

Prepares finished stock for shipment by identifying, pulling, packing, crating, loading, and securing product.

Documents product shipment by recording units shipped.

Source 4 Teachers EES – Savannah, GA 01/2019 – Present

Paraprofessional

Administer and record achievement and diagnostic tests as the teacher recommended for individual students.

Assist the teacher in devising special strategies for reinforcing material or skills based on a sympathetic understanding of individual students, their needs, interest and abilities.

Provide support and reinforcement for teacher and lessons

Give one-on-one or small group instruction and lesson review

Help teachers with attendance, grading, and other administrative tasks

Set up materials and equipment to help teachers prepare lessons

Provide additional supervision for students during class, lunch, recess, between classes and on class outings or field trips

Pryme Tyme YMCA – Savannah, GA 10/2018 – 04/2019

Group Lead

Managed children in an after-school development setting.

Tutored students and assisted with homework tasks as needed.

Lead by personal example, help to interpret the quality of the YMCA character values of children, staff, and families. Are positive healthy role models.

Uses positive and constructive methods of behavior management and ensures that all staff do the same.

Supervise children to ensure safety and appropriate behavior and guide transitions smoothly

Convergy’s – Savannah, GA 11/2016 – 03/2017

Customer Support Associate II

Conducted internal and external research to determine and request the data needed to handle inquiries from Subscribers, Beneficiaries, Accounts or Providers.

Obtained external data, analyzed and serviced various product lines in the area (i.e., Administrative, Facility, Professional, Special Programs, Medicare/Complementary).

Determined the dollar amount of additional payment and directs the issuance of a check.

Initiated status reports to the inquirer when delays occur in responding to an inquiry, as required.

Summit Cancer Care – Savannah, GA 09/2008 – 01/2015

Medical Receptionist

Received written orders from the clinical staff / physician via fax or desktop scanned orders.

Obtained pre-certifications / authorizations for all diagnostic studies.

Serves patients by greeting and helping them, scheduling appointments, and maintaining records and accounts.

Welcomes patients and visitors in person or on the telephone and answering or referring inquiries.

Optimizes patients’ satisfaction, provider time, and treatment room utilization by scheduling appointments in person or by telephone.

Keeps patient appointments on schedule by notifying provider of patient’s arrival, reviewing service delivery compared to schedule, and reminding providers of service delays.

Comforts patients by anticipating patients’ anxieties, answering patients’ questions, and maintaining the reception area.

Ensures availability of treatment information by filing and retrieving patient records.

Maintains patient accounts by obtaining, recording, and updating personal and financial information.

Obtains revenue by recording and updating financial information, recording and collecting patient charges, controlling credit extended to patients, and filing, collecting, and expediting third-party claims.

Little Angels Daycare – Savannah, GA 02/2006 – 09/2008

Owner

Directed and executed daily operations and activities of daycare center in order to provide age appropriate instruction and care for children.

Conferred with parents regarding facility activities, policies and enrollment procedures.

Recommended methods of modifying inappropriate behavior and encouraging learning experiences.

Reviewed and approved menu plans and food purchases.

Ensured high priority of health and safety of the children and handled additional administrative tasks as needed.

Radiology Associates – Savannah, GA 05/1988 – 02/2006

Medical Claims Agent

Collected and entered claim information.

Posted insurance and managed accounts.

Performed medical billing and adjustments for claims.

Assisted members, physicians and hospitals with queries and concerns on accounts.

Navigated through various databases and programs for updating and maintenance daily.

Daily follow-up on claims and correspondence.

Provided information to members on various benefit insurance packages offered.

Provided diagnostic codes for claims and medical procedures.

Maintained, correlated and prepared medical records and files of members.

Contact this candidate