Medical Billing Office
Resume:
Carissa Hernandez
Medical Office
Perth Amboy, NJ 08861
*******.***********@*****.***
Work Experience
Medical Billing
Accurate Diagnostic Labs - South Plainfield, NJ
April 2019 to Present
Medical Billing
In and Out of Network for NY and NJ
Appeals
Billing Project Head for expansion in other regions Assisting with credentialing
Keying and maintaining payment logs
Heavy Inbound patient communication
Heavy inbound provider communication
Appeals Follow Up Specialist
Aergo Solutions - Iselin, NJ
July 2018 to April 2019
• First point of contact in appeals process
• Obtaining all information in regards to appeals
• Dealing with all insurance companies
• Determining appeal extent of appeal levels
• Forwarding coding issues for rework
• Obtaining all supporting documentation for appeals process Benefit Specialist
Convergys- Blue Cross and Blue Shield - Charlotte, NC June 2016 to April 2017
Work Experience
Convergys (Blue Cross and Blue Shield)
Claims Specialist 2016-2017
● Inbound Customer Service Rep
● Claims
● Verification of benefits
● Assisting with pharmaceutical coverage
Medical Billing Specialist
LakeSide - Cornelius, NC
2013 to 2016
Medical Coding
● Billing
● Claims
● Extensive work with Medicare, Medicaid and Private Insurance
• Appeals initiation and Follow up
Education
Associate in Medical Assisting
Kings Collegeb - Charlotte, NC
March 2010 to December 2010
Associate
Skills
• ACCOUNTING (5 years)
• Medical Billing (7 years)
• CPT coding
• ICD-10
• Medical Coding
• Medical Office Experience
• Patient Care
• Insurance Verification
• Medical Terminology
• Epic
• Medical Records
• Office Administration
• Accounts Receivable
• Data Entry
• HIPAA
• Medical Scheduling
• ICD Coding
• Vital Signs
• Microsoft Outlook
• Communication skills
• Microsoft Excel
• Workers' compensation law
• Microsoft Office
• Pain management
• Microsoft Word
• Medical collection
• Behavioral health
• Computer skills
• EHR systems
• Time management
Certifications and Licenses
Driver's License
Additional Information
Skills
● Extensive experience working within the office/accounting field
● Certified Medical Assistant with substantial training in clinical and administrative functions
● Computer literate in Microsoft Office, Electronics Health Records/Medical Office software and the internet
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