Data Entry Billing Specialist
Resume:
Johnetta Broadhurst
Rochester, NY 14606
585-***-**** ******************@***.***
Special Qualifications:
Entering information on Spreadsheets
* Customer Service and Collection Skills, In/Outbound Calls over 15 years.
* Knowledge of Sap Oracle, Medent\ IDX & Omega/ Treeno/ Retrieval/ Mysis,E-Paces, AS400, People soft, Teams and many others.
* Knowledge of Microsoft Word/ Windows 95/97/98/00/03,and 10.
* Introduction to Access and Excel
* Data Entry Rate 10,000 KSPH
* Extremely Accurate Keyboarding Skills
* Mailroom Experience with sorting documents, packages, keeping logs, monitor inventory, ordering supplies.
Creating and scheduling meetings, speaking in informational meetings, doing invoicing and maintaining strict deadlines.
Billing Specialist:
* NYS Certified Coding Specialist (CCS) & Medical Billing Specialist
*ROI Release of Information, HIPAA Compliant
* WC Claims, Medicaid/Medicare, Blues, Preferred Care and Commercial Insurances
* Charging/posting payments, process payments, balancing accounts
* Heavy data entry, apply payments to accounts
* ICD9/ CPT 4 Insurance Coding Medical Terminology/ Procedure Guidelines
Medical Secretary & Dental Secretary:
* Greeting Patients
* Process Claims for Billing
* Heavy Data Entry
* Computer Scheduling
* Triage calls/ Working a multiple line Switch Board
* Taking prescription orders
* Referrals/ Co-pays/ Patient Registration
* General Office duties including Medical/Dental Receptionist and Pediatric Practice
Health Information Management:
* Record Retrieving & Indexing
* Patient Abstracting & Filing
* Heavy Data Entry
* Working closely with doctors
* ROI Release of Information
EDUCATION
Bryant & Stratton Career College
Associates Degree in Medical Administrative Assistance, Class of 2004
Monroe 2-Orleans BOCES, Adult Education Center May 2000
Certificate- Medical Billing Employment Training Program with studies, which include Medical
Procedures, Medical Terminology, Individual Plans and Coverage, Billing Guidelines, and ICD9 CPT 4 Insurance Coding
Monroe 2-Orleans BOCES, Adult Education Center January 2000
Certificate- Information Processing 12-week Employment Training Program with studies that included:
Alpha-Numeric, Keyboarding Skills, Practice Database Projects: Data Entry, Printing, Editing/Verifying, Lab Practice and Timing with Concentration on speed and Accuracy. Telephone Techniques and
Introduction to Medical Billing with Medical Billing Components Included.
EMPLOYMENT HISTORY
Participant Service Rep, Benefit Resource Team Lead 03/2016 to current
Take calls for FSA, HRA,HAS, Cobra and Commuter Accounts, specialize in calls and monitoring queues. Assigns troubleshoot tickets and escalate calls. Checking all insurances including commercial. All claim/billing resolution to. STD/LTD and FMLA processing. Resolve problems complex and routine. Dealing with customers to provide service to meet customers’ requirements. Help to work fast and efficiently to assist customers with their needs. Implements Medical Necessity forms to help complete claims. Heavy Data entry of all information into the system.Complete all documentation request that comes in my email bin in a timely manner. Handle escalated calls regarding participant accounts with satisfactory resolution. Demonstrate all elements to support the customer requirements of their account or claims. Assist all participant with account issues/problems, analyzing all reports and consumer related problems and or complaints.
Member Service Representative, Excellus BCBS 09/2016 to 11/2017
Make outbound calls in Behavioral Health for pharmacy in C360 and members in Evicore. Making sure all insurances are updated. Also provide daily coverage for Admissions, Surgeries, regarding prior authorizations and prior approvals for denial and approval of all claim services for the members in the Suicide and Crisis Prevention Team. Call 911 and or hospitals to inform of pt activity. Relay all pertinent information to 911 and or the hospital for pt safety. Take calls for additional Emergency Psychiatric Services as well as attend all Substance Abuse and Core Treatment Meetings to assist Team with Piloting New Programs.
Access Associate (Front Office Senior Lead), Genesee Mental Health (RGH) 12/2012 to 12/2015
Heavy Data Entry of all patient appointment slips, Insurance verification, handle/monitor call queues, and call logs, and assist Intake with all appointments for new patients (300 plus calls daily), scheduling appointments all for Children & Youth Clinic, and all Adult Medical and Therapist appointments. Work closely with Crisis Prevention team, to assist homeless patients and or families. Call Ambulances, 911 or hospitals to give information about pt in crisis. Order all Bus passes through MAS. Cancelling/Rescheduling of all appointments. Keep Administrative records and update cause of action. Doing payroll thru Kronos weekly for 14 staff members. Informational meetings, and speeches. Updating the system with all patient demographics, coding all encounters, insurance verification, EOB/Denial process of all claims, claim resolution, charge entry/payment posting, referrals to any other agencies, check patient in/out, all script request, prior authorizations, prescriptions request, type all letters and send all discharge letters/summaries, enter all treatment plans, confirm and mail pt appt dates, heavy invoicing and transcribing minutes etc.
Department Secretary (Front Office Senior Lead), Unity Health System July 2010 to October 2012
*Schedule appointment books for 6 Dr.s and 3 primary therapist, heavy data entry of all med logs, schedules all Drug Test/Alcohol test for Drug Treatment Court/Parole. Call Ambulances, 911 or hospitals to give information about pt in crisis. Intake all patient information, enter all treatment plan information and insurance verification, assist with medication clinic, take all script request, prior auths, write/print letters, schedule all evaluations and f/up appointments, referrals to any other agencies, check patient in/out, charge entry and payment posting, coding all encounter forms for dx.
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