Medical Billing Customer Service

Lynn Preston

*************@*****.*** 301-***-****

Qualifications:

•Energetic and motivated leader with proven ability to effectively manage projects.

•Experience in Medical Billing and Insurance Claims

•Strong background in providing business to business and business to consumer assistance.

Employment History

Anne Arundel Gastroenterology Associates December 2023 – Present

Accounts Receivable/ Medical Billing Specialist

Accurately and promptly document accounts

Adhere to department policies and procedures to ensure compliance with payer and regulatory requirements, including claims billing, payer rejections, and clean claim submissions, as well as protocols for information release, record retention, privacy, and confidentiality

Collaborate with AAGA leadership to identify potential issues affecting account billing and collections, providing timely and precise information

22nd Century January 2023 - June 2023

Office Specialist

•Reviewing the aged reports

•Processing request for excess balances

•Calling insurance companies regarding denied claims

•Processing claims

•Initiating excess payments

•Correcting errors and resubmitting claims.

Vaco April 2022 - December 2022

Claims Adjuster

•Investigated, negotiated, and processed claims in accordance with various customer's policies and procedures within industry standards using knowledge of carrier claims practices.

•Followed established procedures to appropriately review, handle, and settle large volumes of claims in a timely manner.

Matco Tools February

Customer Service Representative

•Responded promptly to customer inquiries

•Assisted customers with creating orders and process claims

UnitedHealthcare April 2020 – May 2021

Producer Helpdesk Representative

•Assisted Independent Brokers with looking up Medicare and Medicaid eligibility.

•Navigated various customer relationship management systems to assist brokers with sales growth.

Advance Auto November 2019 - April 2020

Labor Reimbursement Adjuster

•Processed and audited professional auto shop labor reimbursements

•Answered inbound call from professional shops

•Researched labor rates for specific automobile parts

Anthem January 2014 - June 2018

Medical Claims Adjuster

•Planned and conducted coverage investigations.

•Evaluated medical claims for potential fraud or loss in accordance with insurance policy contracts, medical bill coding rules and state regulations.

•Maintained documentation for Coordination of Benefits (COB) and Explanation of Benefits (EOB).

•Entered medical claims in data system and processed Medicare supplement claims.

Kelly Services April 2013 -January 2014

Medical Claims Adjuster

•Evaluated medical claims to determine eligibility.

•Maintained claims to meet performance appraisal goals.

•Handled customer service calls for both medical claims status and coverage questions.

•Adjusted medical claims.

Wells Fargo May 2011-June 2012

Personal Banker

•Aided customers in opening, managing, and optimizing their bank accounts and other products.

•Performed administrative duties such as data entry and updating customer information.

•Pursued leads and potential customers to expand services and products offered.

•Helped customers understand what was happening with their money and to feel confident in the bank’s ability to help.

Equity Staffing Group August 2010- May 2011 Customer Service Representative

•Informed Broker on products and services for Medicare Advantage Plans.

•Assisted Broker with incentive rates for states.

•Responsible for accurate data capture and system entry.

•Worked closely with team members to meet or exceed all customer service requirements.

Education & Training

William Fleming High School – H.S. Diploma

College of Health & Science – Certificate in Medical Terminology & Coding

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