Data Entry Medical Billing
Resume:
Patrice Anderson
**** *** ******* ***** ****** TX 75237
******************@*****.***
Licensed, Medical Billing and Coding Ten Key 16,000 + Alpha and Numeric
Effective written & verbal communication HCPCS, CPT4, ICD-9, ICD-10
Experienced in Account Payable/Receivable Insurance Verification, Code Initial Claims
Data Entry 55-60 + wpm MS Word, MS Excel, Access,Maestro Pivot Tables HIPAA
Preceptive Content
QNXT
Professional Experience
Ascendion/Centene 12/202*-**-****
Data Entry Remote
Researched zip codes of providers line of business
Determined if their plans are a match
Processed customer tax Ids on a day to day basis
ObjectWin/ Children’s Hospital 07/202*-**-****
Receptionist File Clerk Dallas TX
Organizes and files all documents that need to be retained by the department. Prepares
new files, assembles and completes mailing projects
• Maintains knowledge of, and complies with, all relevant laws, regulations, policies,
procedures and standards
• Actively participates in creating and implementing improvements.
• Files reports, records, etc per the request of staff, according to established
guidelines and timeframes. Adds new material to file records, and create new
records as necessary
• Sort or classify information according to guidelines such as content, purpose, user
criteria, or chronological, alphabetical, or numerical order.
• Pulls old files to be archived transferring them to inactive storage according to file
maintenance guidelines and/or legal requirements.
• Organizes files and keeps file room organized.
• Assists with mailings and other projects as requested
Savance Technologies/Molina Healthcare 11/2021-06/2022
Appeal Grievance Clerk Remote
Researched case number
Reviewed patients documents
Closed cases
Routed cases with medical records and denied prior authorization for timely filing
Collabra Staffing/Bank Of America 07/2020-10/2021
Data Entry IV Dallas TX
Processing overnight foreign and international personal and company checks
Processing supplemental business accounts
Processing coupons
CornerStone Staffing/Alight Solutions 08/2018-1/2020
Patient Advocate 1 Dallas TX
Following up with providers and primary insurance companies for patients
Manage and coordinate Appeals
Ensure accuracy of insurance companies claims for patients
Scheduling appointments for patients
Placing accounts on hold
Superior Group/HMS Holdings /Contractor 01/2017-07/2018
Subrogation Intake Specialist/Receptionist Irving TX
Answering phones of providers and patients for state of CT
Processing spreadsheets of updates and add on of medical insurance
Opening and creating new cases Medicaid patients, involved in car accident or personal injuries.
Linked documents to cases received from attorneys for caseworkers to review
Sorted and scanned documents
Sorted mail
Albertson’s 05/2018-08/2018
Bakery Clerk Desoto TX
Cleaned/Sanitized utensils and machines per health inspection guidelines
Made and prepared bake goods, breads and desserts for bakery
Took cake orders, organized and re-stocked bakery merchandise
Chase Staffing/BNY Mellon/ Contractor 11/2017-01/2018
Vault Clerk Dallas TX
Scanned and researched loan IDs
Pulled files
Sorted apps by loan IDs
The Judge Group/ Molina Healthcare/Contractor 06/2015-06/2016
Data Entry Clerk Irving TX
Viewed and worked queues for MarketPlace, Medicare and Texas
PSV, MMP and nursing facility of aged and aging claims. On the request of researching the provider's w-9s by verifying and updating billing addresses of grouped providers. Requesting and uploading w-9s for check voids in PCS, routing claims to analysts handling delicate contracts and multiple NPIs taxed ids.
US Tech Solutions/Aetna Healthcare/Contractor 02/2014 – 08/2015
Data Entry Clerk Irving TX
Processed and updated members receiving Parkland, Medicaid or Aetna health insurance
Updated and verified provider’s practice and billing
Saved and attached letters for new and existing patients.
Scanned medical records
Resource Accounting/Bank of America/ Contractor 07/2013-06/2015
Data Entry Clerk Dallas TX
Processed personal and electronic checks
Deposit transactions
WIC, money orders
Traveling expenses
Responsible for accepting/declining check transactions according to policy
Mindlance /HUMANA/Contractor 11/2011-06/2013
Billing Coordinator Las Colinas TX
Processed and updated providers profile for grouped and solo.
Adjusted and corrected electronic forms for rejected claims
Associated with patient’s diagnosis using ICD-9 codes, researched A/R and consulted with insurance companies to institute settlement of accounts.
South Hampton Hospital 05/2011-02/2012
Internship/Medical Records Clerk, Dallas TX
Facilitated front-office operations, researched and processed medical records, performed administrative and office support activities for inpatients and outpatients, faxed and copied charts to insurance companies, processed patient admission of discharged documents, pulled charts.
Certifications & Education
AAPC, Training for CPC certification 2018-2023
Medical Billing and Coding
NRCCS Certification June 2014
Anthem College, Irving TX 2010-2011
Medical Billing and Coding Diploma
Contact this candidate