Medical Billing & Coding Specialist with Customer Service Experience
Resume:
Brandy Daniel
**************@*****.***
Skills
Excel (10+ years) • Customer Service (6 years) • Powerpoint (10+ years) • Microsoft office (10+ years) • Receptionist (4 years) • Filing (4 years) • Call Center (4 years) • Communications (4 years) • Dispatch (1 year) • Typing (10+ years) CPT Coding • Medical Coding • Medical Billing • ICD-10 • Microsoft Outlook • Medical Terminology
Experience
April 2021 to February 2024
Claims Reimbursement Specialists - Boca Raton, FL - Medical Billing Specialist
● Review patient medical records and encounter forms to prepare and submit accurate insurance claims (both electronic and paper) to insurance companies, government programs
(Medicare, Medicaid), and other payers.
● Verify patient insurance coverage and benefits prior to services being provided. Obtain pre-authorization and referral approvals when required by insurance companies.
● Track payments, ensuring they are received on time and properly applied to customer accounts. Follow up with customers regarding overdue invoices and work to resolve payment issues.
● Use ICD-10, CPT, and HCPCS codes to ensure accurate coding for diagnoses, procedures, and treatments. Ensure that all codes used are compliant with regulatory standards and insurance requirements.
● Post insurance and patient payments to accounts, ensuring that all payments are recorded accurately. Reconcile payments and outstanding balances, and prepare reports on account statuses.
August 2020 to February 2021
LogistiCare - remote - Call Center Customer Service Representative
● Handle inbound and outbound calls from customers regarding products, services, orders, billing inquiries, and other customer concerns. Provide accurate information and assist with troubleshooting and resolving issues in a professional and efficient manner.
● Identify customer concerns, clarify issues, and provide timely and effective solutions to ensure customer satisfaction. Escalate more complex problems to the appropriate department when necessary.
December 2018 -June 2020
Teleperformance - North Lauderdale, FL - Call Center Customer Service Representative 2
● Handle inbound and outbound calls from customers regarding products, services, orders, billing inquiries, and other customer concerns. Provide accurate information and assist with troubleshooting and resolving issues in a professional and efficient manner.
● Identify customer concerns, clarify issues, and provide timely and effective solutions to ensure customer satisfaction. Escalate more complex problems to the appropriate department when necessary.
April 2017- November 2018
Dealer Services Network, - Deerfield Beach, FL - Processor
● Process transactions for dealership to software
● Run verifications on licenses
● Maintain an up-to-date log of all payments received, generating reports to track outstanding invoices and aging accounts. Prepare and review aging reports to highlight overdue payments and assist in collections efforts.
● Communicate with customers regarding outstanding invoices, payment statuses, and any discrepancies. Follow up on overdue accounts, set up payment plans if needed, and resolve billing issues.
Education
December 2020- March 2021
Medical Billing & Coding - Degree
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