Claims Specialist Follow Up

Sarah Denise Davidson* **** Cheviot Rd Apt * Cincinnati, OH 45247* Phone: 513-***-*****Email: ********@*****.***

Medical Biller/Claims Specialist with experience in multi specialty physician practices. Known for dedication to providing premium patient care. Skills include:

* Medical Billing & Coding * Bookkeeping & Filing * Patient Scheduling

* Medical Records Management

* Taking Patient Vitals

* Patient Education

* Data Entry

* Claim Processing

* HIPAA

* AMS

* PBSI

* IDX

* Share Point

* Softdent

* Dentrix

* Mirco Soft

* 1 Direct

* Medic

*Epic

* Excel

* CRM

WORK HISTORY

2020-2025 Claimlinx inc.

Claims Specialist Blue Ash, OH

Responsible for incoming calls, questions on member’s coverage, Status of claims, processing new and denied claims. Follow up on claims, correct error on claims, process Dental, Vision, and Medical Claims,

2019-2020 Ken’s Beverage Inc.

Parts Coordinator Fairfield, OH

Responsible for incoming and outgoing faxes, order parts needed for road tech, follow up on orders, write up PO’s

2016-2018 Medical Reimbursement Inc.

Payment Poster Blue Ash, OH

Responsible for incoming and outgoing faxes, run Credit Cards, post payments to patient accounts, match batch sheets with audit journals, post finish batches to access, Follow up on status of claims

2015-2016 Visiting Physicians Association

Receptionist Cincinnati, OH

Responsible for answering all incoming calls, keeping good records, meeting and greeting visitors to office, linking documents to patient account, incoming mail, All incoming faxes, mailing prescriptions to pharmacy,

2015 Innomark Communications

Account Representative Fairfield, OH

Responsible for placing new store opening signs, keeping good records, entering new sku’s

2014 McDonalds

Cashier/Customer Service Cincinnati, OH

Responsible for meeting and greeting customers, take food orders, take payments From customer and make correct change, wash dishes, help with food prep.

2011-2013 Staffmark/ Mercy Heart

Billing/Pre Cert, Cincinnati, OH

Responsible for obtaining authorizations with insurance for testing

2010-2011 Back and Spine Center of West Chester

Front Desk/Billing/ Medical Assisting, West Chester, OH

Responsible for keeping the records and scheduling appointments

Scanning information into the patients charts for EMR

Follow up on all outstanding medical claims in an accurately and timely matter

2010 Mercy Fairfield out Patient Lab

Externship Fairfield, OH

Responsible: Meet and greet patients, accurately draw blood in correct tube

2008-2010 UC Physicians Patient Billing Office

Payment Posting /Accounts Receivable, Cincinnati, OH

Responsible: Follow up on claims, calling for correct billing information, work all follow up reports, answer incoming calls, refile claims as needed, Post payments.

2008-2010 Buffalo Wild Wings

Server Blue Ash, OH

Responsible for meeting and greeting customers, taking correct food and drink orders, taking and making correct change, cleaning tables and area under table.

2004-2007 Dayton Dental and Orthodontics

Accounts Receivable/Credentialing Specialist, West Chester, OH

Daily posting of insurance and patient payments. Worked weekly on A/R reports to keep accounts current. Credential new physicians and re-credential current physicians. Followed up on patient accounts and kept current reports.

2002-2004 McGrath Group Management

Medical Billing/Credentialing Specialist, Cincinnati, OH

Responsible: Follow up on claims, calling for correct billing information, work all follow up reports, Credential new Doctors and Recredential current, answer incoming calls, refile claims as needed, use 1500 and UB-92 forms, Post payments.

EDUCATION

UNIVERSITY OF CINCINNATI, RAYMOND WALTERS COLLEGE

Associate of Applied Business, Medical Office

Courses included: Medical Terminology and Anatomy, Front Office Management, Word Processing, Insurance and Coding, Insurance Billing. Medical Front Office Certificate

SOUTHERN OHIO COLLEGE (Cincinnati, OH)

Courses included: Accounting, Personal Management

SOUTHWESTREN COLLEGE (Tri-County) Phlebotomy GPA 4.0

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