Customer Service Medical Billing
Resume:
TIFFANY R. SUMMERS
Summervill,SC *****
Phone# 843-***-****
Email Address ***************@*****.***
Objective: Professional with over 30 years of customer service experience seeking a remote call-center position in a fast-paced environment to improve your customers satisfaction.
Experience:
Robert Half
01/2013-Present
Medical Billing Remote
Confirming patient demographics, insurance details, and eligibility to submit accurate claims.
Assigning appropriate ICD-10 and CPT codes to diagnoses and procedures performed based on medical records.
Electronically submitting claims to insurance companies through billing software, adhering to payer guidelines.
Tracking the progress of submitted claims, identifying any issues or delays. Investigating claim rejections, appealing denials, and taking corrective actions to ensure proper payment.
Communicating with patients regarding outstanding balances, providing payment options, and managing collections.
Accurately inputting patient information, billing codes, and other relevant data into the billing system.
Staying updated with HIPAA regulations and industry billing guidelines.
Crane Family Dentistry
06/2020-01/2022
●Accounts Receivable and Payable
●Collected delinquent accounts by establishing payment arrangements with patients.
●Maintained Medicare bad-debt cost report by tracking billings; monitoring collections; compiling Reports.
●Managed Past-due outstanding balances and payments for home health care.
TriMed Services -Mount Pleasant, SC 09/2017-05/2019
Workers compensation billing specialist
●Responded to requests for information in a timely manner
●Responded to requests for service and assistance and met commitments in a timely manner
●Processed required documentation for billing worker’s compensation claims
●Provided customer service to patients and vendors via incoming and outgoing calls daily
Sea Island Comprehensive health care Inc., Johns Island SC 01/2013-09/2017
Medical Billing Officer
●efficiently managed back-to-back calls in a fast-paced environment
●Managed Past-Due Accounts and utilized collection agencies as needed on an average of 10 calls per hour.
●Maintained Medicare bad-debt cost report by tracking billings; monitoring collections; compiling Reports.
Promoted to Intake coordinator 07/2017-10/2017
●Received and coordinated all referrals to include insurance providers for prior authorization and services covered
Accountemps, Charleston, SC 01/2013-01/2016
Pharmacy billing Officer
●Collected delinquent accounts by establishing payment arrangements with patients.
●Maintained Medicare bad-debt cost report by tracking billings; monitoring collections; compiling Reports.
●Managed Past-due outstanding balances and payments for home health care.
Driftwood Nursing and Rehabilitation center, Charleston, SC 03/2009-01/2013
Business office manager
●Received and disbursed all residents fund to residents and family members
●Wrote all check for resident’s accounts daily
●Balanced petty cash weekly
Admission backup
●Signed in residents adding demographic information into the system
●checked insurance benefits managed up to 40 inbound and outbound calls per day while providing excellent customer service.
Relevant Skills:
●Experience with Microsoft office; Word, Excel, and Outlook, Adobe Connect
●Type 35 wpm
●Friendly, helpful attitude; able to calm escalated customers
●Proficient use of various accounting related applications
●Good computer skills
●Work well independently and contribute to team effort
Training: 6 week of Medical Terminology
16 years of Customer service training
Education:
Trident Technical College, Charleston, SC Certification May2014
Fort Dorchester High School, Charleston, SC Diploma June1995
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