Medical Billing

Tunisha L. Nemons

**** ********* *********,** *****

Mobile 630-***-****

*************@*******.***

Summary:

Solid background in healthcare strong emphasis in medical records, medical billing account management. Experienced in handling provider accounts information and inquiries operations. Hard working, fast learner, very dependable team player willing to learn new skills within healthcare.

. Education:

Everest College Burr Ridge, IL

Medical Administrative Assistant 9/2007-5/2008

Appointment Scheduling & Office Finance

CPT & ICD-9 Coding, Recordkeeping, & Filing

Front Desk Reception & Charting

Medical/Dental Insurance and Collection & Patient Care

Insurance Verification & Dental Office Skills

HCFA 1500 & UB 04

Medical Billing

Experience:

MacNeal Health Network Berwyn, IL

Medicare Biller 03/2010-9/2011

Processing all Medicare inpatient and outpatient claims

Reviewing UB 04 for accuracy ensuring all charges are captured and all elements are present

On claim before releasing the electronic claim

following up on denied claim and rebilling claim within the Florida Shared System

Meeting and exceeding goals of 100 claims billed daily

Molecular Imaging Hinsdale, IL

Medical Biller-Collector (Radiology) 04/2009-01/2010

Responsible for Collection follow-up and charge entry Incoming and out going calls

15 Day turn a round report for collections

Co-pay and self pay billing collections

Daily insurance verification which may entail telephone as well as on-line inquiry.

Patient scheduling, pre-registration and registration

third party payer and commercial and claim denial review and appeals

responsible for other duties as assigned by the office management

Concentra Preferred System Naperville, IL

Pre Audit Specialist 05/2006-6/2008

Scanning medical records

Requesting medical records for DRG validations using a computer system called Beacon and Alchemy.

Checking to see if records received are the correct date of service records while staying within HIPAA guidelines.

Utilizing a system called Esort to sort medical records to prepare them for the medical analyst review.

Private Healthcare Systems Rosemont, IL

Charge Entry -Data Management Clerk 10/2005- 2/2006

Entering charges onto a HCFA 1500 claims form using UB 04 and EOB’s documentations

Received, managed, and resolved inbound providers relations telephone queue calls

Handled providers inquiry issues with claims, providers status change, patient demography information using a system called Voodoo and Facets

Gathered missing patient information from hospital or insurance company

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