Customer Service Medical Billing

SUMMARY:

A dedicated Medical Billing Professional, with over 8 years in the Billing industry. Proven success in managing commercial, Medicaid and Medicare accounts. Practical, articulate and creative with proven ability to solve difficult business problems.

PROFESSIONAL DEVELOPMENT:

AS400, Med-Fm, Typing 35 wpm, Alpha and Numeric 10,000 kph, 10key, Microsoft Word, Microsoft Office, Microsoft Excel, Microsoft Outlook

EDUCATION

Devry University, Accounting 1995-1997

PROFESSIONAL EXPERIENCE

Medical Business Services (MBS) - Duluth, GA 2003-2011

Medical Billing Processor

Responsible for identifying errors with claim data in the electronic billing work list, researching accounts, and proactively following up with appropriate contacts to ensure necessary information is obtained in order to resolve issues for timely transmission of claims.

• Generated weekly, monthly, quarterly and year end reports and reviewed accuracy of data.

• Reviewed and researched accounts to identify errors with claims, followed up with the internal personnel to obtain solutions.

• Utilized AS400 systems to locate, maintain, process and or reject claims due to data errors.

• Accurately entered claims into systems, populated missing information. i.e.(attending and referring doctors)

• Processed medical records charts from inception to closeout in AS400 system.

• Operated data entry terminals and automated data entry systems to record and verify billing/accounts receivable information as well as customer demographic data, laboratory identification data, and results for computer processing.

• Followed standard sequences and coding in entering and keying data.

• KSPH of 10,000 with little error rate and verified, edited, and corrected data as needed.

• Familiar with medical terminology, Medicare and Medicaid Coding.

• Possessed excellent oral and written communication skills and demonstrated excellent time management skills for the purpose of facilitating multiple tasks simultaneously.

• Met and exceeded weekly quota amount of $1.2 thousand and monthly quotas.

• Maintained Piedmont Hospital’s monthly billing quota of $4.1 million dollars.

• Investigated and resolved problems with data quality, responsible for the integrity and accuracy of the data reported.

• Provided outstanding customer service to patients, insurance and medical personnel.

• Accurately assigned diagnosis codes to various medical procedures.

• Transitioned doctor and insurance information from hospital internal systems to Med-Fm.

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