Medical Customer Service
Resume:
Barbara Moaten
P O BOX ******
LOS ANGELES, CA **045
Phone 310-***-**** Email: **************@*****.***
SUMMARY OF QUALIFICATIONS
To ascertain a position as a phlebotomist with clinics, hospitals or Doctor’s office.
EDUCATION
Charles Drew University of Medicine and Science
Los Angeles, CA
Health Information Technology - Clinical Coding Program - 08/10
Meredian Institute
Los Angeles, CA 08/10
Phelbotomist – National Certification
California licensed Phelbotomist – CPT 44874.
Everest College
Los Angeles, California
Medical Insurance Billing & Coding - 10/08
TECHNICAL SKILLS
Microsoft Word & Excel, CPT-4, ICD-9, CDT, UB04, Medicare, Medicaid, Champva, HMO’S, PPO’S And Private Insurance carriers, Including secondary insurance claims. Trained in Computer Hardware/ Software electronic data submission , Medisoft ,Claim-Gear, Access IDX., Medical Manager, Medical Terminology, Private Payors, Follow –Up & Collections, Worker’s Compensation, Tricare Champva, Payor Requirements & Regulations, Doc Net, Genesis, Multiple Listings, Expedia, Type 45 w.p.m., Data Entry Operator, 10 key by touch, Calyx Point.
WORK HISTORY
Cedars Sinai Med Center - Beverly Hills, CA
Medical Receptionist
Apollo Health Net
10/08 - (Internship) – Medical Biller
Ran eligibilities for medical and collections calls for Loma Linda University Hospital
MDM - Medical Management Inc.
09/08 - (Internship) – Medical Biller
Intensive and comprehensive follow-up for all non-responsive insurance companies, approaching the 30, 60, and 90 limits for payment.
Everest College: 9 months as Medical Biller and Coding Specialist.
Position: Medical Biller (student)
J.W. C. H. – Luciano Alexander M.D.
September 2009 - October 2010
Position: worked at clinic , as medical assistant and phlebotomist
drawing blood, collecting urine, filled out insurance forms, Recorded vital signs, explained treatment procedures, and assisted physician during examinations.
Primaris- September 2009
Medical Records Scanner
• Scanned Medical Records for CareMore of Doctor’s Medical Charts for
Review or Audit
HealthCare Partners Medical Group
November 2008 –02 /2009
Position: Claims Specialist
• Processing Retrospective Claims – Utilization reviews of claims for services that
Have been provided without prior approval to make an organizational determination to authorize or deny payment, such as Inpatient, ER, Outpatient and Surgeries, DME equipment companies Super Care, Apria,
Adecco Temporary Agency
October 2007- Dec, 2007
Position: Enrollment & Claims Processor- United Healthcare Group
• Verified the enrollees Medicare information against the current information of CMS.
Barbara Moaten
WORK HISTORY (cont.)
Maintained by CMS for accuracy, processed and learned all election periods during annual and open enrollment periods.
Apple One Temporary Agency
August 2007-October 2007
Position: Data Entry Operator- The Federal Reserve Bank
• Input Checks in Verifications for Balancing
Apex Management Marketing Inc
June 2004- August 2007
Position: Medical Biller & Collections
• Verifying Insurance and PPO And Handling Collections
• Reviewed & Edit Claims in accordance with Payor and Compliance Standards
• Research and Correct Rejected Claims for Resubmission
• Process all claims, both electronic and Hard Copy Claims
• Reviewed all claims for completeness and Accuracy
• Experience in all areas of billing for commercial, primarily Third Party insurance carriers and patient responsibilities
U .S. Postal Service
05/1988 – 09/2004
Position: Mail handler / Customer Service Representative
Handled the U.S. Mail, sorted, and spoke to customers and regarding their deliveries
Also, expedited the mail in a timely manner.
REFERENCES
Available upon request
Contact this candidate