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Customer service/ medical biller & collector

Location:
MORENO VALLEY, CA
Salary:
OPEN
Posted:
January 11, 2009

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Resume:

FELECIA BROOKS

**** **** **** **

LOS ANGELES,CA 90044

Telephone: 323-***-****

Email: ***********@*****.***

______________________________________________________________________________

Objective: Medical biller/Collector with four years of Customer Service experience seeking to become a member of a company that offers a challenging and professional environment.

Experience

02/08- CURRENT COUNTY DEPARTMENT OF MENTAL HEALTH- Los Angeles, Ca

Patient Resource Worker

Interviews patients or their relatives and/or representatives to obtain identifying information, financial and other eligibility data, determines the patient's potential eligibility to enroll in specific health care programs based upon diagnosis, available medical information, type of medical/clinical service rendered, and residency status; enters and accesses data by utilizing various local and web-based information systems and databases to determine a patient's financial liability. Also evaluates financial data and resources to determine the patient's ability to reimburse the County for medical and/or mental healthcare consistent with department policy. Front office support (awnser phones, direct incoming calls to appropriate staff, schedule Dr.’s appointments, intake, timekeeping etc.

07/05-02/08 USC SURGEONS INC-Los Angeles, Ca

Medical Biller/Collector

Medical Billing (HMO,PPO, Medi-cal, Medicare and Worker's Compensation) Inpatient and Outpatient, ICD-9 and CPT coding for surgery specialty Divisions(Tumor and Endocrine, Breast, Esophageal and Bariatrics). Customer Service (answer patients calls regarding billing), Accounts receivable and aging collections, Insurance Verification, EOB'S and appeals etc.

02/05-06/05 HEALTHCARE PARTNERS MEDICAL GROUP(SOLIANT HEALTH )-Los Angeles, Ca

Medical Biller II

Insurance Verification and registration. Payment posting, adjustments, collections, patient credits, transfers and refunds. EOB's and follow up's. Billing and follow-up for HMO's and PPO's made sure the claims got paid.

07/03-03/04 USC INTERNAL MEDICINE(SOLIANT HEALTH)- Alhambra, Ca

Medical Biller/ Collector/ Customer Service

Bill for HMO's, verified insurance, answered phones (tended to patients concerns regarding billing issues and insurance information) and made sure monthly AR reports were being paid by insurance companies.

Education:

04/01-03/02 American Career College

Medical Billing/Health Claims Examining- Diploma

Skills: Utilization of ICD-9, CPT, RVS, PDR, HCPCS, and ADA.

Interpretation of contracts, UB-92, HCFA 1500 and Medicare.

Claims Reimbursement, Medi-Cal, Worker's Compensation and COB.

Medical Terminology and Data Entry.

Administrative and Customer Service.

Computer Software- Medisoft, MD Serve, Millbrook, IDX and EPF, MEDS,

Typing 35-40 wpm and 10 key by touch.



Contact this candidate