Medical Biller
Resume:
Lisa Salgado
Las Vegas, NV 89131
OBJECTIVE:
Pursuing a career where I can utilize my experience and contribute to the company.
SUMMARY:
Dependable, conscientious, employee with a proven ability to work well under pressure and meet goals. Excellent leadership skills, strong commitment to cooperative teamwork, self-motivated and able to work effectively unsupervised. Detail oriented, organized, diligent, excellent communication and interpersonal skills.
QUALIFICATIONS:
• Knowledge of CPT, ICD-9, and ASA coding and medical procedures.
• PPO, HMO, Work Comp, Medicare, Medicaid and Liens
• Investigate and verify insurance eligibility and coverage and authorizations
• Address and resolve concerns in timely matter
• Perform data entry, create and generate reports
• Document and maintain accurate record filing system
• Knowledge of Medical terminology
• Accounts receivable
• Computer Skills: Windows, MS-Office, MS-Word, Excel, Outlook, Internet Explorer, Compumedic, Medic, Misys, EMD’s
• Typing 45WPM
• 10-Key 45WPM
• Interact well with patients’, Doctors’, and co-workers
PROFESSIONAL EXPERIENCE:
November 2005-September 2007:
Matt Smith Physical Therapy
7301 Peak Dr. Suite100
Las Vegas, NV 89128
BILLING OFFICE MANAGER/LEAD ACCOUNT RECEIVABLE REP.
• Assume responsibility for full A/R staff
• Manage and process time sheets for A/R staff
• Run closing of days and month end
• Process credit card transactions with online service
• Run A/R insurance reports to be worked by A/R staff in a timely manner
• Collect on delinquent insurance accounts
• File appeals and maintain correspondence with insurance companies
• Follow-up on bankruptcy cases
• Follow-up on Worker’s Comp. accounts
• Contact with attorney firms on patient lien accounts
• Post payments (insurance and patient)
• Handle multiple phone lines for A/R department
March 2003-September2005:
Nevada Cancer Center
2851 N. Tenaya Way, Suite 100
Las Vegas, NV 89128
BILLER/FINANCIAL COORDINATOR
• Compile a daily report showing patient financial responsibility for services (i.e. co-pay, deductible, and out-of-pocket amounts)
• Follow-up on all patient account
• Spoke to all patients starting new treatment regarding their financial responsibility(i.e. explained insurance coverage and their percentage due, set up payment plans)
• Follow-up on all bankruptcy cases
• Follow-up on insurance accounts
• Collected on delinquent insurance account
• Responsible for A/R
• Filed appeals and maintained correspondence with insurance companies
March 2002-February2003:
Anesthesiology Consultants Inc.
3010 W. Charleston Blvd., Suite 150
Las Vegas, NV 89102
ACCOUNT MANAGER
• Follow-up on insurance and patient accounts
• Collected on delinquent accounts
• Responsible for A/R
• Filed appeals and maintained correspondence with insurance companies
June 1994-February2002:
Anesthesia Business Service Inc.
1492 W. Colorado Blvd., Suite C
Pasadena, CA 91105
MEDICAL INSURANCE BILLER
• Enter data entry information and process new accounts received
• Verify insurance eligibility and coverage
• Responsible for coding and charge entry
• Responsible for follow-up on insurance and patient accounts
• Collect on delinquent accounts
• Responsible for A/R
EDUCATION:
1998-1999 North West College-Glendale, California
Certificate: Medical Insurance Biller
Completed 30units pursuant to an A.S. degree
REFERENCES:
Available upon request.
Contact this candidate