Medical Billing

Conyey Brown

Sacramento, CA *****

Contact Number 916-***-****

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

To Whom It May Concern,

I am interested in a progressively challenging and growth orientated position that would effectively utilize the abilities portrayed on my resume to their fullest potential in your highly respected organization.

My versatile experience including extensive Medical Billing skills makes me an excellent candidate that can be trusted to complete task on a timely basis while working independently or as an integrals part of a team while little or no supervision.

The high level of motivation, enthusiasm, leadership ability, communication and organized skills I have developed will also serve a valuable asset towards improving efficiency, productivity.

Please grant me an interview at your earliest convinces so that we may further discuss my qualification and how they align with your needs and expectations.

Thank you in advance for your consideration and reply,

Conyey Brown

Sacramento, CA 95821

Contact Number 916-***-****

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

OBJECTIVE: Seeking a position that will allow me to advance in a Firm or Company that will effectively utilize the abilities and skills portrayed on my resume.

EMPLOYMENT:

2008-2011: Home Health Aid, IHS (In Home Support Services)

Caring companionship & conversation, Incidental transportation,(errands, appointments , etc),meal preparation, light housekeeping ,Alzheimer’s and dementia care ,personal care assistance(bathing, dressing &grooming) assisting with making monthly accounting decisions, maintained and arrange medical billing, ordered medical supplies.

2006-2008: Medical/Dental Billing Specialist CARES (Center AIDS Research Education Services), 1500 21st St. Sacramento, CA 95817

Medical Billing: Electronically And Manually Submit Daily Medical Charges* Cross Bill Claims Electronically And By Paper*Post Electronic and Paper Payments (Medi-Cal, Medicare, Blue Cross , UC Davis Manage Care ,Well-Care, Healthy Families, United Health Care, EAPC)*Update Financial Class To Patient Liability*Review Payers Contract Terms and Audit Account* Review And Maintain Monthly A/R Report*Verify Eligibility*Status*Send Patient Monthly Invoices, Prepare and Submit Weekly Billing Report To Finance Department, Assists With OSHP Fiscal Reporting, Contact Payers For Providers Contract, Contact Payers Via Telephone, Email To Determine Status Of Unidentified Payment ,Over Payment Or Non Payment, Submit Appeals, CIF’S(Claim Inquiry Form), RTD’S(Resubmission Turn Around Document) Tracer’s* Make Payment Arrangement For Private Payment*Participate In Continuous Quality Assurance Process As Required, Keep The Billing System Updated With Current Billing Requirements

Dental Billing: Audit and Review Dental Chart Prior To Billing Charges*Submit Electronic And Paper Claims To Various Payers(Denti-Cal , Anthem Blue Cross, Aetna, Blue Shield) Attach Appropriate Film To Charges* Note Account When Film Is Submitted And Returned* Daily Payment Posting*Update System With Current Dental Information*Request Provider Contracts* Prepare And Send Patient’s Monthly Statements

2006-2007 *Insurance Benefits Lead Specialist ,Benefit Risk Management 10060 Gold Center Dr. Suite 300 Rancho Cordova CA 95826 :Quote EPO Eligibility/Health Plan (Exclusive Provider Organization)* Quote HMO Eligibility/Plan (Health Maintenance Organization) * Quote PPO Benefits/ Plan (Preferred Provider Organization )*Quote Dental Eligibility /Plan*Quote Vision Eligibility /Plan * Quote Cobra Eligibility /Plan* Verify Flexible Spending Account Details* Open Enrollment Assistance* Claim Assistance *New Hire Training *Account Follow-Up *Authorization Assistance* Appeal’s Assistance

2002-2006 Account Billing Specialist Supervisor, Inland Behavioral Health Clinic, 1963 N E St., San Bernardino, CA : Medical Clinic- Verify eligibility, assist with patient registration (monthly), Input daily Charges, Submit electronic and paper claims, Collect on Denials, Generate End of the Month Reporting, Quarterly Reports, Fiscal Year Ending Reports. Insurances- Medi-cal, Medi-cal Managed Care, IEHP, Healthy Families, Blue Cross PPO, Blue Shield PPO, Blue Cross Blue Shield PPO, CHDP Gateway, Medicare, Medi-Medi, Family Pact, EAPC (Expanded Access Primary Care) Sliding Fee (cash payments). Mental Health (Wholeness & Enrichment Center) – Verify eligibility (monthly), Input patients demographics, Post daily charges, Submit electronic claims, post Account Receivable, Collect on denials, Generate End of the Month reporting, Quarterly Reports, Fiscal Year Ending Reports. Outpatient- (Peri-Natal Care Network) – Verify eligibility, Input patients demographics, Post daily charges, Submit electronic claims, Post Account Receivables, Collect on denials, Generate End of the Month reporting, Quarterly reports, Fiscal Year Ending reports.

2000-2002 Health Resource Coordinator, I McKesson Access Health Solutions 335 Interlocken Parkway, Broomfield CO : Corrected records, Assist with monthly evaluations, Assisted Subordinates and Supervisors in training new hires and identifying and resolving problems, Create patient chart, Scheduled appointments, Verified and authorized benefits, Arrange and Schedule patients' transportation, Submitted and filed requested literature, Transferred symptomatic callers to RN, Reviewed and updated patient medical files, Follow up calls to symptomatic callers, Assist 3rd party translation calls, give medical referrals, Reviewed up dates through email

1999-2000 Account Billing Specialists, Data Management (Intern) 3035 Prospect Park Dry, Rancho Cordova, CA

Compiled Data for Billing Personnel, Medicare/Medical/ Account Receivable, Clinical Demographics, Maintained Monthly Charges and Produced Reports for Quarterly Billing, Workers Compensations Account Receivable, Children's Health And Disability Program (CHP) Charges and Account Receivables, Healthy Families Charges and Account Receivables, HMO, PI, PPO Charges and Account Receivables, Insurance and Patients inquire and follow up, CPT Coding, ICD-9 Coding, HCP Coding, Electronically and paper submitted claims, Attained and Distributed mail. Xeroxing, Faxing, Answered multi-phone line.

KNOWLEDGE AND SKILLS:

*Patient Confidentiality/Patient * Customer Service *Medical Terminology *Dental Terminology*ICD-9 Coding*CPT - Coding*CDT- Coding*HCPC-Coding*Multi- Phone Line*Electronic Medical Charting/Coding

Software Knowledge:

2007-Current: Windows 7 /Windows Vista

2007-Current Excel 2007 Level 1

2007-Current: Version: Nexgen/ Clearing House Via-Track

2006-2008: Medi-Soft Software /Clearing House-EDS / Palmetto

2002-2009: Mega West Software/Clearing House EDS/Palmetto

EDUCATION:

1998-1999: Certified Billing Specialist, Western Career College Sacramento, CA

1992-1995: High School Diploma, Ck McClatchy Sacramento, CA

TRAINING:

*2007-2009*HIPPA Training

*2007-2009*EDS-Medi-Cal

*2009-2010 Cross Country Advanced Billing Training

*2009-2010 Anthem Blue Cross

*2009-2010 Palmetto/Medicare

*2007-2008*Denti-Cal Training (intermediate)

*2004-2007*HIPPA (Health Insurance Portability Accountability Act)

*2006-2007*Medicare/Palmetto Webb Ex- Training

*2006*Office Etiquette Training+

AWARDS:

Perfect Attendance Award

Outstanding Leadership Award

Excellence in Service Award

Out Standing Achievement Award

Salary Negotiable

Reference upon request

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