Customer Service Medical

Stacey Cooper-Wilkinson

Cell Phone: 646-***-****

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

Skills: • Proficient in Medical Insurance Billing, Medical Terminology, Medical Coding, and ICD-9 and CPT-4.

• Outstanding oral and written communication skills.

• Strong ability to multitask, organized, disciplined and detail oriented.

• Medical software knowledge: Medisoft, Medical Manager,Epaces,Foxmed,Eagle, IDX, NextGen and Omnipo.

Education:

School of Professional Studies: B.S Degree in Health Information Management (online) Currently Attending

Lincoln Technical Institute: LPN Licensed Practical Nurse Diploma Graduated 9/2011 to 9/2012

Employment: 12/2010 to 3/2011 Comprehensive Health Practice Associates New York, NY

Billing Specialist / Billing Department

• Reconciled and submitted necessary medical documentation with computer generated bill to Medicare/Medicaid.

• Collected time of service payments including cash, checks and credit cards.

• Negated claims for overpayment and underpayment.

• Assisted Manager with full system back up, review and edit validation reports.

9/2009 to 12/2010 Emblem Health New York,NY

Claims Analyst/Medical Rates and Benefits Department

• Reviewed and process professional and institutional claims, which include specialty services, emergency room visits, in-patient and out-patient claims.

• Responsible for sending out duplicate E.O.B, insurance verification letter and etc.

• Updated coordination of benefit to ensure there is no other insurance and updated patient information.

• Reviewed claims for reconsideration to determine if claim should be paid.

• Re-adjudicated claims for overpayment and underpayment.

5/2007 to 6/62009 Mount Sinai Radiology Associates New York, NY

Senior Biller /Radiology Department

• Handled all electronic submissions including Medicare and Managed Care Insurances.

• Navigated through multiple systems to investigate research and interpret inquiries and claims.

• Data entry of claims, analyzing and providing explanations to questions concerning specific processing details of claims.

• Proficient knowledge of ICD-9 and CPT4 coding.

• Forward all complains appeals and grievance to the proper department via mail or email.

9/2005 to 2/2007 Transcare Ambulance Corporation Brooklyn, NY

Customer Service /Billing Department

• Assisted patients in securing and maintaining Social Security,Medicaid and Medicare Benefits.

• Provide customer service and Dispatch for the Amityville,White Plains,Mt Vernon,Hudson Valley,NYC and local 911.

• Resolution of all customer concerns/issue regarding their Ambulette,Basic Life Support,Advance Life Supporrt, Critical Care and Neo Natal transports.

3/1999 to 9/2005 UMPA (Continuum Healthcare Partners) New York, NY

Charge Entry /Billing Department

• Responsible for off-site charge entry and billing for St Luke’s, Roosevelt and Beth Israel Hospitals.

•Entering and verifying patient demographic and insurance information.

• Preformed charge entry and payment posting for Department of medicine, Division of Cardiology, Gastroenterology, Nephrology, Infusion, Pulmonary and Hematology/Oncology.

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