Medical Billing Service

KARO D. CULPEPPER ****.*********@*****.***, ***-**1-

4705

MEDICAL BILLING/COLLECTIONS/CLAIM PROCESSOR

A highly organized detail oriented professional with thirteen years of

exceptional office experience

complemented by a strong background in collections and excellent customer

service, seeking to establish a career

within a healthcare environment where my billing skills can best be

utilized.

Computer Skills: Microsoft Word, Excel, PowerPoint, Outlook, Typing 40wpm

PROFESSIONAL EXPERIENCE

A PEACEFUL MIND CARE, Lawrenceville, GA

2012-Present

Patient Caregiver

Answer phone inquiries from patient's family, nurses, and

pharmacist

Assists patient in taking prescribed medications

Assists patient in daily hygiene and activities

CARDIONET, Conyers, GA

2005-2010

Clinical Administrator (2008-2010)

Entered monitor transmissions and analysis to be interpreted by the

Dr.

Entered patient's demographics in the system

Scheduled appointments for Holter monitor connections

Answered inquiries from patients and clinics

Educated clients on policy and procedures

Performed and resolved follow-ups to eradicate client's concerns

Coordinated and edited Holter reports to extend service dates

Billing and Collections Representative (2005-2008)

Billed claims electronically to commercial and government carriers

Processed rejection reports

Verified patient insurance coverage

Utilized knowledge of HMO, PPO, and POS plans to work efficiently

Verified claim status

Updated system with new provider and patient information

Worked aging reports to collect outstanding claims 60-120 days old

Completed account adjustments

Appealed denials to secure payments

Reviewed EOBs to ensure correct payments

Resolved patient complaints and statement inquiries

Negotiated payment plans for patients with financial hardships

GE CAPITAL CORPORATION, Atlanta, GA 1997-2004

Senior Bankruptcy Representative

Researched accounts targeted for bankruptcy

Reviewed accounts for compliance with bankruptcy rules and

regulations

Analyzed accounts and implemented strategies to troubleshoot issues

Coordinated weekly meetings with managers to review client issues

and follow-up

EDUCATION

Georgia Medical Center, Nursing Assistant Certification

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