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Location:
San Antonio, TX, 78220
Posted:
September 06, 2008

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Resume:

Adria Boxley

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

San Antonio, TX 78220

OBJECTIVE To obtain a position where my skills as an administrative health assistant may be utilized and enhanced.

EXPERIENCE

**/**-***sent Heart & Vascular Institute of Texas San Antonio, TX

Payment Poster

• Receive payments from lockboxes

• Review explanation of benefits for accurate posting to patient accounts and take the contractual agreements

• Determine correct patient accounts and post insurance or patient payments to appropriate line item

• Enter denials for billers to follow-up on and re-file to insurance companies

• Print and mail secondary claims/reports to insurance companies for payments

• Download and process Medicare and BCBS files electronically

05/05- 10/07 Suzanne Rostomian, CPA San Antonio, TX

Billing Specialist/Data Entry Clerk/Payment Poster

• Retrieve patient’s demographics/radiology reports electronically to create new accounts

• Enter demographics, insurance information, diagnosis/procedures and radiology charges

• Verify, update and correct patient’s insurance information/addresses from reports

• Process returned mail by checking hospital/Medicaid system for valid addresses and phone numbers

• Write-off and turn over patient accounts to collection agency for bad debt/bad addresses

• Print and mail workmen compensation claims/reports to insurance companies for payment

• Receive payments from lockboxes, internal mail and credit card transactions

• Review explanation of benefits for accurate posting to patient accounts and take contractual agreements when applicable

• Determine correct patient account and post insurance or credit card payment to appropriate line item

• Flag accounts for follow-up department to work non-paid claims or for claims to be sent to secondary insurance companies

• Post any NSF or credit card refunds and charges

• Download and electronically post payments from Medicare/Blue Cross Blue Shield systems

• Call payers to get breakdown of payment if not provided

11/04-03/05 Texas Careers San Antonio, TX

Student Assistant

• Scheduled appointments, answered phones, took/processed messages for medical director and instructors

• Graded papers and assisted with administrative duties

• Assisted with monitoring of inventory, books and medical supplies

• Acted as student information volunteer

07/04-08/04 All Medical Personnel San Antonio, TX

Clinical Intake Specialist/Healthcare Finder

• Processed, coded and approved referrals/authorizations from imaged documents for medical and surgical procedures and durable medical equipment based on medical necessity

• Answered calls from providers to process and approve referrals/authorizations in an urgent/emergent setting

• Performed extensive data entry work

10/01-12/0 City Public Service San Antonio, TX

Telephone Service Representative

• Answered service/billing calls from customers and agencies

• Processed applications for new/transfer of electric and gas services

• Made payment arrangements

• Located/retrieved archived documents on microfiche

• Addressed and resolved any customer concerns

06/01-10/01 South Texas Radiology Group San Antonio, TX

Coder Assistant

• Sorted, compiled and compared patient’s demographics/radiology reports in order for insurance companies to be billed

• Performed general administrative duties

03/00-01/ Aetna US Healthcare San Antonio, TX

Call Center Representative

• Answered calls from members, pharmacies, physician’s offices

• Verified pharmacy coverage, drug authorization status, quoted existing pharmacy benefits, processed electronic claims

EDUCATION

Texas Careers San Antonio Campus

Graduated – Certification Awarded

Completed 720 hrs in Medical Office Specialist program

Our Lady of the Lake University, San Antonio, TX

Some college coursework completed in Business Administration

PROFESSIONAL REGISTRATION

Administrative Health Assistant Certification, National Allied Health Test Registry (2005-present)

HONORS & AWARDS

Member of Technical Honor Society (2005-present)

PROFESSIONAL & HONORARY AFFILIATIONS

Community Advisory Board Member for Medical Office Specialist Program, Texas Careers (2005-present)

SKILLS Administrative Medical

Data Entry CPR

Customer Service Medical Terminology

MS: Word, Excel, P Point ICD- 9-CM/HCPCS

Typing (45 wpm) CPT

Internet/Windows Medical Transcription

Billing Medical Law & Ethics

Payment Posting

REFERENCES: Available upon request



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