Customer Service Medical
Resume:
CARA D. KIKO
*** ******* ***.** • Dalton, Oh ****8
**********@***.*** • home 330-***-**** • cell 330-***-****
• Medical Claims Billing and Processing
• Customer Service Representative
Experienced in Medical claims processing, Billing and Verification of Benefits. Experience: Medicare, Medicaid, Insurance and Worker Compensation. Electronic Claims Submission through clearinghouses, and direct connection to carriers. Consistently meets deadlines, while completing daily work and troubleshooting issues with other departments.
Core competencies include:
• Customer Service Skills
• Time Management Skills
• Data Entry Skills
• Leadership Skills • A/R
• Team Building Skills
EDUCATION
MEDICAL BILLING AND CODING PROGRAM
ULTIMATE MEDICAL ACADEMY (APRIL 2012 – GRADUATING NOVEMBER 2012) WITH ASSOCIATES DEGREE AND CERTIFICATION FOR OHIO AND FLORIDA
STARK STATE COLLEGE (JUNE 2011 – DECEMBER 2011)
MARKETING AND DISTRIBUTIVE EDUCATION
Ellet High School – Akron, Ohio 44312 (Graduated 1985)
CAREER EXPERIENCE
MARQIS MOBILITY
Billing and Collections
Daily billing of claims to Medicare, Medicaid and commercial insurance
Print and mail weekly patient statements
Print and Mail HCFA claim forms to insurance carriers, and file electronic claims to Medicaid.
Review Insurance A/R and contact the insurance carrier to obtain payment or denial information.
Review Patient A/R contact patients to make payment arrangements or obtain insurance information.
Sort and distribute daily incoming mail to other departments.
Process electronic Medicare and Medicaid remit files, and incoming private and commercial payment into the billing system.
Incoming phone call, direct to correct department, or discuss billing issues and payment.
AMERICAN MEDICAL RESPONSE, Akron, Ohio (1995 – 2010)
Senior Billing Administrator
Assist with training all new employees.
Mentor co-workers with lessor experience.
Create and Transmit daily ECT files to carriers and downloads the daily reports and remit files.
Printed HCFA claim forms.
Review daily/weekly spreadsheets for completeness.
Update PBS staff of issues, and kept management informed of ETA on fix.
Run daily reports needed for other departments, as well as for projects.
Exceed weekly quotas work performance.
Customer Service incoming to set up payment arrangements.
Made outgoing collection phone calls on past due accounts.
Processed incoming Attorney requests for bills and information.
Knowledge of HIPPA regulations regarding patient information.
Insurance verification and follow-up
Processed Medicare appeals and hearing requests
Entered Medicare, Medicaid and Insurance data for billing.
STERLING INC, Akron, Ohio (1993 – 1995)
30 Day Collections and Skip Tracing
Research and locate information missing or required to make collection calls.
Set up payment arrangements on past due accounts.
Processed electronic payments and forwarded to posting department.
AETNA HEALTH PLANS, Akron, Ohio (1992-1993)
Dental and Medical Claims Processor
Prepared dental pre-determinations, and processed Medical and Dental claims.
Worked to maintain claims were kept current and did not fall past deadlines.
Worked with management to correct issues with claims not received completely.
Answered phones to verify eligibility and coverage for doctors and insured.
COMPUTER SKILLS
Experienced in Microsoft Word, Excel, Access, PowerPoint, TrackIt Logging System, NextGen Medical Billing System, Outlook, Internet research, 10 adding machine, Fax and Copy Machines
REFERENCES AVAILABLE UPON REQUEST
References
Gail Kincaid
2970 Gordon Ave NW
Massillon, Oh 44647
330–833-9354
Pam Qualls
425 Lynn Dr.
Cuyahoga Falls, Oh 44221
Renee Magnacca – Principal
Tuslaw Elementary School
Massillon, Oh 44647
Contact this candidate