Customer Service Medical

ALEXIS UPSHAW

**** * ***** ****** *******, Illinois 60649

Phone: 312-***-**** Alternate: 773-***-****

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

Objective:

To obtain a career where I can utilize my medical billing and coding training and experience in a healthcare setting.

Summary of Skills:

ICD 9/ CPT /HCPCS

Insurance verifications

Knowledge of various Insurance programs: HMOs, Managed Care, Medicaid, Medicare

Claims processing: EOBS, Denials

Collections

Medical Terminology

Appointment Scheduling

Filing and Charting

Software: MediSoft,

CLINIX Database, Microsoft Word, Excel PowerPoint

10+ Years Customer Service experience

HIPAA Trained

Medical Record Management

Data Entry/ Typing 40 wpm

Education/Externship:

Coyne American Institute Chicago, IL

Diploma Medical Billing and Coding Specialist

October 2009

Curriculum Overview: Medical Office Administration, Anatomy and Physiology, Pathophysiology, Law and Ethics, Advanced Insurance and Coding I & II, Basic Insurance and Coding, Medical Terminology

Taylor Medical Associates Chicago, IL

Medical Biller Extern (Completed 160 Hours)

Submitted electronic claims to insurance companies

Followed up on denied claims to determine reasons for denial

Telephoned patients to arrange payment schedules for accounts owed

Determined proper codes to endure proper billing

Updated patient charts

Employment:

RMK Holdings Chicago, IL

Medical Biller, June 2010- Present

Completed insurance verification and demographic updates

Performed claims adjustment based on EOBs

Edited insurance information for patient accounts as necessary

Process all Medicaid claims and denials

Audit United Healthcare rejected claims

Enter new patient information using CLINIX Database

Post and verify payments

Contact Third Party Insurers to discuss claims

Discuss claim status and statements with patients

Collections: Patient follow up of overdue balances

Jewel-Osco Chicago, IL

Cashier, March 2001- August 2008

Handled customer transactions via cash register

Assisted customers with shipping needs

Counted and balanced cash drawer to ensure correct amounts and adequate change

Trained new employees and delegated assignments

Assisted with Starbuck’s operations such as making beverages and customer service

Mc Donald’s Chicago, IL

Cashier, July 2000- March 2001

Handled customer transactions via cash register

Prepared and served food orders according to customer requests

Assisted co-workers with daily activities

Counted and balanced cash drawer to ensure correct amounts and adequate change

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