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Medical Billing Specialist

Location:
Oswego, IL, 60543
Salary:
$19.00/per hour
Posted:
August 24, 2012

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Resume:

Michele Rene'e Keerns

Accounts Receivable/Medical Insurance Biller

*** ****** *****, ******, ** 60543

l7q9g5@r.postjobfree.com

Career Summary and Objective:

Highly experienced, detail oriented, problem solving, and quality focused Certified Medical Insurance Biller and Office Manager. Deep understanding of medical billing methodologies and procedures derived from a lengthy term of employment with the University of Chicago Physicians Group. Desire to further my medical career in a challenging role that will facilitate personal growth while offering advancement potential.

Key Skills:

ASA/Cross-walk Anesthesia Coding

CCI/EncoderPro and McKesson Coding Tools

GE-IDX Centricity, Kareo, and Medisoft Billing Systems

Systems and application training of new and/or established employees

Medical Certificates of Achievement:

CPT Coding

ICD-9 Diagnostic Coding

Medical Terminology

HIPAA Compliance

20 Years of Service

Experience:

Faith Medical and Gastroenterology Center

1845 W Army Trail Road, Addison, IL 60101

January 2012 to July 2012

Title: Office Manager/Systems Administrator

Responsible for Overseeing Functions & Operations in a Doctor’s office setting.

Initiated new office policies and procedures, including Practice Fusion EMR and Kareo

Managed all Staff including Physician Assistants, Medical Assistants, Nurses and Medical Billing Operations.

Responsible for Payroll, Updating Employee Accruals, and Time-Off Requests.

Worked Exclusively for Utpal P. Parekh, M.D., GI Specialist.

The University of Chicago Physicians Group (UCPG)

180 N Harvester Drive, Suite 110, Burr Ridge, IL 60527

August 1990 to December 2011

Title: Accounts Receivable (for Contracted Non-Governmental Payers)/Medical Insurance Biller

Accounts Receivable responsibility for various departments, Surgical and Anesthesia, Radiology, Radiation Oncology, Pathology, Psychology and Evaluation Management (E/M). Processed on average 63 claims per day.

Analyzed, processed, and submitted Letters of Appeal regarding payment disputes for coding/unbundled errors, under-paid claims for Managed Care Accounts, and non-covered services due to experimental/unproven surgical services. Typically handled claims over $20,000 dollars.

Highly experienced in Insurance Follow-up for Non-Governmental Managed Care and Commercial Insurance Payers, Systems/Production, Charge Entry, Charge Posting, Patient Inquiry, and Self-Pay Collections.

Education:

1986-1990 Minooka High School

Minooka, IL

1988-1990 Grundy Area Vocational Center/Medical Transcriber

Morris, IL

References available upon request



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