Customer Service High School

Demetria Evans

**** ***** ******* ****** ● Chicago, IL 60620 ● Home 773-***-****/Cell 773-***-**** ● *****************@*****.***

OBJECTIVE

Over twelve years expertise in managerial billing accounts , outstanding communication skills, oral and written. Detail focus, highly professional demonstrating consistent achievement of all organization and fiscal objectives.

EDUCATION

Olive Harvey College August 1983 – December 1983

Bowen High School September 1977 – June 1981

OFFICE SKILLS

WordPerfect 5.0 Microsoft Operating System: Version 7.0, 97,

Windows NT, XP

Medical Coding: ICD-9, CPT MISYS System: NEBO System Inc.

Microsoft Office: Access, Excel, PowerPoint, Word FUJI it’s so Duplex

UB-92 HCFA-1500

McKesson HBOC: Series 7.0 Quadramed Affinity Client

Citrix Nextgen

Mega West AS-400RVII

Accurint E-Care, Indiana Medicaid

CFNI Manage Sovera

PROFESSIONAL EXPERIENCE

Chicago Family Health Center, Chicago, IL March 2010 – June 2010

Billing Clerk

Duties: Responsible for billing charges to the different payers, verifying insurance, and posting charges adjustment and payments to the patients’ account. Assisted patients regarding their accounts, as well as adjusted the accounts accordingly including setting up budget payments. Responsibility also included reducing the accounts receivable aging accounts and cleaning the general ledger.

Chicago Public Schools (Harlem High), IL January 2009 – March 2009

CPS/ Payroll Clerk

Duties: Compiles with payroll data entry and/or computes and posts wages and reconciles errors to maintain payroll records, attendance record keeping, clerical input of filing student/teachers records.

Community Hospital, Munster, IN

Billing Clerk February 2008 – January 2009

Duties: Gathering purchase documentation; calculating charges; issuing invoices and statements; general administrative assignments; handle daily charging and crediting for a 350-bed community based facility.

Med Support Inc., Burr Ridge, IL

Hospital Biller/Patient Representative August 2006 – November 2007

Duties: Audited face sheets/paperwork for errors; billed hospital charges re-filed claims; followed-up with insurance companies/patients regarding account payments; received and troubleshooter patient/insurance company calls; mailed letter/reminders about payments due; prepared and placed accounts with collectors.

First Health (formerly Health Net Plus), Downers Grove, IL

Senior Technical Billing Analyst January 1999 – September 2005

Duties: Processed medical and hospital claims, both inpatient and outpatient according to specific state guidelines. Applied PPO, usual and customary, and fee schedule reductions where applicable to include complex HCFA-1500 and UB-92 in accordance with company policies and procedures. Interpreted and processed pended claims to determine the appropriateness of the claim status and take necessary action based on status. Researched customer information by utilizing an on-line resource library and Customer Service Console to gather documentation needed to process claims.

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