Customer Service Medical
Resume:
JOYCE K. MILES
**** **** **** ****** 502-***-****
Louisville, Kentucky 40210 *************@*****.***
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HEALTHCARE REIMBURSEMENT SPECIALIST
Theoretical and practical knowledge of all coding systems and coding guidelines: CPT, ICD-9, HCPCS, DRG’S, APC’S (inpatient and outpatient/physician office)
• Over twenty years of customer service experience
• Skilled in performing E&M chart audits based on official E&M Documentation guidelines
• Knowledge of Medical Manager patient accounting software
• Cross-trained in medical administrative techniques:
o Patient registration, appointment scheduling, filing, and data entry
• Trained in insurance form completion and various third party payor guidelines
• Knowledge of medical billing and claims review processing including A/R follow-up and appeals
• Trained in compliance issues and compilation of compliance manual
• Working knowledge of Medical Terminology, Anatomy & Physiology, and Pharmacology to facilitate accurate coding
• Proficient in basic Keyboarding and Word Processing of at least 50 wpm
• Knowledge of basic Medical Law & Ethics related to field including HIPAA compliance and risk management issues
• Successfully completed 160 clinical hours
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WORK HISTORY
Spencerian College, Louisville, Kentucky 2008-2010
Healthcare Reimbursement Student
Clinical site: Norton Community Medical Associates - Jeffersonville, Indiana
Licensed Child Care, Louisville, Kentucky 1997-Present
Self-Employed
Humana, Inc. Louisville, Kentucky 2006
Medicare Claims Representative
Providian Financial Services, Louisville, Kentucky 1999-2005
Skip Trace/Collections Representative
EDUCATION
Sullivan University, Louisville, Kentucky Expected Graduation
Bachelor of Science in Business Administration June 2012
Healthcare Management
Spencerian College, Louisville, Kentucky 2008-2010
Associate of Applied Science
Healthcare Reimbursement Specialist
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