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Medical Billing Manager

Location:
Houston, TX, 77038
Posted:
July 09, 2012

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Resume:

Joey Perfecto

***** ***********

Houston, TX. ***38

*************@*****.***

713-***-****

Objective:

To obtain a position at a progressive facility with stability and room for growth.

Software:

e-MD’s, Centricity, Medisoft, Softbill, Gateway, Medinformatix, Availity, Medical Manager, MS Word, Excel, PowerPoint, Outlook Express

Professional Experiences:

Moore Unique Dermatology Houston, TX. 06/11-02/12

Medical Billing/ Insurance Specialist

Filed Electronic Claims/ Worked Rejections/ Posted Electronic & Paper Payments

Worked EOB Denials/ Filed Paper & Phone Appeals/ Worked A/R Reports/ Collections Calls

Prepared Weekly Reporting/ Verified Surgical Benefits/ Patient Liaison/ Sent Statements

Champions Billing Houston, TX. 12/09 – 05/11

Medical Billing/ Insurance Specialist

Filed and Reconciled all Electronic/ Paper Claims (UB-04 & CMS-1500)

HMO/PPO/ Medicare/ Medicaid (Primary and Secondary Claims)

Worked Daily Rejection Reports / Reconciled Authorization Numbers

Provided Weekly Reporting / Filed Paper/ Electronic Appeals & Corrected Claims

Performed Training for Employees in Various Billing Areas

Central Healthcare Solutions Houston, TX. 06/08 – 09/09

Medical Reimbursement/ Collections Specialist

Audited Accounts/ Receivable and Investigated Discrepancies

Filed Daily Electronic Claim Batches and Monthly Statements

Filed and Pursued Many Diverse Telephone/Paper Appeals

Posted Payments and Conveyed Coding/ Claims Inaccuracies

Performed New Hire Training Responsibilities/ Interpreted E.O.B Denials

Acknowledged Patient Questions or Concerns and Rectified Various Issues

eCardio Diagnostics Houston, TX. 09/07 – 05/08

Insurance Specialist Level II

Posted Payments/ Processed E.O.B Denials

ICD-9 and CPT Coding/ Processed Availity (THIN) Reports

Sent Appeal Letters/ Worked Aging Reports/ Followed Up on Appeal Letters

Billed to Commercial Carriers as well as to Government and State Funded Insurances

Sent Patient Statements and Performed Skip Traces to Correct Patient Demographic Info

Processed Incoming Mail/ Filed Away Incoming Checks and E.O.B.’s



Contact this candidate