Customer Service Medical Billing
Resume:
Pamela Jackson
Katy, TX 77450
*********@*****.***
Summary: Medical Billing and Reimbursement Specialist with 15 plus years of medical insurance experience. Working knowledge of ICD-9, CPT-4 and HCPCS coding. Knowledge of Medicare, Medicaid, Champus, Worker's Comp and Manage Care programs. Familiarity with third party payor requirements, rules and regulations that govern collection activity, including prompt pay laws.
Experience:
Sinai Medical Group - Westchester, IL 8/2009-07/2011
Professional Provider Organization-Medical Billing Specialist
• Responsible for the accuracy, quality and timeliness of all billable services
• Review EDI edits
• ICD-9 and CPT coding
MedCom Practice Management - Schaumburg, IL 01/2006-08/2009
Medical Billing Service-Medical Billing and Reimbursement Specialist
• Charge entry/Electronic claims submission
• Process EOB's for correct adjustments and appeal opportunities
• Customer Service/Client service support
• Generate and review financial reports to calculate aging and collections ratios
Trellis Health Partners - Rolling Meadows, IL 10/2000-09/2005
Medical Billing Service-Practice Manager
• Multi-Specialty Billing, Coding and Collections
• Charge Entry/Payment posting
• Follow up on insurance denials and appeal protocols
• Generate monthly financial reports
• Customer service/Client service support
Account Temps - Hoffman Estates, IL 01/2000-10/2000
Employment Agency (Adventis Health Systems, Trellis Health Partners)-Medical Billing Specialist
• Charge entry/Payment posting
• Appeals processing
• Insurance and Self-Pay Collections
Qualink/OSI - Chicago, IL 06/1994-12/1999
Medical Billing and Collections Services-Medical Billing and Reimbursement Specialist
• Hospital and Professional Billing/Collections
• Charge entry/Payment posting/Appeal and monitor accounts
• Customer service/Client service
Great West Life Insurance - Hinsdale, IL 04/1992-05/1994
Insurance Company-Medical Claims Examiner and Customer Service Representative
• Adjudicate medical claims for payment or denial within contract agreement guidelines
• Assist patients and medical providers with eligibility and claim status information
Education:
Harry S. Truman College 01/1998-11/1998
-Fundamentals of Medical Billing and Coding
-Advanced Medical Billing and Coding
-Medical Terminology
Skills - Verbal and Written communication, Typing 60 wpm, 10 key
Medical Software Systems - NextGen, Meditech, LSS, Lytech Medvantage, Vera, EMR
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