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EMAIL AVAILABLE
PHONE NUMBER AVAILABLE
Education:
Tennessee Technology Center Nashville, TN
Health Information Billing Specialist
Summary of Skills/Qualifications:
Medical/Medicaid Insurance Claims for long term care
UB92s claims forms
Knowledge of all HIPPA regulation laws
Kronos, People Soft, and Dorado Verification
Gateway EDI
Trans-world Systems
eClinical works
AHIN
Caretracker
Professional Experience:
CHS- Nashville, TN 2014- Current
Billing Specialist
Daily key punching when needed to sure accuracy of billing for all services
Documentation and Coding on Route Slip and EMR
Review of postings before claim submission
Enter payments and assure correct allocations
Send electronic and paper claims daily
Send claims to all private insurance, third party, workers comp, and government payers
Follow batch claims via Gateway and work all denials until payment is received
Green Hills Health & Rehab Nashville, TN 2008-2015
Scheduler/ AP Date Entry
Billing co-insurance for Medicare/Medicaid of TN
Third Party reimbursement and Hospice carriers
Verify patients benefits prior to admission
Spend Downs General Ledgers
Daily scheduling and facility ordering through DSSI
Select Specialty- Nashville, TN 2006-2008
Patient Care Representative
Monitored Telemetry while evaluating charts
Identified payer source and verified insurance eligibility
Handled financial status and assigned correct pay type
Assisted patients with completion of paperwork when necessary
Verified insurance eligibility and obtained authorization for dates of service
First Health SVCs- Nashville, TN 1998-2005
Receptionist
Answered multi switchboard
Clerical Duties
Provided information and quality service to all visitors
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