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Precertification Registration Specialist...
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Title Precertification/registration specialist
Target Location US-OH-Canton
Email Available with paid plan
Phone Available with paid plan
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Candidate's Name
Canton, OH Street Address
EMAIL AVAILABLE - PHONE NUMBER AVAILABLE

To obtain a Medical Billing and/or pre certification position in an office environment.
Authorized to work in the US for any employer


WORK EXPERIENCE

Precertification Specialist
NeuroCare Center Inc. - Canton, OH - February 2016 to Present
Pre certification specialist for neurology practice, specialized focus on botox therapy treatment for patients.
Billing experience of commercial, Medicare, and Medicaid insurances, experienced in Nextgen practice
management and EHR systems, experience in office duties such as eligibility and registration, authorizations,
denials and appeals, basic billing procedures, collections and patient accounts.

Insurance Verification Specialist/Billing representative
Eye Centers of Ohio - Canton, OH - April 2015 to February 2016
Commercial, Medicare, and Medicaid insurance verification experience
Precertification and Prior Authorizations specialist for outpatient procedures
Explanation of financial/billing process for surgery patients
Primary medical billier for VSP commercial insurance members
Denial and appeals experience on medical claims
inbound/outbound patient and provider customer service calls
Various clerical and administration duties

Cashier/Customer Service
Fisher Foods - Canton, OH - 2007 to January 2014
Performed bagging, cashier, and other duties pertaining to a grocery store
Trained as office personnel in 2012.
Managed customer service issues and was responsible for all cashiers on floor during the times as an office
attendant.
Contributed to the training of new employees
Experienced in customer service, handling of money, and working as a team member
Knowledge of customer satisfaction and being responsible for the cashiers working
alongside of me.


EDUCATION

Vocational Certificate in Childcare and Development
Ashworth College Online - Canton, OH
2014 to 2015

High school Diploma
Glenoak High School - Canton, OH
2005 to 2009
CERTIFICATIONS

Certified Medical Administrative Assistant
March 2015 to March 2017
National Health Association CMAA Certification March 2015


ADDITIONAL INFORMATION

SKILLS

Proficient in Rexpert and IFA software systems
Skilled in the use of online insurance portals
Daily use of Microsoft Word and Excel
Extensive experience in customer relations and satisfaction
Experienced in team management
Excels in a fast paced work environment

References are available upon request.

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