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Click here or scroll down to respond to this candidate Candidate's Name
Street Address ( PHONE NUMBER AVAILABLE (
EMAIL AVAILABLE [pic]
MEDICAL BILLING SPECIALIST
Detail oriented quality focused professional billing specialist. Successful
track record handling complicated
assignments. Highly experienced in reconciling insurance and patient
payments and resolving account
disputes. Proficient in a variety of practice management software
applications. Dedicated to maintaining
strict patient confidentiality.
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CORE SKILLS
|ICD-9, CPT-10, & Medical Terminology |Claim Entry & Payment Posting |
|Medical Insurance |Records Organization & Management |
|Excellent Interpersonal Skills |Insurance & Patient Aging |
|Excellent Phone Skills |HIPAA Compliance |
|Various Practice Management Software |Online Claim Submission & ERA |
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SUMMARY OF EXPERIENCE
NCO Financial Systems, Inc., Medical Electronic Biller, Norcross, Georgia
(3/2001 - Present)
. Bill UB04 & 1500's to third party insurance carriers, accurately and
expeditiously, via various electronic billing platforms for multiple
payers/multiple states.
. Insure accuracy of insurance claims. Verify correct ICD-9 and CPT codes
for a variety of specialties.
. Review and correct CCI edits according to compliance standards and payer-
specific coding.
. Ensure that claims capable of electronic submission are submitted
electronically and mailed hardcopy claims, when necessary.
. Post and reconcile insurance and patient payments. Research and resolve
incorrect payments, EOB rejections, and other issues with outstanding
accounts.
. Review new client claims to identify recurring billing errors to be
reported to management.
. Created appeal letters and claim adjustment forms to submit corrected
claims for reprocessing due to recoupment's, denials, proof of timely
filing, medical necessity, and underpayments.
. Identify claims that are missing information and place them on hold.
Review holds every 72 hours for follow-up reply.
. Follow-up on insurance and patient aging for multiple payers/multiple
states. Re-submit insurance claims as necessary. Knowledgeable in timely
filing restrictions.
. Maintain HIPPA Compliance.
Atlanta Journal Constitution, Production Assembler, Norcross, Georgia
(9/2004 - Present)
. Jog and insert daily newspaper and sale ads into head, stack in bundles,
tie, label, wrap into plastic, and load on pallets to be shipped.
. Mailroom clerk.
. Resolve common issues or discrepancies on daily basis.
Allegiance Healthcare, Production Assembler, Norcross, Georgia (5/1990 -
6/2000)
. Received multiple orders for shipping.
. Responsible to complete each order guaranteeing that each parcel was
properly packaged and shipped to correct locations.
. Responsible for keeping orders correct and in-stock for specific accounts
that were a priority to the business.
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TECHNOLOGY SUMMARY
MS Office (Word, Excel, Outlook) ? SSI Click-On ? Medical Manager ? PC-Ace
? Epremis ? IDX ? Health Quest ? FACS ? NSURE ? Meditech ? BCBS ? Sovera ?
HPF ? Medicare DDE-FISS ? Instamed ? Medifax
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EDUCATION & CERTIFICATION
Degree - Associate's in Residential Construction Management, Gwinnett
Technical Institute, Lawrenceville, GA, 2009
Diploma - Medical Insurance Billing and Coding, National Institute of
Technology, Atlanta, GA, 2001
Certified Patient Account Representative Certification (CPAR), Atlanta, GA
2001
Externship (Professional and Audit Services), Atlanta, GA 2001
Extern in Medical Billing and Coding, Atlanta, GA 2001
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REFERENCES AVAILABLE UPON REQUEST
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