SUMMARY:

• To acquire a challenging position utilizing excellent interpersonal, organizational and communication skills.
• Am proven quick to learn new procedures, able to handle multiple assignments concurrently in the office, customer service, data entry, and Accounting fields.
• Experienced with handling 200+ calls in a day.

SKILL:

• Insurance Billing and Collections, Data entry, Medical Records Management, Microsoft Office, Word Perfect, Excel, Spreadsheets, Access, Outlook, Power - Point. Knowledge of Medic, IDX, PARS, Centricity, SMS - (Emdeon), ICD-9 and CPT-4 coding, Medicare, Medicaid and Third Party billing. Leading Pro for Financial and Healthcare Information system.
• Marketing specialist
• Healthcare sales & support
• Advanced in Data Entry
• 45 WPM
• Sales skills & techniques, medical and home-care insurance billing.
• Excellent Customer Service Skills
• HCPCS Coding
• Experience with Medical Billing and Coding System
• Customer serviceHealthcare and Insurance Billing
• Billing and CollectionsAccounting
• Consumer GoodsCall Centre and Health Claims

PROFESSIONAL EXPERIENCE:

Confidential, Richmond, VA

Customer Service Representative

Responsibilities:

• Process cash and credit payments.
• Resolve problem accounts.
• Handled over 200+ inbound and outbound calls daily.
• Ensure prompt delivery of all orders.
• Provide customer service support.
• Receive incoming shipments. Perform billing activities for all credit purchases.
• Assist customers with return orders and exchanges.
• Answer phone calls and assist customers with questions. And supervise monthly inventory
• Customer Service
• Data Entry
• Fax, File and Scanning

Confidential

Billing and Denial Desk Analyst

Responsibilities:

• Responsible for daily follow up and resolution of denied or filed - rejected claims. Ensure contractual compensation compliance.
• Handled high volume of inbound/outbound calls.
• Customer Service.
• Data Entry and Filing.
• Perform billing activities, correct and up-date claim denials or returns.
• Responsible for Medicare and Medicaid billings.
• Managed Accounting and patient financial services.
• Assist representatives with questions on health information and account related policies and procedures.
• Monitor payer websites(s) relative to policies and reimbursement guidelines.
• Review correspondence and news-letters for changes and up-dates on policies and procedures.
• Submit or resubmit claims to primary payers electronically or on hard copy paper.
• Also submit secondary and tertiary claims with appropriate documentation or attachments.
• Ensure appropriate ICD-9 and CPT 4 coding. Ensure correct health information for policy update.
• Run reports on all billing and payments to ensure accuracy and to make necessary adjustments as needed.

Confidential

Insurance Management

Responsibilities:

• Responsible for insurance billings and reimbursement.
• Medicare and Medicaid billings and served as liaison for managed care services.
• Ensure accurate insurance records up - date.
• Educated in Health Insurance Portability and Accountability Act (HIPPA) compliance.
• Resolve disputed accounts and collections. Maintain customer service satisfaction.
• Verify patient s records and ICD-9 and CPT-4 coding to ensure accurate billing.

Confidential, New York, NY

Responsibilities:

• Supervised insurance billing, patient financial services, Medicare and Medicaid billing.
• Determine concurrency and assign proper modifier to obtain maximum reimbursement
• Ensure compliance with customer service guidelines. Resolve issues with billings, insurance denials and pending claims for maximum revenue
• Run daily reports on all accounts for correction on all rejects and duplicate charges.
• Responsible for and educating in - house staff and new hires.