Administrative Support Resume Profile

OBJECTIVE

Obtain a position with a reputable Health Care Organization where I can utilize my billing and coding skills as well as my patient records skills.

SUMMARY OF QUALIFICATIONS

Extensive knowledge of CMS 1500 and UB-04 forms
Medical Terminology, Anatomy and Physiology
ICD-9, CPT and HCPCS Coding
Private and Managed Care Insurance Plans
Proficient in Medisoft, IDX, EPR, OCISQ and Internet
Microsoft Office, Word, CareMedic, Epic, Excel and Power Point
Appointment Scheduling, Insurance Verifications and Answering Incoming Calls
Filing, Faxing, Typing 40 wpm's , and 12 Digit Calculator
Post Payments, Reimbursement and Collections, Charge Entry, Charge Processing,
Registration, Medical Records and Refunds
Training new employees
CPR Certified

WORK EXPERIENCE

Confidential

Coder Work on this project periodically throughout the years as needed : Conduct quality assessment of work to ensure continuous improvement in ICD-9 coding and collection of quality health data. Ensure all documentation is present in appropriate format and sequence. Read and analyze medical records to identify all diagnosis, operations, and procedures relevant to inpatient, outpatient, and office patient care. 3M Encoder system used for coding documents. Manually posts payments, contractual adjustments and rejections from EOB's. Performs AR follow up on rejected claims. Perform consistent follow up on open invoices by insurance class utilizing PCS or ATB. Resolves E-commerce edits within department guidelines. Select AR follow up and/or documentation request in a timely manner. Researches and resolve insurance denials through written appeal, telephone call, web based adjudication system, charge correction or write off request

Confidential

Patient Account Representative II: Use medical records, patient's charts, and physician's notes to accurately code diagnosis, operations, and procedures for inpatient, outpatient, and office visit encounters, using ICD-9 and CPT coding manuals. Enters charges accurately and timely, ensures charges are balanced and reconciled within department guidelines. Manually posts payments, contractual adjustments and rejections from EOB's. Performs AR follow up on rejected claims. Perform consistent follow up on open invoices by insurance class utilizing PCS or ATB. Resolves E-commerce edits within department guidelines. Select AR follow up and/or documentation request in a timely manner. Researches and resolve insurance denials through written appeal, telephone call, web based adjudication system, charge correction or write off request. Gathers required data elements for charge entry purpose.

Confidential

Billing Coordinator Temporary Position : Post payments from daily Lockbox into IDX system, Locate Explanation Of Benefits to send out with secondary claims, Post Time Of Service co-payments made by patients via cash, check or credit card, Post Refund's into IDX system, File batches of posted payments, Purge patient accounts filed with zero balances from prior years from the bulk filing system and post rejections for zero/denial payments. Enter charges into IDX billing system. Train new employees.

Confidential

Refund Specialist Temporary Position : Work written correspondence from various insurance companies requesting refunds. Investigate the reason for the refund, Verify insurance information, prepare paperwork for refund and enter refund information into IDX web system. Meet and exceed daily quota 30 refunds per day .

Confidential

Medical Billing Clerk Externship : Completed 160 hours of in-service training. Responsible for ensuring excellent customer service to the patients, check patients in for appointments, schedule appointments, bill the insurance companies, insurance verification, attempt to collect any out dated debt from insurance companies and self pay patients, answer phones, filing and faxing.

Confidential

Stylist and Front Office Administrative Support: Answer all incoming calls. Follow up after appointments by phone. Ensure excellent customer service to all clients and visitors. Manage staff members. Scheduling appointments. Shampoo, rinse, condition, style and dry hair. Check clients in and out when visit is complete.

We provide IT Staff Augmentation Services!

We'd love your feedback!

Resume Categories

Client Services

Job Seekers

Visa Sponsorship