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Billing and Collections Resume Example

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BILLING AND COLLECTIONS
Professional Summary
To acquire a position with a company that offers a productive atmosphere. Also, seeking an occupation that will enhance my professional background in Medical Billing and Coding, and allow me to progress in a challenging career.Inpatient and outpatient records coding specialist with ICD-9, ICD-10 and ASC coding expertise. Familiar with commercial and private insurance carriers. Seeks a position of increased responsibility and authority.
Licenses
No Licenses
Skill Highlights
  • Coding (CPT, ICD-9-CM,HCPCS)
  • Medical Terminology
  • Claim Filing (electronic/manual)
  • Insurance Verification
  • Medisoft Software
  • V-system
  • Lotus Notes
  • HIPAA/OSHA Trained
  • Proficient in Data Entry
  • Microsoft Office
  • AgileNet
  • AWD, SAP
  • Interest CalculationsMaintains strict confidentiality
  • Knowledge of HMOs, Medicare and Medi-Cal
  • Medical Manager Software
  • Managed care contract knowledge
  • Electronic Medical Record (EMR) software
  • ICD-9 coding
  • CPT and HCPCS coding
  • HIPAA compliance
  • Medical billing software
  • Strong work ethic
  • Patient-focused care
  • Team player with positive attitude
 
  • Good written communication
  • Exercises good judgment
Professional Experience
Billing and Collections
August 2015 to Current Medix Contract － Houston, Texas
  • Medical collections for coding billing for DR.
  • Anthony Echo at Methodist Hospital.
  • Willowbrook.
  • Schedule appointment check patients in and out.
  • Verify insurance get surgery.
  • approved thru insurance get doctor approved for in-network benefits when he is out of.
  • network for the patients.
Account Specialist
September 2011 to August 2015 Omega Billing Services － Kingwood, TX
  • Insurance Verification, Collections, Researching outstanding balances, Billing nursing homes for the Part A patients, Coding the Part B patients for the nursing home, Collections, Scanning in Adobe, Taking Facility Calls for any changes.
  • Account Rep for Medicare Part A patients in nursing home, senior living, home health care, and asst living.
  • Billing for Medicare part A and invoicing at the end of the month.
  • Contact facility for in corrections that are needed.
Client Service Professional
September 1997 to January 2010 Valic － Houston, TX
  • Ensure same day processing of lockbox contents, audit processed deposits for accuracy, train new staff on daily procedures, policies and products, communicate with group clients on bad order remittances, maintained recordkeeping of processing errors, trained existing team members on techniques to ensure accuracy and reduce errors, reconciled daily department lockboxes when out of balance issues arise and clear all outstanding general ledger issues for the processing teams.
Senior Account Specialist
September 1997 to January 2010 Valic － Houston, TX
  • Research and resolve group and account level premium corrections, through adjustments, and account maintenance in response to inquiries and requests from internal and external clients, via AWD (Automated Work Distributor) in a timely manner, gathered and analyze multiple sources of information and ensure validity through policy procedures and industry regulations.
  • Maintain a strong working relationship between internal and external clients by being proactive and responsive to their service needs.
Tape Batch Clerk
September 1997 to January 2010 Valic － Houston, TX
  • Reviewed account history and determined the accurate bill(s) and payroll dates(s).
  • to be used in processing.
  • Verified and submitted premium remittance processing via.
  • keypunch.
  • Tracked and monitored coding to ensure correct claims and billings.
  • Identified.
  • and documented problems requiring analytical intervention to facilitate processing.
Premium Clerk II
September 1997 to January 2010 Valic － Houston, TX
  • Reviewed, balanced, and reconciled lockbox contents Determined deposit type, processing method, set up deposits, and processed contributions and rollovers to participant's accounts.
  • Prepared and processed all necessary documentation and deposit adjustments related to premium processing, obtained necessary approvals, and processed with established guidelines.
  • Researched and resolved issues on routine to moderately complex problem remittances including, out of balances, payroll date concerns.
  • Prepared, reviewed, and resolved the necessary documentation and communicated with regional and home offices.
Education and Training
Medical Billing & Coding, 04/2011 Remington College － Houston, TX
High School Diploma : 1987 S P Waltrip － Houston, TX, United States
Skills
Adobe, balance, benefits, Billing, billings, CPT, clients, Data Entry, documentation, Filing, general ledger, home health, ICD-9, Insurance, invoicing, Lotus Notes, Medical Billing, Medical Terminology, Medisoft, Microsoft Office, network, nursing, nursing home, payroll, policies, Coding, Researching, Research, SAP, Scanning, surgery, type
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Resume Overview

Companies Worked For:

  • Medix Contract
  • Omega Billing Services
  • Valic

School Attended

  • Remington College
  • S P Waltrip

Job Titles Held:

  • Billing and Collections
  • Account Specialist
  • Client Service Professional
  • Senior Account Specialist
  • Tape Batch Clerk
  • Premium Clerk II

Degrees

  • Medical Billing & Coding , 04/2011
    High School Diploma : 1987

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