Insurance Billing Specialist Resume Example
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INSURANCE BILLING SPECIALIST
Career Overview
Highly skilled Computer Assistant offering vast knowledge of network security at desktop, server and internet levels.
Qualifications
COMPUTER SKILLS: Computer Operating Systems, Windows 7, Windows XP, Microsoft Office, OutlookTechnical help desk experience Web content management Information security Excellent problem solving skills |
Work Experience
Insurance Billing Specialist
October 2014 to CurrentSpartanburg Regional Medical Center － Landrum , SC76119 Salary: $35,275/year, 40 hours/week Supervisor: Pia Foster, (817) 569-4455, may be contacted. Assist consumers in applying for, obtaining enrollment and verifying eligibility and other relevant benefits by screening for eligibility, obtaining necessary information and documents, assisting with the completion of forms, and assisting clients throughout the application and appeal process for the following programs: Medicaid, Medicare, SSI/SSDI, North STAR, CHIP and other federal, state supplemental programs. Responsible for scheduling, rescheduling, follow-ups, cancellations, update demographics and insurance information. 76107 Salary: $35,275/year, 40 hours/week Supervisor: Pia Foster, (817) 569-4455, may be contacted. Responsible for maintaining medical records of medical billing, claims, settlements and medical insurance based on medical treatments. Establishes payment plans to help clients manage payment of bills. Rebills medical insurance companies or other third parties to secure financial information for patients using based on diagnosis using appropriate billing codes. Run weekly financial reports to view open claims, new enrollee report and any other financial reports. Determine family cost share and copays based on financial eligibility, household information, deductions and other expenses.
October 2014 to CurrentSpartanburg Regional Medical Center － Landrum , SC76119 Salary: $35,275/year, 40 hours/week Supervisor: Pia Foster, (817) 569-4455, may be contacted. Assist consumers in applying for, obtaining enrollment and verifying eligibility and other relevant benefits by screening for eligibility, obtaining necessary information and documents, assisting with the completion of forms, and assisting clients throughout the application and appeal process for the following programs: Medicaid, Medicare, SSI/SSDI, North STAR, CHIP and other federal, state supplemental programs. Responsible for scheduling, rescheduling, follow-ups, cancellations, update demographics and insurance information. 76107 Salary: $35,275/year, 40 hours/week Supervisor: Pia Foster, (817) 569-4455, may be contacted. Responsible for maintaining medical records of medical billing, claims, settlements and medical insurance based on medical treatments. Establishes payment plans to help clients manage payment of bills. Rebills medical insurance companies or other third parties to secure financial information for patients using based on diagnosis using appropriate billing codes. Run weekly financial reports to view open claims, new enrollee report and any other financial reports. Determine family cost share and copays based on financial eligibility, household information, deductions and other expenses.
Enrollment Benefits Specialist II
February 2010 to December 2012TRICARE - TRIWESTGeneral Leonard Wood Army Community Hospital Building #470, Room #163-1 Salary: $42,720/year, 40 hours/week Supervisor: Eric Hancock, (719) 266-7691, may be contacted Responsible for all military personnel to verify the sponsor, veterans and beneficiary eligibility information in the Defense Enrollment Eligibility Reporting System (DEERS) to determine which TRICARE Program based on federal requirements. Provide benefit counseling to sponsors, who are assigned to a permanent change of station (PCS), retiring from active duty, have a change in marital status, having a baby and medically retired sponsors. Requesting pre-authorization for current or future coverage based on TRICARE rules and regulation.
February 2010 to December 2012TRICARE - TRIWESTGeneral Leonard Wood Army Community Hospital Building #470, Room #163-1 Salary: $42,720/year, 40 hours/week Supervisor: Eric Hancock, (719) 266-7691, may be contacted Responsible for all military personnel to verify the sponsor, veterans and beneficiary eligibility information in the Defense Enrollment Eligibility Reporting System (DEERS) to determine which TRICARE Program based on federal requirements. Provide benefit counseling to sponsors, who are assigned to a permanent change of station (PCS), retiring from active duty, have a change in marital status, having a baby and medically retired sponsors. Requesting pre-authorization for current or future coverage based on TRICARE rules and regulation.
Financial Data Assistant II
January 2007 to October 2010Department Of Behavioral Health － City , STATE72204 Salary: $35,520/year, 40 hours/week Supervisor: Kymala Calloway, (501) 686-9465, may be contacted Responsible for researching and preparing financial reports, examining, verifying document and performing general office duties that is governed by state and federal laws. Composed routine correspondence, form letters, maintained activity logs, financial ledgers. Responsible for processing applications, forms, vouchers, records and financial reports for accuracy and in compliance with federal regulations. Assisted in revising agency policies, procedures, provided directives based on research findings, compiled financial information used to formulate budget proposals and monitor expenditures.
January 2007 to October 2010Department Of Behavioral Health － City , STATE72204 Salary: $35,520/year, 40 hours/week Supervisor: Kymala Calloway, (501) 686-9465, may be contacted Responsible for researching and preparing financial reports, examining, verifying document and performing general office duties that is governed by state and federal laws. Composed routine correspondence, form letters, maintained activity logs, financial ledgers. Responsible for processing applications, forms, vouchers, records and financial reports for accuracy and in compliance with federal regulations. Assisted in revising agency policies, procedures, provided directives based on research findings, compiled financial information used to formulate budget proposals and monitor expenditures.
Education and Training
B.S. : Computer Information SystemsUniversity of Arkansas at Monticello － City, State, USUniversity of Arkansas at Monticello December 2002 B.S. Degree, Computer Information Systems
Military Experience
January 2007 to October 2010Company NameGeneral Leonard Wood Army Community Hospital Building #470, Room #163-1 Salary: $42,720/year, 40 hours/week Supervisor: Eric Hancock, (719) 266-7691, may be contacted Responsible for all military personnel to verify the sponsor, veterans and beneficiary eligibility information in the Defense Enrollment Eligibility Reporting System (DEERS) to determine which TRICARE Program based on federal requirements. Provide benefit counseling to sponsors, who are assigned to a permanent change of station (PCS), retiring from active duty, have a change in marital status, having a baby and medically retired sponsors. Requesting pre-authorization for current or future coverage based on TRICARE rules and regulation. Financial Data Assistant II 1/07 - 10/10 Employer: Department of Behavioral Health 4815 West Markham Street, Little Rock, AR 72204 Salary: $35,520/year, 40 hours/week Supervisor: Kymala Calloway, (501) 686-9465, may be contacted Responsible for researching and preparing financial reports, examining, verifying document and performing general office duties that is governed by state and federal laws. Composed routine correspondence, form letters, maintained activity logs, financial ledgers. Responsible for processing applications, forms, vouchers, records and financial reports for accuracy and in compliance with federal regulations. Assisted in revising agency policies, procedures, provided directives based on research findings, compiled financial information used to formulate budget proposals and monitor expenditures.
Skills
Financial Reports, Budget, Correspondence, Federal Regulations, General Office, General Office Duties, Monitor Expenditures, Proposals, Vouchers, Benefits, Benefits Specialist, Pcs, Clients, Billing, Claims, Insurance Billing, Medical Billing, Medical Insurance, Medical Invoicing, Medical Records, Settlements, Medicaid, Medicare, Scheduling, Ups, Ar, Microsoft Office, Ms Office, Outlook, Windows 7, Windows Xp
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Resume Overview
School Attended
- University of Arkansas at Monticello
Job Titles Held:
- Insurance Billing Specialist
- Enrollment Benefits Specialist II
- Financial Data Assistant II
Degrees
- B.S. : Computer Information Systems
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