Insurance Follow Up Representative Resume Example Central Maine Medical Center

INSURANCE FOLLOW-UP REPRESENTATIVE

Professional Summary

Highly efficient Medical Biller with experience in full cycle billing in internal medicine and neurology. Excellent multi-tasker and demonstrated team player with a positive attitude.

Skill Highlights

ICD-9 coding

Medical billing software

CPT and HCPCS coding

Knowledge of Medicare, Medicaid & Commercial insurance

Maintains strict confidentiality

Strong work ethic

Team player with positive attitude

HIPAA compliance

Professional Experience

Insurance follow-up Representative
April 2013 to CurrentCentral Maine Medical Center － Oakland , ME

Thoroughly investigated past due invoices and minimized number of unpaid accounts.
Accurately entered procedure codes, diagnosis codes and patient information into billing software.Added modifiers as appropriate.
Confirmed patient information and verified insurance.
Completed appeals and filed and submitted claims.
Submitted refund requests for claims paid in error.
Accurately entered procedure codes, diagnosis codes and patient information into billing software.
Acted as a liaison between the business department, billers and third party payers in resolving billing and reimbursement accuracy.
Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative.
Thoroughly reviewed remittance codes from EOBS.

Medical Billing Specialist
September 2011 to December 2012Interpath Laboratory － Kenmore , WA

Accurately entered procedure codes, diagnosis codes and patient information into billing software.
Posted charges, payments and adjustments.
Completed appeals and filed and submitted claims.
Ensured timely and accurate charge submission through electronic charge capture, including the billing and account receivables (BAR) system and clearing house.
Performed quality control of the data entry system to verify that claims and payments were posted correctly.
Consistently ensured proper coding, sequencing of diagnoses and procedures.
Performed full-cycle medical billing in a fast-paced medical billing company.
Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received.
Thoroughly reviewed remittance codes from EOBS/AR's.
Applied payments, adjustments and denials into medical manager system.
Carefully prepared, reviewed and submitted patient statements.

Education and Training

CPC-A : Medical Billing & Coding, 2011Academy of Medical Professionals － City, State, USA

Coursework in CPT & ICD 9 coding

Resume Overview

School Attended

Academy of Medical Professionals

Job Titles Held:

Insurance follow-up Representative
Medical Billing Specialist

Degrees

CPC-A : Medical Billing & Coding , 2011

Insurance follow-up Representative Resume Example

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