Seeking a rewarding and challenging medical billing position that will utilize my education and
Authorized to work in the US for any employer
Obtained Certified Medical Administrative Assistant (CMAA) and Certified Billing & Coding
Specialist (CBCS) certifications.
Medical billing (10+ years),
Basic Accounting (5 years)
Four years experience of Analyst work with credit, contract and no pay accounts
Three years as a supervisor of soft lines for a major retail outlet store.
Very detailed oriented
Maintains strict confidentiality
Knowledge of HMOs, Medicare and Medi-Cal
Extensive anatomy/physiology knowledge
CPT and HCPCS coding
Strong planning skills
Team player with positive attitude
Strong work ethic
Payment Specialist08/2015 to CurrentCompany NameCity, State
Posted charges, payments and adjustments.
Responsible for posting of all patient, insurance payments information, data entry, and processing paperwork.
Review all zero dollars, denials and underpaid amounts that fall outside clients' collection policy Makes line item adjustments, as directed, for all zero pays and denials.
Identify accounts that need to be refunded.
Ensure correct payment processing Run and analyze balancing report to ensure accurate posting Completes all tasks received via the gMed dashboard, daily Abide with HIPAA and PHI guidelines at all times.
AP/AR Specialist06/2012 to 08/2015Company NameCity, State
Provided administrative support to executives and higher management.?
Installed, implemented and trained others on QuickBooks.?
Managed accounts receivable.?
Completed daily invoicing, monthly statements and collections.?
Managed customer accounts.?
Responded to and resolved customer issues and complaints.?
Identified and implemented enhancements to customer service, communications, and mediation processes to improve
Payment Research Clerk Lockbox & EFT02/2010 to 06/2012Company NameCity, State
Accurately identified all incoming payments, denials, and Electronic/Lockbox receipts by reviewing all provider information and research tools available.
Determined and perform all actions needed to resolve unidentified payments/denials including calling the Independent Clinics and insurance companies as needed.
Reversing any adjustments needed and moving payments and/or adjustments to other line items as needed.
Filled out proper paperwork, build or maintain excel spreadsheets and make necessary copies of documentation needed to keep on file and to send to the independent Clinics.
Forward information daily to the Independent Clinics, NMG Posting Department, Staff Accountant and Corporate Finance.
Was head of special projects to resolve any and all unallocated payments.
Working with IT on testing and improving new programs.
Ordered necessary supplies for my department when needed to keep the work process running smoothly.
Working closely with Independent Clinics to located there missing Lockbox and EFT payments.
Medical Billing07/2006 to 03/2009Company NameCity, State
Completed HRA training on Self Pay Accounts.
Advised Patient/Guarantors of account balances and obtained correct Insurance information.
Additionally answered any questions Guarantors postulated.
Fulfilled responsibilities with Insurance Followups.
Called Insurance Companies for claim status.
Dispatched letters to patients for correct insurance information.
Sent Appeals to Insurance companies, etc.
Refunding Insurance/Patient due to overpayments.
Moving money to correct Charge.
Applying Adjustments per EOB, etc.
Assistant Manager09/2004 to 10/2005Company NameCity, State
Worked diligently as a Sales Associate beginning in September 2004 and was promoted to Assistant Manager in March 2005.
Promoted cleanliness in the workplace by making sure shelves were restocked, as well as clean and organized.
Gave high quality customer service working the cash register, on the sales floor, and when answering phones.
Quickly adapted to change when having to reset the store lay out in accordance with promotional sales and sales fliers.
Balanced Cash Office funds, filled out office paperwork, and deposited store profits.
Jewelry Specialist09/2002 to 09/2004Company NameCity, State
Worked as a Level one Sales Associate from September 2002 until promoted to a Level two Jewelry Specialist in January 2003.
Provided superior guest assistance and customer service within Target Corporation Standards.
Managed Sales floor Associates.
Completed marketing analysis forms and sent in reorder request forms to remit stock.
Trained coworkers to assist guests and to prepare neat and orderly assigned areas in accordance with Target's expectations and cash policies.
Education and Training
CPC: Healthcare Information Management Program2015New System SchoolCity, StateCAC in Ambulance Coding
National Ambulance Healthcare Information Management Program
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New System School
Job Titles Held:
Payment Research Clerk Lockbox & EFT
CPC : Healthcare Information Management Program 2015 Diploma December 2005 Retail Sales Leadership Program
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