Upfront Review Clerk Resume Example
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UPFRONT REVIEW CLERK
Professional Summary
Organized upfront review clerk with experience in maintaining accurate patient billing information. Experienced with researching denied claims and appeals.
Skills
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Work History
08/2007 to 04/2014
Upfront Review ClerkKiva – San Francisco
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Assisted in the maintenance of medical charts and/or electronic medical record (filing, Op Reports, test results, home care forms).
- Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
- Identified and resolved patient billing and payment issues.
- Confidently and adeptly handled claim denials and/or appeals.
- Updated patient financial information to guarantee accuracy.
- Verified patients' eligibility and claims status with insurance agencies.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Maintained strict patient and physician confidentiality.
- Responded to correspondence from insurance companies.
- Submitted electronic/paper claims documentation for timely filing.
- Examined patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable.
- Precisely evaluated and verified benefits and eligibility.
- Reviewed patient charts and prescriptions to verify eligibility for equipment services provided.
- Conducted training in office when new procedures and policies were implemented.
06/2003 to 02/2004
Director of CommunicationsAll American Snacks – City , STATE
- Adeptly managed a multi-line phone system and pleasantly greeted all customers.
- Dispatched maintenance to repair malfunctioning machines.
- Entered numerical data into databases in a timely and accurate manner.
- Coordinated deliveries and processed changes in warehouse stock.
- Processed weekly timesheets to ensure accurate and timely payroll.
Education
2007
Diploma: Medical Transcription, Medical Billing and Coding
Wright Career College - City, State
Wright Career College - City, State
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Resume Overview
School Attended
- Wright Career College
Job Titles Held:
- Upfront Review Clerk
- Director of Communications
Degrees
- Diploma : Medical Transcription, Medical Billing and Coding
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