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Mallory Pineda
City, State, Zip Code
Home: 000-000-0000 | Cell: 000-000-0000
email@email.com
Professional Summary
Skilled Reimbursement Specialist possesses extensive knowledge of insurance billing procedures for medical office reimbursement for patient care.Pays careful attention to detail and has excellent interpersonal skills.Has a high school diploma and full certification as a Reimbursement Specialist.
Core Qualifications
- Extensive experience with Commercial companies as well as Medicaid and Medicare
- Good oral and written communication skills
- Readily able to coordinate with insurance companies to verify benefits
- Good communication with patients billing department and staff regarding benefits information
- Excellent data entry and effective billing practice
- Good at resolution of patient/payor issues
Experience
Reimbursement Specialist
6/1/2009 – 7/1/2014
Company Name
City, State
- Worked in patient intake in the emergency room.
- Collected insurance information and entered into the system.
- Called insurance companies to verify and confirm covered services.
- Conferred with patients regarding coverage.
- Entered provided services into the system for effective billing.
Reimbursement Specialist
5/1/2003 – 5/1/2009
Company Name
City, State
- Served as the clinic’s medical reimbursement specialist for a five-doctor office with approximately 200 patients.
- Confirmed coverage and worked with private payors commercial payors Medicaid and Medicare for reimbursement of provided medical services.
- Verified all coverage prior to patients seeing the doctor.
- Re-confirmed information every time a patient came in to verify continued benefits coverage.
Education
High School Diploma
2002
High School Name
City, State
2003 Certified as a Reimbursement Specialist
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