QUALIFICATIONS SUMMARY
• A highly talented Medical Billing Clerk with huge experience in performing a variety of complex clerical and
Accounting functions for patient billing, including verification of invoice information, maintenance of third party
Billing records, and resolution of a variety of problems; following up on submitted claims and patient billing;
Resubmitting claims and resolving problems
• Strong ability to interact and communicate with people over the telephone, often in stressful situations
• Thorough knowledge of medical insurance claims procedures and documentation
• In-depth knowledge of medical billing procedures - submission of insurance claims, Medicare, Medicaid, and other
Private insurance carriers
• Excellent records maintenance skills
• Excellent knowledge of medical terminology and customer service skills
• Remarkable experience with Microsoft Office suite, Word, Excel, Outlook
• Great typing skills - 35 words per minute
PROFESSIONAL EXPERIENCE
LimbCare Medical Manhattan, NY July 2010
DME Billing/ Accounts Receivables
Work incoming intakes from sales representatives, internet leads and medical offices. Contact Doctors Offices; sales representatives and patients for information regarding billing of lymphedema products and diabetic supplies. Bill; follow-up; research and appeal claims. Post payments and close out completed files.
Emblem Healthcare Manhattan, NY June 2010 (temp position)
Common Working File Auditor
Responsible for adding, updating, and correcting Medicare secondary payer’s information in the files. Process MSP inquiries and referrals that are received from contractors and intermediaries through ECRS. Review and process MSP maintenance transaction errors. Investigate MSP situations through system analysis. Serve as the Consortia Representative assigned to a specific Medicare carrier.
Avante Group• Hollywood, FL • 2006 to 2010
Reimbursement Specialist
Duties included but not limited to: Entering daily census and cash receipts, processing accounting functions for facilities, coordinating billing for Medicare, Medicaid, co-insurance companies, HMO and Hospice, Act as liaison to answer questions from facility on patient acc...
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