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Objective

Seeking full time employment which will utilize my skills while providing an opportunity for mutual growth and advancement.

Skills

  • Knowledge of Medicare, Medicaid, HMO, and Commercial Insurances

  • HIPPA compliance

  • ICD-9/ICD-10 coding
  • Deadline driven

  • Strong work ethic
  • Effective time management
  • Strong planning, organizational, and communication skills
  • Competent in Power Point, Excel, and Microsoft Office

Work experience

Oct 2015Dec 2017

Radiology Billing Representative /Accounts Receivable/Patient Billing Service Representative

 Associates in Medical Imaging, LLC
  • Responsible for all follow -up processes including, posting payments, working denials and filing appeals
  • Answering patient phone calls, taking payments , setting up payment arrangements, collections
  • Verified patient coverage
  • Coded/billed claims to Medicare/Medicaid/HMOs/Commercial Insurance
Nov 2013Jan 2015

System Administrator/Quality Assurance

American EMS
  • Set up payors and locations in billing software
  • Mapped billing software  for clearinghouse uploads

  • Responsible for uploading claims from billing system into clearinghouse
  • Corrected/resubmitted rejected claims
  • Ran error reports and sent errors to billing representatives for resubmission
  • Completed audits of billing representatives
Oct 2012Nov 2013

Accounts Receivable Representative

First Med EMS
  • Worked follow-up on Medicare/HMO claims such as denials, appeals and posting payments.

  • Maintained multiple payors
  • Met/exceeded high production standards

Feb 2008Oct 2012

Government Billing Representative/Technical Coordinator/Quality Assurance Representative

American Medical Response
  •  Verified patient coverage

  • Coded/billed claims to Medicare/Medicaid/HMOs/Commercial Insurance

  • Meeting deadlines and high production standards.

  • Created HIPPA and government billing training material

  • Performed one-on-one state specific training in multiple subjects

  • Completed training courses in Power Point and Excel.

  • Completed monthly audits on billing representatives

  • Involved in Medicare compliance/medical necessity  audits

Education

Sep 1999May 2003

Diploma

Poland Seminary High School

College Preparatory Classes

References

Barbara Aponte/ Personal

330-506-1788

Shannon  Moye/  Professional

330-612-0939

Diane Pence/  Professional

330-608-2040