8/3/2019 Medical Biller or Accounts Receivable or Medical Receptionist or

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Jeanine A Glass765-617-8698jg12fb120@westpost.net

Objective: Seeking a Medical Coding/Billing Specialist position which will makeuse of my comprehensive health care training, excellent professionalism, and proven record of reliability.

Medical Profile:Knowledge of the medical claims cycle, including CMS-1500 claims forms; knowledgeable of ICD-9-CM diagnostic coding, including V and E codes, ICD-9-CM tables aswell as coding special complexitiesPhysician procedural coding, utilizing CPT-4, anesthesia, surgery, radiology, pathology, medicine and evaluation and management service, in addition to modifiers and HCPCS codesExperienced in billing and disputing claim denials for Medicare diabetic and insulin pump patients

Skill Profile:12 years experience speaking, writing, and reading Spanish fluentlyExperienced in handling confidential paperworkExperienced in working independently and in a group settingExcellent time manager under pressure and time constraintsWell organized, multi-tasks efficiently, and very detailed oriented

Types at 30 wpm, 10 key 50 kps.

Employment History:

Accounts Receivable RepresentativeCCS Medical, Tampa, FL January 2010 a" Present

Responsible for Medicare medical billing and claim resolution for diabetic and insulin pump dependent patients, including accounting collectionsMake outbound calls to Medicare in order to reconcile denied claimsFocus heavily on reducing delinquent accounts and achieving maximum collectionsfrom all sources, including MedicareKeeps and maintains thorough notation of all AR activities, including scanning o

f patient medical documentationAchieves and excels in all productivity goals based on dollars collected and aging periodA part of the back up A/R workload overflow response teamParticipate in on-going training for Medicare/HIPAA compliance, product information and insurance benefits to increase knowledge of procedures, regulations andproductsFollows all Medicare, Medicaid and private insurance regulations and requirementsVerify Medicare patient's eligibility and benefitsMedical Biller/Claims AdjusterMy Pediatrics, Tampa, FL May 2009 a" January 2010

Discuss payment options and other billing related issues with patientsWriting letters of appeal to insurance companies to show medical necessity for avariety of procedures inbound and outbound discussions with patients to discusspayment options and other account related issuesUpdated patient records with current ICD-9 and CPT codesDiscuss non-payment claims with insurance companiesRe-bill claims to various insurance companiesInput payments into Medical Manager, schedule appointments, and checked in patientsVerify patient's insurance benefits and eligibility

8/3/2019 Medical Biller or Accounts Receivable or Medical Receptionist or

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Pharmacy TechnicianCVS Pharmacy, Atlanta, Georgia September 2008 a" May 2009

Verifying insurance eligibility and coverage for patientsEntering and processing patient prescription orders into a computer databas

eFile daily prescription hard copies in an integrated filing systemPhone customers for conflict resolution and order confirmationResolve insurance claim rejections and handled money transactions

Education & Professional Affiliations:

Sanford Brown Medical School, Dunwoody, Georgia (July 2008 a" May 2009)Graduated with honors.

Received Certificate of Completion for Advanced Spanish CourseHIPAA CertifiedMember of The American Academy of Professional Coders (AAPC)