Deborah Christian
Fort Worth,TX
Summary
Medical Billing & Coding professional with expertise in ICD-9-CM, HCPCS, CPT, insurance verification, anatomy & physiology, Medicare, Medicaid, TRICARE, CMS 1500, CM 1450 (UB-04), EOB's, managed care (HMO, PPO, and POS), insurance claim processing, multi-line phone management, intermediate ICD-10-CM, co-payments & deductibles, HIPAA compliance, MS Office (Excel, Word, PowerPoint), electronic medical records, MEDISOFT software, management of delinquent accounts, electronic payment posting, appointment scheduling, medical terminology, government payers, third-party payers, data entry/10-key skills, office management, and medical office procedures.
Overview
10
10
years of professional experience
Work History
Customer Service Representative
Southwestern Health Resource Call Center
08.2022 - 12.2023
- Handle high volume calls
- Sending emails and faxing authorization to providers and members
- Consistently achieves first call resolution on every call
- Responsible for following all compliance and regulatory requirements for turn-around time, Notification to provider/member and accuracy/completeness
- Preforms high levels of data entry consistently meets performance standards of productions, accuracy, completeness and quality
- Communicates actively and routinely with management team, and staff in handling client services, issues, escalated referral and preauthorization questions
- Preforms high levels of data entry consistently meets performance standards of productions, accuracy, completeness and quality.
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
- Answered customer telephone calls promptly to avoid on-hold wait times.
- Investigated and resolved customer inquiries and complaints quickly.
Accounts Receivible
North Texas Kidney Consultant
10.2016 - 08.2022
- Accounts Receivable
- Insurance verification
- Work denied & rejected claims
- Send Medicare, Medicaid, Commercial Redetermination & Reconsideration letters
- Correct claims
- Rebills claims
- Update patients Insurance
- Pull medical records from hospitals
- Help patients understand and answers questions about their insurance
- Deal with insurances directly
- Worked with referrals, requested them and followed up on them
- Worked with Pre-Authorizations, requested them and followed up on them.
Claims Representative
Spectra cell Laboratories
02.2015 - 05.2016
- Collections Specialist
- Verify claim status online & phone print claims mail, fax for payments Adjust patients account when insurance denies claims.
Front Desk Receptionist
Advanced Spine & Orthopedic
07.2013 - 07.2014
- Intake Coordinator
- Perform a variety of duties in clinical & clerical
- Prep paperwork for all clinics
- Check in & check out patients
- Schedule appointments
- Verify insurance for workers comp & commercial
- Input the Super bills after patients checks out
- Sends all clinical paperwork to our billing dept
- Answer phones, fax, email
- Handle all money collected from patients & give it to the office manager for deposit
- Scan all patients’ paperwork into their file
- Worked with referrals, requested them and followed up on them
- Worked with Pre-Authorizations, requested them and followed up on them.
Education
Diploma - Medical Billing and Coding
Ultimate Medical Academy
Tampa, FLSkills
- Promotional support
- Cross-Functional Collaboration
- Remote Office Availability
- Appointment Scheduling
- Medical terminology knowledge
- Computer Skills
- Office equipment proficiency
Timeline
Customer Service Representative
Southwestern Health Resource Call Center
08.2022 - 12.2023
Accounts Receivible
North Texas Kidney Consultant
10.2016 - 08.2022
Claims Representative
Spectra cell Laboratories
02.2015 - 05.2016
Front Desk Receptionist
Advanced Spine & Orthopedic
07.2013 - 07.2014
Diploma - Medical Billing and Coding
Ultimate Medical Academy
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