Denisha King
Las Vegas
Summary
Seeking a position that can help develop my practical skills with the chance to excel and the opportunity of advancement.
Experienced with managing billing cycles and maintaining financial accuracy. Utilizes billing software to streamline processes and resolve discrepancies. Knowledge of financial regulations and compliance ensures accurate and timely billing operations.
Overview
11
11
years of professional experience
Work History
Billing Specialist
CMRE
01.2017 - 02.2020
- Researched and resolved billing discrepancies to enable accurate billing.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Located errors and promptly refiled rejected claims.
- Identified and resolved patient billing and payment issues.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
Family PCA
Home Health Care
01.2013 - 12.2016
- Support patients by providing housekeeping, laundry, shopping, and household duties
- Provide personal services such as; bathing dressing, and grooming
- Monitor patient condition by observing physical and mental condition
Child Care
Home Day Care
01.2009 - 12.2012
- Responsible for multiple children daily
- Assisted with preparing and serving meals and snacks; running errands
- Helped with daily hygiene
Education
Associate’s Degree - Applied Science Computer Technology and Business Administration
Alaska Career College
Anchorage, Alaska01.2016
Medical Billing and Coding -
American Career College
Anaheim, California01.2017
Skills
- Microsoft Office 2013
- Outlook
- Excel
- Access
- Word
- Financial budgeting
- Business Math I
- Office Administration
- File Management
- Business English I
- Computer Networking
- ICD-9
- ICD-10
- CPT
- HCPCs Coding
- Medical Terminology
- Medical Insurance
- Claims Processing
- Medisoft Software
- Electronic Billing Procedure
- CMS 1500
- UB-04
- Managed Care (HMO,PPO, and POS)
- Appointment Scheduling
- Payment Posting
- Insurance Verification
- HIPAA Compliant
- Insurance verification
- Customer service
- Data entry proficiency
- HIPAA compliance
- Claim submission
- Relationship building
- Record preparation
- Problem-solving
- Attention to detail
- Multitasking and organization
- Verbal and written communication
- Data research
- Medical coding
- Report generation
- Insurance claim processing
- Monthly billing management
- Time management
- Insurance confirmation
Characteristics
- Very organized
- Great attitude with willingness to learn
- Capable of working as a team player
- Strong problem solving ability
- Positive and helpful attitude
- Perfect attendance
- Able to handle crucial and confidential information
Languages
English
Full Professional
Timeline
Billing Specialist
CMRE
01.2017 - 02.2020
Family PCA
Home Health Care
01.2013 - 12.2016
Child Care
Home Day Care
01.2009 - 12.2012
Medical Billing and Coding -
American Career College
Associate’s Degree - Applied Science Computer Technology and Business Administration
Alaska Career College
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