Summary
Overview
Work History
Education
Skills
Work Availability
Timeline

JULIE EDWARDS

Do not go where the path may lead, go where there is no path and leave a trail.
Ralph Waldo Emerson

Summary

Certified Medical Billing Specialist with four years of experience in fast-paced, multiple-client medical billing company serving large private practice conglomerates and outpatient clinics. Researched denied claims and submitted appeals. Familiar with health billing and collections. Driven Medical Biller motivated to perform beyond expectations.

Overview

12
12
years of professional experience

Work History

SALES ASSOCIATE

LOWE'S HOME IMPROVEMENT
10.2021 - Current
  • Helped customers find specific products, answered questions, and offered product advice
  • Sold various products by explaining unique features and educating customers on proper application or usage
  • Answered product questions with up-to-date knowledge of sales and promotions
  • Increased purchase amounts by cross-selling with similar products
  • Developed trusting relationships with customers by making personal connections.

03.2015 - 09.2021
  • LIVEOPS, SYKES, GRAYSTAR, MAA
  • Customer services
  • Read work orders or received instruction from supervisors or homeowners to determine workrequirements
  • Ordered parts, supplies or equipment from catalogs or suppliers
  • Recorded type and cost of maintenance or repair work
  • Completed minor electrical, plumbing and HVAC maintenance for building occupants.

INSURANCE SPECIALIST

PARAGON REVENUE GROUP
05.2013 - 02.2015
  • Evaluated pending claims to identify and resolve problems blocking auto-adjudication
  • Inputted data into the system, maintaining accuracy of provider coding information and reported services
  • Based payment or denials of medical claims upon well-established criteria for claims processing
  • Reviewed administrative guidelines whenever questions arose during processing of claims
  • Used contract notes and processing manual to correctly apply group-specific classifications to claims
  • Verified Blue Cross Blue Shield Insurance, Medicare, Medicaid and other commercial insurances

MEDICAL BILLING SPECIALIST

METROLINGA EYE ASSOCIATES
03.2012 - 12.2012
  • Contacted insurance providers to verify connect insurance information and obtain authorization for properbilling codes
  • Medical records preparation and maintenance
  • Scheduled appointments
  • Maintained current working knowledge of CPT and ICD-9 coding principles government regulation,protocols billing requirements
  • Consistently informed patients of financial responsibilities prior to services being rendered.

Education

Associate of Science - SCIENCE MEDICAL

Southern Piedmont Community College, Charlotte, NC
03.2020

Refresher classes to stay on top of coding and billing, ICD-10, CPT, Medical Terminology

Associate of Science - Health Management And Clinical Assistance

HEALTHCARE REIMBURSEMENT, VIRGINIA COLLEGE ONLINE, Birmingham, AL
06.2012

Medical coding, Submission of medical claims, Medical Terminology.

Skills

  • Claims Processing
  • HIPAA Compliance Certification
  • Account Reconciliation
  • Teamwork and Collaboration
  • Claims Review
  • Medicare and Medicaid Process
  • Disability Claims Process
  • Billing and Collection Procedures
  • Commercial and Private Insurance
  • Multitasking and Organization
  • Records Management
  • Insurance Claims Processing
  • ICD-10

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline

SALES ASSOCIATE - LOWE'S HOME IMPROVEMENT
10.2021 - Current
-
03.2015 - 09.2021
INSURANCE SPECIALIST - PARAGON REVENUE GROUP
05.2013 - 02.2015
MEDICAL BILLING SPECIALIST - METROLINGA EYE ASSOCIATES
03.2012 - 12.2012
Southern Piedmont Community College - Associate of Science, SCIENCE MEDICAL
HEALTHCARE REIMBURSEMENT, VIRGINIA COLLEGE ONLINE - Associate of Science, Health Management And Clinical Assistance

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