Marcus Young
Chicago,IL
Summary
To secure a position where my 10 years in the field of medical Insurance claim procedures, billing, repricing, investigating and all related duties are needed.
Overview
21
21
years of professional experience
Work History
Billing Coordinator
Help At Home LLC
Chicago, IL
03.2018 - Current
- Processing billing according to contract regulations and requirements
- Complete billing, resubmitting, cash posting support, adjusting payer codes, making payer code changes, processing refunds, auditing documents, researching and resolving problems
- Meeting all billing deadlines
- Collect, analyze and summarizing information, producing reports and responding to requests
- Communicating progress and any issues with supervisor on a regular basis
- Developing and maintaining working relationships with company personnel in branch offices, as well as with contract-holder representatives
- Miscellaneous billing duties, tasks and projects assigned.
Claims Specialist
Family Health Network
Hillside, IL
03.2016 - 01.2018
- Processing ICP/HCFA/HOSPITAL claims via VITA claims systems
- Approving/Denying claims needing authorization for payment
- Examines claim form and other records to determine insurance coverage
- Analyzes claims to determine eligibility, medical facts, policy coverage and limitations
- Approves claims at the appropriately demonstrated assigned authority level.
Medical Claims Processor
Chicagoland Medical Servs Organization
Chicago, IL
02.2015 - 02.2016
- Entry of Professional Claims received on a HCFA
- Entry of Facility Claims received on a UB
- Verification of accuracy of the claim as inputted in the entry process
- Determination of the authorization status of each claim
- Including assessment of the validity of incoming authorizations/memorandums etc
- Evaluation of Quick Cap denial/payment accuracy
- Forwarding claims to BC/BS and Unicare as indicated by status.
Claims Coordinator
Allied Benefit Systems, Inc
Chicago, IL
05.2003 - 09.2014
- Re-priced and Investigated HCFA/UB claims discounts from a host of PPO networks
- Processed 180-250 claims daily
- Call notes & Referral claims processing - Daily basis within a 24hr turnaround time
- Processed claims am/pm reports for the day
- Processed medical claims - surgery, physical therapy, ER, diagnostic tests, etc
- Utilized HCPCS level III, ICD-9 and-3 for the coding.
Education
Diploma -
Cregier Vocational High School
Certificate -
American Technical College
Skills
- CLAIMS
- CODING
- ICD
- ICD-9
- BILLING
- Medical Billing
- Invoicing
- CPT coding
- ICD-10
- EDI
- Medical Coding
- FTP
- Epic
- Hospital Experience
- Medical Records
- Microsoft Excel
- Microsoft Office
- Accounting
- Medical terminology
- ICD coding
- DRG
- Research
- Documentation review
Personal Information
Title: Billing Coordinator - Help At Home LLC
Timeline
Billing Coordinator
Help At Home LLC
03.2018 - Current
Claims Specialist
Family Health Network
03.2016 - 01.2018
Medical Claims Processor
Chicagoland Medical Servs Organization
02.2015 - 02.2016
Claims Coordinator
Allied Benefit Systems, Inc
05.2003 - 09.2014
Diploma -
Cregier Vocational High School
Certificate -
American Technical College
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