Seeking a position in the medical field and patient's care.
Overview
21
21
years of professional experience
Work History
Senior Overprovision
Team Health
REMOTE
09.2015 - Current
Responsibilities including processing refunds, approval for all refunds including Medicare, Medicaid, HMO, Commercial and patient's refunds.
Verifying Coordination of Benefit issue and refund appropriate party.
Audit the account and find the resolution for credit balances.
Refund payers due to eligibility issue, workers' compensation case, VA benefits, refund request, auto accident, compliance project etc.
H. Sharim M.D.
Glendale
07.2013 - 08.2015
Helping patients ready for the visit, take the blood pressure, check the temperature, write the medications in the chart, make an appointment for CT and X-Ray, and take copy of prescriptions for the chart and taking ECG.
Transplant Biller/Collector III
Cedars Sinai Physician billing services
Torrance
03.2008 - 07.2013
Responsibilities include healthcare billing and collections; follow up on all insurance claims, appeals on denials, including PPO, Medicare, Medical and HMO/IPA insurances, Cardiology billing, Transplant case rates, DOFER, Organ acquisitions, surgical billing and TES Edits.
Coordinating with transplant center for patient's authorization and certification approval.
Detailed knowledge of Medical terminology and coding (ICD10, CPT, HCPCS, procedure, bill type, diagnosis and modifiers) and appeal the denied claims.
Medical biller/Collector
Medical Billing Company
Los Angeles
01.2007 - 12.2007
Responsibilities include patient registration; posting charges, follow upon denied claims and appeals.
Knowledge of all insurances including Medicare, Medical, Private insurances, HMO, PPO etc.
Administrative Assistant/Back Office
Pacific Ocean Medical Clinic
Los Angeles
01.2005 - 01.2007
Responsible for answering phones, scheduled an appointment, followed up on claims, insurance verification for all insurances, filing, collections, check the patient's blood pressure, temperature and draw bloods.
Education
Diploma - Insurance Billing and Coding Specialist, Medical Billing and Coding
Concorde Career College
12.2007
Bachelor - English Translation
Azad University
01.2000
Certificate - ECG Monitor Technician
Los Angeles Career College
01.2023
Skills
Patient care experiences
Bilingual
Fluent in English
Fluent in Farsi
Computer skills
Word
Excel
Medical Manager
Medi-soft CB
IDX software
Special Abilities
Patient care experiences
Bilingual: Fluent in English and Farsi
Computer skills: Word, Excel, Medical Manager, Medi-soft CB and IDX software
Timeline
Senior Overprovision
Team Health
09.2015 - Current
H. Sharim M.D.
07.2013 - 08.2015
Transplant Biller/Collector III
Cedars Sinai Physician billing services
03.2008 - 07.2013
Medical biller/Collector
Medical Billing Company
01.2007 - 12.2007
Administrative Assistant/Back Office
Pacific Ocean Medical Clinic
01.2005 - 01.2007
Diploma - Insurance Billing and Coding Specialist, Medical Billing and Coding