Seeking a Medical Biller position with an established organization that offers the opportunity for professional growth and development.
Overview
3
3
years of professional experience
Work History
BENEFITS VERIFICATION SPECIALIST
LASH GROUP
11.2023 - Current
Enhanced claim processing efficiency by reviewing and verifying insurance benefits information.
Streamlined workflow for benefit verification team by implementing a comprehensive data tracking system.
Identifies any restriction and details on how to expedite patient access
Documenting and initiating prior authorization process, claims appeals
triages cases with missing information to appropriate program associate
MEDICAL BILLING SPECIALIST
Iqor
01.2022 - 04.2023
Updating and re-filling corrected insurance, Processing missed adjustment (insurance or patient) Setting up payment plans Sending problem or denied claims to the ar department for follow up
Care coordinator
Medix
01.2021 - 07.2022
Handled phone calls Collected information to help find a testing site in their area, guide them in there LOA process while they wait on their covid test results
Education
Medical billing and Coding -
Peloton College
Dallas, TX
11.2023
MEDICAL OFFICE AND BILLING SPECIALIST -
Ultimate Medical Academy
06.2020
Skills
HIPAA
ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding
Insurance verification (X12 270/270 and HETS 2727
Proficiency with Medisoft, InteGreat, Practice Choice, Practice Partner, Lytec MD, and eClinical
Standards and practices for multiple MCOs and government payors
Application of reimbursement procedures for commercial, government, and Workers' Compensation
CMS-1500, X12 837P, UB04, X12 837I, and DDE claims submission
Abstract coding
Use of coding manuals and coding software
Medical Terminology literacy
Anatomy & Physiology competency
Knowledgeable of Microsoft Office products (ie Excel, Word outlook)