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Queen B

Quality Coordinator

Occupation:

Customer Service Representative

Location:

Winston Salem, NC

Education Level:

Some College Units Completed

Will Relocate:

YES

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SUMMARY OF PROFESSIONAL QUALIFICATIONS: * Expertise in Medical Terminology, Legal Ethics, Coding insurance * Medical Billing and Coding Certificate * (ICD9-ICD 10) and knowledge of HIPAA privacy laws * Solid problem-solving and analytical skills * Knowledge of CMS 1500 form, and billing programs * Excellent interpersonal, communication and leadership skills * Highly motivated individual and team player * Professional with experience in customer service, accounting, payroll and quality control in various industries HEALTH CARE EXPERIENCE: KINDRED AT HOME (formerly Gentiva Health Services) 2007 - Present Winston-Salem, NC Intake Coordinator * Perform initial assessment to determine patient's need for home care services and provide information to clinical team. * Identify payer sources, verify benefits, negotiate rates and obtain authorization for services. * Ensure accounts are paid in accordance with terms of contact and notify management team of any potential problems with payer source. * Document and maintain patient files to comply with company policy, legal requirements and regulatory mandates. * Other Positions Held: Reimbursement Specialist Payroll and Data Entry Clerk, and Records Clerk NORTH CAROLINA DIGITAL IMAGING &MOBILE ULTRASOUND 2006 - 2007 Winston-Salem, NC Medical Billing Clerk * Coded medical invoices in accordance with ICD9 and submit insurance claims to private insurance companies, Medicare and Medicaid for medical services provided. * Reviewed all invoices and records to ensure accuracy. Maintained records for accounts receivables. * Researched and reconciled overdue claims, insurances denials and appeals. queen byers Page 2

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