Description
Well-regarded professional who combines claims benefits administrative regulatory compliance data collection and case management experience with strong customer service skills to illustrate value and competence. Ensure complete and accurate documentation is obtained to allow for compliant coding and reporting outcomes. * Confident and poised in interactions with individuals at all levels of the organization. Work effectively independently and as a team player and comfortable in fast-paced environments. KEY QUALIFICATIONS Medical Billing * Medical Coding * ICD-9-CM * ICD-10-CM * HCPCS * CPT * Medical Terminology * HIPAA Compliance Electronic Health Records (EHR) * Electronic Medical Records (EMR) * Greenway * Disease Processes Managed Care (HMO, PPO, and POS) * Government Payers * Third Party Payers * Worker's Compensation Centers for Medicare and Medicaid * CMS 1500 * CMS 1450 (UB-04) * Tricare EOBs * Payment Posting * Revenue Cycle Management * Scheduling * Meaningful Use * Practice Management Insurance Verification * Insurance Billing Procedures * Insurance Claim Processing Medical Office Procedures * Anatomy & Physiology * Co-Payments * Deductibles * Co-Insurance * Superbills
Work Experience
COMPANY | POSITION HELD | DATES WORKED |
---|---|---|
(Confidential) | Benefits Analyst | 6/2011 - Present |
Department Of Agriculture & Consumer Services | Administrative Office Specialist | 7/2010 - 6/2011 |
Department Of Health Professions | Administrative Assistant Office Services Specialist | 12/2007 - 2/2010 |
Virginia Retirement System / Retirement Unit Disability | Retiree Support Technician | 5/2006 - 8/2006 |
Claims Management Inc. | Case Manager / Team Captain | 9/2000 - 9/2005 |