I have proven myself to be a great asset to the EDI department at KCI. A proven track record, efficient and consistent work, as well as the loyalty I have exhibited has made me a worthy employee. I also know how to use basic office equipment such as a fax machine, printer and copier. Working with spreadsheets everyday has helped me learn to work and set them up with confidence. Utilizing all of the different billing applications such as Delair, SSI ClickOn, and Oracle can be challenging, but through determination I have been able to use these programs with ease. Working on my own and learning new programs would be a task I would be willing to tackle.

COMPANY	POSITION HELD	DATES WORKED
(Confidential)	(Confidential)	11/2006 - Present
KCI, USA	(Confidential)	5/2005 - 11/2006
Medcam Billing	(Confidential)	5/2001 - 6/2004
H & R Block	(Confidential)	1/2001 - 5/2001
Bayshore Medical Center	(Confidential)	5/1996 - 6/1998

SCHOOL	MAJOR	YEAR	DEGREE
Mansfield Business School	Certified Nursing Assistant	1988	Trade School Degree
Horace Mann High School	High School Diploma	1985	High School/GED Degree

Highlights:

At my present job, I have moved from a Billing Specialist I in the Billing department to a Billing Specialist II in the EDI department. Setting up the Medicare 2nd billing rules has been a big responsibility that I have achieved in this role. This was done by researching the websites, constant communication with CMS and the different DMACs, and carefully reading and assuring an understanding of the new guidelines. Developing policies and procedures for our 2nd billing team has been a big accomplishment that I have reached. I have reduced the number of errors on our claims which in turn has reduced the time and money it costs to rebill these claims. Following up on these claims is something I have taken upon myself to ensure not only that the claims have been received by the payors, but are paid accordingly. If the claims are short paid or denied, I will inquire with the payors to verify the claims are billed to their specific billing rules and relay this information to our 2nd billing team. If any changes are needed, I will quickly update our billing process to reflect these changes.

Companies I like:

DME companies

verbal skills
Written Communication
Problem Solving
Time Managment and Organization
Leadership
Interpersonal Skills

• DME
• EDI

Setting up the Medicare 2nd billing rules has been a big responsibility that I have achieved. This was done by researching the websites, constant communication with CMS and the different DMACs, and carefully reading and assuring an understanding of the new guidelines.Assures all claim EDI files are generated out of the billing software are transmitted properly and acknowledged appropriately by clearing house payor and compliant claim formats are submitted