Medical Billing/Claims/Accounts Receivable Specialist

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Summary of Qualifications

I have ••••• years experience in the medical field and in insurance claims processing. I have also received my medical terminology certificate in June, ••••• from Pinnacle Business Solutions.

Employment History


Oklahoma Sleep Institute, Oklahoma City, OK ••••• to present
Account Manager
Worked and processed all data entry, patient demographics, billing, coding, receipt posting, charge entry, collections, and customer service. All billing and accounts receivable and collections.
Processed all month end reports.


American Fidelity Assurance, Oklahoma City, OK ••••• to •••••
Benefit Administrator
Processed and paid cancer claims.

Global Physicians Billing LLC, Oklahoma City, OK ••••• to •••••
Medical Billing/Claims
Correspondence-Refund Specialist
Audit patient accounts, worked all correspondence that came in pertain to patient eligibility, invalid ID, explanation of benefits from insurance companies received with no payments, reviewed and worked all credit balances whether it was patient or insurance company to be refunded, answered incoming patient calls and communicated with all insurance companies, credential all new doctors with insurance companies and facility privileges, charge entry.

Pinnacle Business Solutions, Oklahoma City, OK ••••• to •••••
Claims Processor
Edited Processed and Paid Medicare claims for the states of Missouri, New Mexico, and Oklahoma

Emergency Physicians Billing Service, Oklahoma City, OK ••••• to •••••
Accounts Receivable Clerk
Posted BCBS, Medicare, Medicaid, Tricare, Commercial Insurance, and Private payments to patient accounts. Posted Collection agency statements, Audited and trained all new employees. Balanced and created daily bank deposits.

Education

Western Heights High School, Oklahoma City, OK •••••