Objective:
 

To become a valuable member of an understanding organizatio


Work Desired:Full Time - Permanent
Citizenship:US Citizen
Resident Of:State: Florida - Area Code: 813
Willing To Relocate:No
Posted By Candidate:09/10/09
Experience:More than 3 years of work-experience
Technical Skills:
Work Experience:
2002-2009      Tampa Bay Oncology-Hemat aSSOC.    Tampa, FL                  

Medical Biller/Collector

            -  Investigate and resolve unpaid insurance claims to prevent aging
               over 61 days
            -  Review and process correspondence from insurance carrier regard-
               ing denied claims and overpayments
            -  Investigate patients' accounts to establish liability of
insurance
               carriers for payment
            -  Communicate with insurance carriers and patients to obtain
missing
               or incorrect billing information
            -  Appeals wrongly denied or improperly paid claims

2002-2004         Sheridan Health Corporation            Sunrise, FL

Medical Biller/Collector

            -  Monitor insurance claims by running appropriate reports and
               contacting insurance companies to resolve claims that are not
paid 
               in a timely manner
            -  Identify coding or billing problems from EOBs and work to
correct
               error in a timely manner
            -  Identify problems accounts and escalate as appropriate
            -  Update the patient account records to identify actions taken on
                the account balance
            -  Appeal denied claims as necessary

2001-2002          ECS Holding, Inc.                             Miami, FL

Patient Financial Service Representative

             -  Handle all collections and follow up
             -  Review and process correspondence from insurance carrrier re-
                garding denied claims and overpayment
             -  Prepare accounts for adjustments, ensure all backup documen-
                tation is on file and perform other duties as specifically
assigned

2000-2002          South Florida Orthopaedic                 Hollywood, FL

Medical Biller/Collector

             -  Jobs duties include sending out invoices, receiving returns and
                reviewing denials, and contacting insurances to review claims
             -  Handling billing related calls
             -  Posting payments as needed, processing billing reports
             -  Appeals denied claims as necessary

1998-2000          Internal Medicine Assoc. of South FL   Miami, FL

Medical Biller/Collector

              -  Follow-up with primary, secondary, and tertiary claims
              -  Credit Balance Management including reviewing and resolving
                  payment application errors; reviewing and maintaining
unbilled
                  charge reports, denials reports and claims allocation reports
              -  Other duties as assigned

1997-1998          Mount Siani Medical Center                 Miami, FL

Physician Account Rep II

                -  Review and process correspondence from insurance carrier
                    regarding denied claims and overpayment
                -  Communicate with insurance carrier and patients to obtain
                    missing or incorrect billing information
                -   Update the patient account to identify actions taken on the
                     account
                -  Other duties as assiged

 

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