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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