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| Desired Industry: Billing |
SpiderID: 10251 |
| Desired Job Location: Saginaw, Michigan |
Date Posted: 12/8/2006 |
| Type of Position: Full-Time Permanent |
Availability Date: 12/08/2006 |
| Desired Wage: 30000 |
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U.S. Work Authorization: Yes |
| Job Level: Experienced with over 2 years experience |
Willing to Travel: Yes, 25-50% |
| Highest Degree Attained: Other |
Willing to Relocate: Yes |
Objective:
OBJECTIVE
I am pursuing an opportunity to expand and share my knowledge. I am an asset to any company because I possess the qualifications that is needed such as: Documentation, Payer membership , First, Second and Third party billing on any software system. I have the education to solve billing issues successfully fulfill any challeng this position can incur. I have 13 years experience in follow-up and healthcare payer membership and /or billing field. My experience’s has allowed me to accomplished and exceed all task pursued.
Experience:
RELATED EXPERIENCE
Saginaw County Community Mental Health /Kelly Services Saginaw, MI 03/05-Present
Adjudicator/Intake worker
· Paid or denied mental halth claims
· Handle client calls helping with correction of rejected claims
· Generate Finance Reports and Seeing patients for the initial intake process
OSI Collection Services/VA Hospital Detroit/Saginaw, MI 11/01-6/04
Blue Cross Follow-up Specialist/Biller
· Corrected rejections for third party billing, Extinctive follow-up on the nasco system
· Electronic rebilling using FCC editing with Hart/Nasco Blue Cross Database
· Webdenis also when needed and via phone with Blue Cross
Healthcare Financial/ Henry Ford Southfield, MI 6/00 – 11/01
Blue Cross Specialist
· Conducted follow up and corrected rejections for third party billing
· Medicare and Blue Cross rebilling with Hart/Nasco editing system
· Electronic billing using Network 2000 software program.
Physiotherapy Associates Warren, MI 2/00 – 6/00
Medical Biller/Collections
· Printed HICFA 1500 and UB92 paper claims, specializing in Blue Cross/Blue Shield
· Conducted follow-up on rejected claims for third party billing
· Made payment arrangements with patients when needed
Blue Care Network Southfield, MI 4/98 – 1/99
Claims Adjudicator/Customer Specialized Services
· Adjudicated medical insurance claims and processed payments/denials electronically for third party billing
· Customer Specialized Services involved the processing of correspondence and other internal forms via data entry
· Resolved physician billing inquiries via phone and using the I-Max and Star editing program
Detroit Medical Center Detroit, MI 10/95– 3/98
Medical Biller
· Team led for all billing/referrals/correspondence for patients for three independent hospitals
· Billed and followed-up on the Signature program for secondary HMO, Medicaid and Medicare accounts
· Resolving all third party billing issues using the Nasco editing program
billing for HMO accounts Insurance Overload Systems/ State Farm -Southfield, MI 4/92 – 10/95
Technical Support Secretary
· Provided administrative support to clients under contract with this agency using various software programs
· Typed correspondence and drafted insurance claim checks, maintained files and answered phones
· Recent assignments: Liberty Mutual Insurance, State Farm Insurance and Universal Standard Insurance as a Claims Processor, doing
Education:
EDUCATION
Professional Training Academy, Ferndale, MI 8/91 - 3/92
United College of Business, Downey CA 2/85 - 1/87
Los Angeles City College, Los Angeles, CA 8/82 - 2/83
Osborn High School, Detroit, MI '76 Graduate
Affiliations:
BLUE CROSS/BLUE SHIELD SPECIALIZED TRAINING
· Advanced UB92 Billing
· Anesthesia
· Medicare for Hospital Outpatient Services
· Medicare for Hospital Inpatient Services
· Rehabilitation Services Coding and Documentation
· Home Health Care Coding and Documentation
· Rehabilitation Services Billing
· Inpatient Skilled Nursing
· Facility Claims Corrections
· Advanced WebDenis
Skills:
SKILLS SUMMARY
· Works effectively and efficiently under extreme pressure
· Ability to perform in time-sensitive situations
· Detailed Oriented
· Works well independently as well as team environments
· Capable to multi-task many projects simultaneously
· Educated in HIPAA Compliance and Standards
TECHNICAL SKILLS
· WINDOWS 98, 2000 and XP, Microsoft Office
· Medical Billing Software: MPAC system (SP/SM), Peachtree, Great Plains, Marathon, Medical Manager I-Max/Star, Signature, Network 2000, Vista, Winn , ICD-9 Coding and medicare.
· Additional Software: Hart/Nasco, Whiteout, Access and Advanced Web Denis editing
Additional Information:
I have been in this industry for over 17 years.
Reference:
Available upon request.
Candidate Contact Information:
TheJobSpider.com has chosen not to make contact information available on this page.
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