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PT Rep- Account or other related Resume
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| Desired Industry: Business/Management |
SpiderID: 1912 |
| Desired Job Location: Covina, California |
Date Posted: 2/16/2005 |
| Type of Position: Full-Time Permanent |
Availability Date: inmediatly |
| Desired Wage: 37,000 -42,000 |
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U.S. Work Authorization: Yes |
| Job Level: New Grad/Entry Level |
Willing to Travel: Yes, Less Than 25% |
| Highest Degree Attained: Bachelors |
Willing to Relocate: No |
Objective:
I am a Specialist in Medical billing /Collecting that possesses a Bachelor in Degree in Business Science/Management seeking an opportunity for career advancement
Experience:
Experience:
July 2004 – Huntington Memorial Hospital, Pasadena, Ca
Jan 2005 Medical Biller/Insurance Collector
Billed by assigning CPT-4 and ICD-9CM code to medical services and diagnosis.
Collected on open accounts by audited patient charge slips and reports. Resubmitted claims to insurance companies to dispute underpayments. Prepared Explanation of Benefits copies, for secondary billing; payments, adjustments and process refunds to patients and insurances by using HMO/PPO, HCFA/UB92 guidelines.
Jan 2002- Edward Medical Group, Santa Ana, CA
Jun 2004 Medical Biller/Insurance Collector
Performed bill and accounts receivables duties, including insurance/patient follow-up. Reviewed account, obtained missing information on charge slips, patient demographics and insurances. Identified and defined problems/issues collection/claim. Prepared new patients charts, type labels and assigns and logs medical records numbers. Mailed insurance claims and patients statements. And provided customer service.
April 2001- Internal Medicine, Rowland Heights, CA
Dec 2001 Medical office Manager Assistant / Private Practice
Managed and performed projects; prioritized workloads; set deadlines and monitor employees. Provided guidance and feedback, etc. Communicated with vendor to ensure that inventory levels are maintained at suitable levels. Reviewed account, obtained missing information demographics and insurances information. Processes and resolved denials of Explanation of Benefits. Identified and defined problems/issues collection/claim.
May 1994 - Clinical Medical Villlatoro, Pomona, CA
March 2001 Medical Office Assistant/ Biller/Collector
Assisted patients, scheduled appointments, managed incoming calls; coordinated office procedure with billing staff to ensured smooth flow of operations. Oversaw insurance verification; ensured authorizations were obtained in a timely frame. Oversaw medical records department process legal requests and release of medical records to authorized requesting parties; performed collections under direct supervision. Perform staff –level work on peak hours as needed; attended conferences for improvement, etc.
Education:
Education:
UNIVERSITY OF PHOENIX, Diamond Bar, CA
Bachelor Science /Business Management, 2004
CERRITOS COLLEGE, Cerritos, CA
AA degree/ Business Information System Analyst, 1994
Affiliations:
none
Skills:
Skills:
Bilingual Spanish speaking; Experience in PC; Ability to multitask; Strong Customer Service; Experience with Medicare, Medical and private insurance; working knowledge of CPT-4 & ICD-9CM and Laws governing collections.
Reference:
Upon Request
Candidate Contact Information:
| Name: Janet Borja |
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| Street: |
Phone: 626 839-3655 |
| City: West Covina |
Fax: - |
| State: California |
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| Zip: 91792 |
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| Web Site: |
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