career objective                              

proficient medical billing claims specialist eager to contribute superior data management skills, in-depth knowledge of coding procedures, and attention to detail toward supporting the employer in optimizing financial performance

 

profile                                                

ø  offer numerous years of progressive experience in medical billing, claims processing, and accounting with expertise in research and analysis

ø  proficiently manage accounts receivable; track patient and insurance payments, accurately maintain and update financial records and client data; balance deposit books

ø  effectively contact insurance companies to address status of claims and any rejections or retractions; submit appeals for reconsideration

ø  diligently review rejection reports to correct current procedural terminology (cpt) and international classification of diseases - ninth revision (icd-9) codes; efficiently resubmit claims

ø  continually follow cpt and icd-9 updates; perform research functions to determine appropriate coding

ø  additional experience evaluating claims and assigning status; researching claim histories and member files; batching, logging, and filing claims for processing

ø  dynamic written and verbal communication skills along with strong organizational and prioritization aptitude

ø  proactive team player equally effective in independent or collaborative environments

 

~ technical proficiencies ~

trailblazer ~ protomed medical billing software ~ microsoft word, excel ~ internet research

 

professional experience                

blue water billing, leonardtown, md                                                                         7/07 c present

medical billing claims specialist

 

blue water billing, leonardtown, md                                                                         6/04 c 9/06

medical billing claims specialist

 

seafarer s health and benefits plan, camp springs, md                                         1/92 c 6/04

medical claims processor/utility clerk

 

training                                              

ashworth university school of allied health                                                              2007

professional medical billing/claims program