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Respond to inquiries from providers on a broad scope of coverage issues pertaining to eligibility.

Words: 204
Pages: 1
Subject: Healthcare

Detailed-oriented Medical billing and coding specialist with 16 years of experience handling billing and clerical tasks to ensure accurate and timely patient billing.

EXPERIENCE
2011 – PRESENT

ACCOUNT REPRESENTATIVE II, L. MEDICINE LABS, LLC

• Review and track accounts by working on the ATB report, insurance EOB’s, rejection reports, and correspondence

• Process claims as needed by making necessary contractual adjustments, verifying eligibility as needed

• Verify all credit balances for accuracy and process written requests for over payments

• Determine the accuracy of questionable charges on patient accounts
2007 – 2011

MEDICAL BILLING & CODING, MEDSTAR LABORATORY, INC
• Respond to inquiries from providers on a broad scope of coverage issues pertaining to eligibility

• Coordinate/EOB and payment schedules

• Follow up with insurance claims to Medicare, Medicaid, and commercial insurances patients to expedite the recovery of payment obligations.
• Assist in entering diagnosis codes in the system
2003 – 2007
TICKETING AGENT, MEXICANA AIRLINES
• Process airfare tickets for passengers
• Handle cash sales
• Assist passengers with a broad range of services

2000 – 2003
CHIROPRACTIC ASSISTANT, J. MARTINEZ CHIROPRACTIC CENTER P.C.

• Respond to inquiries from providers on a broad scope of coverage issues pertaining to eligibility

• Coordinate/EOB and payment schedules

• Follow up with insurance claims to Medicare, Medicaid, and commercial insurances patients to expedite the recovery of payment obligations.