Medical Reimbursement Specialist Resume East Hartford, CT - Hire IT People

Summary
Offering 5 years of experience in medical billing, customer, and administrative service. Providing exceptional
levels of customer service, performing accounting and collection functions, and processing medical claims.
Interact easily witpeople of diverse backgrounds, cultures and professional levels and posses excellent
interpersonal relationship skills. Seeking professional position in the healtcare industry where skills and
abilities can be fully utilized and enhanced.
Areas of Expertise

Medical Billing Procedures/ Terminology
Medical Records Management
Critical Problem Analysis/ Resolution
Well developed customer service and communication skills
Knowledge of Pathology procedures and billing

Experience
Confidential, East Hartford, CT 2007 to 2011
Medical Reimbursement Specialist
Performed complete and accurate billing and collections to assure policies, guidelines and protocols are
being adhered to while obtaining optimum efficiencies in a cost-effective manner.

Downloaded demographic information from various clients, including hospitals, in order to transfer data in the Healthpac system.
Analyzed explanation of benefits (EOB's) to detect payment decrepancies and payer trends to determine appropriate follow-up i.e., resubmissions, adjustments and or refunds for varies insurance claims, including worker's compensation, ConnectiCare, United Healthcare, Aetna, and Medicare/ Medicaid.
Provided patient information for use by collection agency, physicians, and Account Manager.
Effectively communicated witpatients, physicians' offices, hospital personnel and all IPMS staff in relation to billing, insurance and general information, to build and maintain positive business relationships.
Accurately recorded daily casand credit card totals, distributed vouchers and posted EOBs manually and electronically. Handled monthly payment reconciliation and collection agency turnover process for HPA.
Cross-trained members of my team on billing and daily tasks functions to ensure production goals are being met. PSI/ Pitney Bowes, Hartford, CT 2006 to 2006
Mail Sorter/ Machine Operator Ensured all mail trays on sorting machine were processed and labeled correctly.
Communicated errors on mail to supervisor and machine operator, when sorting, to prevent rework of mail.
Ensured accuracy of postage rejections/ groups by keeping batches separated by rates and specific jobs.
Maintained breakdown of mail after completion of a job.

Education
HealtClaims Specialist
Advanced Business Retail
Additional Skills

ICD-9/ CPT Coding, Medical Terminology, Billing and Coding Forms
Insurance Claims Processing, Patient Collections, Accounting Procedures, Billing Processes
Data Entry & Retrieval, Reception
Microsoft Excel, Word, Healthpac, Internet Research, E-mail Communications

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Medical Reimbursement Specialist Resume

East Hartford, CT

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