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Claims Processor Resume Profile

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SC

OBJECTIVE: To work in a medical facility where I can broaden and utilize my skills as a Medical Billing and Coding Specialist with the opportunity to further my education and to advance in the field.

SKILLS:

  • Medical Billing and Coding Specialist
  • Experienced in recordkeeping,filing,typing 55wpm ,scheduling,phone etiquette,and most office machines.
  • Knowledge of computers experienced with WordPerfect and MEDISOFT familiar with many other WINDOWS and MS-DOT applications.
  • Responsible and dependable professional with a strong medical ethic.
  • Excellent organizer who is able to work independently and as part of a team.

EXPERIENCE:

Confidential

Claims Processor

  • Review and prepared corrected claim for resubmission to carriers.
  • Retrieved documentation for submission to appeal denied claims.
  • Follow-up on claim status with carriers.

Confidential

AR Billing Clerk

  • Input insurance information for claims processing.
  • Translated written diagnoses to ICD9 coding.
  • Contacted patient for missing or additional information.

Confidential

Insurance Collector

  • Reviewed and prepared corrected claims for resubmission to carriers.
  • Reviewed carrier remittance to determine reason for claim denial.
  • Retrieved and submitted documentation for appeal of denied claims with follow-up.

Confidential

Patient Financial Services Rep

  • Corrected and refiled Medicare claims electronically on the Florida Shared System.
  • Billed facility claims through paid system for all carriers.
  • Follow-up on claim status with insurance carriers.

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