Experience

• 

  Center City Pediatrics

  • Medical Billing Clerk

    • Jul 2018 - Mar 2019

    Self-pay management, accounts receivables reconciliation, filing of claims investigations with insurance companies

• 

  Doctors Billing Clerk

  • United States
  • Financial Services
  • 1 - 100 Employee

  • Medical Claims Investigator

    • Jun 2017 - Jul 2018

    Accounts receivable management for medical claims 90 days and over. Filing all levels of appeals with unpaid medical claims for a multi doctor orthopedic and sports medicine facility. Heavy call volume with insurance companies

  • Medical Claims Investigator

    • Jun 2017 - Jul 2018

    Accounts receivable management for medical claims 90 days and over. Filing all levels of appeals with unpaid medical claims for a multi doctor orthopedic and sports medicine facility. Heavy call volume with insurance companies

  • Medical Claims A/R Investigator

    • Feb 2017 - Jul 2018

• 

  N.A.H.E./Project Ayuda

  • Clerical Assistant

    • Jun 2016 - Jun 2017

    Assist Career Link clients to register with Job Gateway and to complete computerized job searches.

• 

  Cirrus Consulting, Inc

  • CM Health Specialist I, temporary position

    • Feb 2011 - Sep 2011

    Contacted identified members of insurance company for follow-up after discharge from hospital.

  • Medical Biller, temporary position

    • Feb 2011 - Sep 2011

    Trained staff on use of Brightree DME software. Ran, and reconciled, daily and monthly billing reports, entered new inventory and AP/AR records management. Health claims submission and follow-up. Pre-authorization of DME.

• 

  Praxair Healthcare Services

  • Senior Reimbursement Associate

    • Jul 2007 - Dec 2009

    Obtained ongoing authorizations for respiratory durable medical equipment. Heavy call volume providing customer service. Working A/R, A/P reports. Heavy call volume with insurance companies. Verify and obtain any required information and paperwork in order to obtain authorization. Software: CU, Mestamed

• 

  Harry J. Lawall & Sons, Inc

  • Patient Account Manager / Team Leader/Medical Biller

    • Dec 2000 - Jul 2007

    Verified that clean claims went out to insurance companies. Working A/R, reports. Provided outstanding customer service. Assisted with needed account resolution via telephone and in person. Heavy call volume with insurance companies and patients.Verification and Pre-certification, for Orthotics and Prosthetics, for all insurance types. ICD/HCPCS coding of all charges. Included were for all places of service, including, office, Hospital, Short, and long-term nursing home, and house calls. Obtained medical information required for pre-certification of O&P services. Software: Futura