Experience

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  McLaren Health Care Corporation

  • Shelby Township, MI

  • Medical Billing AR Rep III-Facility and Professional-Remote

    • Sep 2016 - Present
    • Shelby Township, MI

    *Multi-specialty billing experience, Facility and Professional, Very high claim volume*Monitoring all outstanding accounts receivables and following up with insurance companies*Working rejections and submitting proper documentation and/or adjusted claim*Submitting Appeals/Reconsiderations*Identifies and resolves patient billing complaints*Verify insurance benefits*Maintaining and updating patient demographic information*ICD-9/CPT/HCPC coding*Posting payments

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  Stellar Management Services

  • Medical Billing Specialist

    • Jul 2011 - Sep 2016

    Consulting Company-Currently working for Wayne State University Physicians Group *Multi-specialty billing experience, Very high claim volume*Monitoring all outstanding accounts receivables and following up with insurance companies*Working rejections and submitting proper documentation and/or adjusted claim*Submitting Appeals/Reconsiderations*Identifies and resolves patient billing complaints*Verify insurance benefits*Maintaining and updating patient demographic information*Charge entry*ICD-9/CPT/HCPC coding*Posting payments*Refunds

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  Parastar, Inc

  • Southfield, MI

  • Medical Biller

    • Jul 2010 - Jul 2012
    • Southfield, MI

    *Monitoring all outstanding accounts receivables and following up with insurance companies*Working rejections and submitting proper documentation and/or adjusted claim*Submitting Appeals/Reconsiderations*Identifies and resolves patient billing complaints*Verify insurance benefits*Maintaining and updating patient demographic information*Charge entry*ICD-9/CPT/HCPC coding*Posting payments*Refunds

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  Binson's Home Health Care

  • Medical Biller

    • Jul 2006 - Jul 2010

    *Monitoring all outstanding accounts receivables and following up with insurance companies*Working rejections and submitting proper documentation and/or adjusted claim*Submitting Appeals/Reconsiderations*Identifies and resolves patient billing complaints*Maintaining and updating patient demographic information*Charge entry*ICD-9/CPT/HCPC coding*Obtain prior authorization from various insurance companies*Verify insurance benefits*Customer service

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  NGS American

  • Medical Insurance Claims Analyst

    • Jul 2003 - Jul 2006

    * Experience processing CMS 1500 and Outpatient/Inpatient UB Claims* Analyze and review medical claims for reasonable and necessary charges* Approves or denies proper benefit amount for professional and hospital claims* Interpret plan and contract details* Examines operative reports, procedures and multiple surgeries* Respond to claim and account inquiries* Resolve appeal issues* Calculate appropriate discounts for providers* Extensive Customer service with members explaining plan benefits; providers, insurance companies