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Desired Industry: Billing SpiderID: 53378
Desired Job Location: West Palm Beach, Florida Date Posted: 8/8/2011
Type of Position: Full-Time Permanent Availability Date: IMMEDIATELY
Desired Wage: 35,000.00
U.S. Work Authorization: Yes
Job Level: Experienced with over 2 years experience Willing to Travel: Yes, Less Than 25%
Highest Degree Attained: High School/Equivalent Willing to Relocate: No

Seeking a challenging opportunity in the Medical Billing/Collection Field which will fully utilize my office experience, technical training, strong work ethic and dedication. Desiring employment where advancement is based on efficiency and contributions to company growth.

Grand Medical Centers/Accident and Wellness Clinics, LLC/Elite Orthopaedic Associates 7/2010-7/2011
Billing Manager West Palm Beach, FL
Responsible for the supervision of 2-3 employees, daily entry of orthopedic charges from all locations, account receivables, reviewing/preparing settlement requests from attorneys for PIP/LOP cases, pulling reports for managing partners and attorneys, handling billing calls from attorneys and PIP carriers, ensuring all billing from the Chiropractic practice were billed timely, preparing mail logs, preparing cases for PIP suits, speaking with attorneys on a daily basis.

Rheumatology and Endocrinology Specialists of the Palm Beaches 5/2008 – 7/2010
Billing Specialist West Palm Beach, FL
Responsible for daily entry of charges, collections, patient statements, insurance follow up, account receivables, electronic Medicare billing/remittance retrieval, posting, scheduling patients, scheduling patients for out patient procedures/other specialists offices, calling in prescriptions, advising patients of results, resolving billing disputes, pulling faxes, pulling charts, Administrative assistant to both physicians, calling for lab results, addressing software issues, handling difficult patients, insurance verification.

Palm Garden – West Palm Beach 2/2006 – 1/2007
Business Office Assistant West Palm Beach, Florida
Responsible for electronic Medicare claim billing, follow up, corrections, appeals, rejection follow up. Responsible for the Resident Trust and Petty Cash disbursement. Daily deposits, balancing daily census, cash posting, assist in closing month end.

Fleet Billing Service 8/2004 - 9/2005
Senior Collection Agent Boynton Beach, Florida
Account follow up for multiple hospitals and free standing outpatient facilities. Responsibilities include, professional/global billing, patient account follow up and collections, insurance claim follow-up, rejection/denials, filing appeals, claim submission, contractual issues, short-pay appeals. Multiple disciplines that are addressed are outpatient diagnostics, psychiatric inpatient/outpatient, inpatient/outpatient hospital based charges, auto claims, and workman compensation claims. Knowledge of insurances, including Medicare, Medicare replacement HMO's, Medicaid, Blue Cross Blue Shield Plans, Commercial Insurances, HMO/PPO/EPO plans are utilized.

Tenet Florida Regional Business Office 3/2004 - 6/2004
Third Party Collector Boca Raton, Florida
Follow-up on non-managed care accounts. Appeals, claim status, patient account resolution.

Palm Beach Gardens Medical Center 7/2002 - 2/2004
Managed Care Collections Palm Beach Gardens, Florida
Management and collections of out of state Blue Cross Blue Shields PPO accounts, inpatient and outpatient, data entry, follow-up, appeals, contractual issues.

Advanced Physical Therapy 7/2000 - 7/2001
Patient Account Representative Dearborn, Michigan
Physical Therapy Billing. Experienced in Blue Cross Blue Shield of Michigan, FEP, out of state Blues Cross Blue Shield, Commercial insurances, Medicare, HMO's, Medicaid, Workman’s Compensation, Auto Carriers, scheduling, insurance rejections, follow-up, posting, electronic/hardcopy billing, ICD9/CPT coding, month-end procedures, obtaining authorizations/referrals, filing appeals, obtaining and clearing old account receivables. Direct patient/physician contact.

Electronic Provider Services, Inc. 11/1995 - 7/2000
Billing Specialist Detroit, Michigan
Radiation Oncology billing. Working accounts receivables, collections, obtaining
authorizations/referrals, rejection follow-up, account follow-up, ICD-9/CPT coding, Direct Patient/physical contact. Experienced with Blue Cross Blue Shield of Michigan, FEP, out of state Blue Cross Blue Shield, Commercial insurances, Medicaid, Medicare, HMO's. Knowledgeable in Medical manager and Calyx medical software.

Citation Clinical Laboratories 1/1990 - 2/1995
File/Billing Clerk Southfield, Michigan
Laboratory billing. Account receivables, collections, follow-up, rejection follow-up, patient/physician contact, obtaining authorization/referrals. Obtained significant working experience in all phases of billing, specializing in Blue Cross Blue Shield, FEP, out of state Blue Cross Blue Shields, Medicaid.

Sidney Senior High School
Sidney, Ohio

Upper Valley Joint Vocational School
Piqua, Ohio
Certification – Diversified Health Occupations

Significant medical billing/medical collections experience, FEP, Out of State Blue Cross Blue Shield, Commercial, HMOs, Workman's Compensation, Auto Carriers, scheduling, insurance rejection follow-up, cash posting, electronic/hardcopy billing procedures, ICD-9/CPT coding, month-end procedures, obtaining authorizations/referrals, addressing Provider enrollment issues, patient statements, insurance appeals/reviews/hearings, insurance claim/payment issues, insurance/patient refunds, medical record requests. Professional/Global/Facility billing. Experienced with Direct patient/Physician contact and complaint resolution. Specializing in collections of over 180 days.

Additional Information:
Knowledge of MSWord and MS Windows, HART, DENIS, Availity, DDE and Passport. Knowledgeable in Calyx, Medical Manager, PCACE, Medisoft, Smart Term, Visual Info, On Demand, The Visionary Office, Oracle and PTOS medical software.

Available upon request.

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