Professional experience and career objectives: Medical billing at Planned Parenthood League of MA. Billing for BCBS, Tufts, UHC, Cigna and others. Pharmacy Billing through PC5 software Hope to eventually get into Medical Coding
Skills and areas of expertise: Excellent on computer - learn software quickly Billing, posting payment, charge entry Track Pharmacy charges, followup and payment posting. Also 19 years as QA Test Engineer
Current Employment
Medical Billing Associate
Planned Parenthood League of MA
(Health, Medicine, Social Services) - United States
august 2008 - Today (1 year 3 months)
- Generate, adjust and enter pharmacy billing and payments to patient accounts using PC5 Pharmacy System. - Apply BCBS, MIT, NHP and Fallon Insurance payments to patient accounts - Verify charges, diagnosis codes and ins claim info and issue the electronic bills. - Documented all proceedures.
Former Employment
Charge Entry Clerk
Tufts New England Medical Center
(Health, Medicine, Social Services) - United States
march 2008 - august 2008 (5 months)
Contract: charge entry for various clinics within the hospital: Dermatology, Endocrinology, Infectious Diseases, Pulmonary, Orthopedics, Pediatric Orthopedics, Podiatry and Gastroenterology/ Nutrition using Siemens Medical System (SMS) software
Claims Rep
Network Health
(Insurance) - United States
june 2007 - october 2007 (4 months)
• Responsible for entering and processing CMS-1500 and UB-04 claims, using Health Trio Xpress Claims software • Knowledge of Reason for Denial of claims • Maintain quantity and quality goals as established by the claims mgr • Identify problems, offer solutions, and report issues/resolutions to m
Administrative Assistant
Medical Reimbursement Systems, Inc.
(Health, Medicine, Social Services) - United States
october 2007 - february 2008 (4 months)
- Responsible for verifying all LGH ED records from the previous day - uploaded into our system - Laserfiche. - Obtain missing charts from LGH’s system via Power Chart. Search for account records & print documents to obtain the missing info so the chart can be coded.
Education
Clark University United States (Massachusetts)
, september 2005 - february 2007
Certificate in Medical Billing/Coding, Medical Billing and Coding
About me
Interests:
Reading, watching all types of movies, walks
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