Medical Biller Billing

NANCY KHALIL

**** *. ******* ***., ********* ***, Covina, CA 91724

Tel.: 909-***-**** * E-mail: ad8lf5@r.postjobfree.com OFFICE QUALIFICATIONS

OBJECTIVE

QUALIFICATIONS

• Typing 40 wpm

• Filing alpha/num

• Multi phone lines

• Microsoft Word

• Excell / QuickBooks

• Office equipment

• Handle office duties

• Bilingual Arabic/English

• Excellent Math / Algebra

• Professional, Organized

• Positive attitude

• Smart and avid learner

Specialist in Medical Biller / Collector, Business Office, Admission, seeking a full / part time position in a company where added value is a reciprocal concept.

• Medical Billing & Coding:

- Preparing, reviewing, and transmitting claims to insurance companies and payers such as Medicare and Medicaid, using billing software, including electronic and paper claim.

- Obtaining referrals and pre-authorizations as required for procedures.

- Following up on unpaid claims within standard billing cycle time frame.

- Calling insurance companies regarding any discrepancy in payments if necessary.

- Identifying and billing secondary or tertiary insurances and account receivable tracking and follow-up with them.

- Researching and appealing denied claims.

- Setting up patient payment plans and work collection accounts.

- Updating cash spread sheets, and running collection reports.

- Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.

- Familiar with HCPCS, CPT and ICD-10 Coding.

• Customer Service:

- Excellent communication skills and solve problems to find best possible solutions.

- Helping patients check-in and filing their medical information with the home health.

- Answering high volume of phone calls and Communicate pleasantly and patiently with patients, caregivers, physicians, and other health care providers verbally and in writing where accuracy and timely processing is most important. PROFESSIONAL EXPERIENCE

Medical Biller / Collector

Monrovia Memorial Hospital, Monrovia, CA 91016

Tel: 310-***-****

• Billing.

• Interim billing.

• Prepare Census.

• Daily Census with HCO Status.

• Medicare Check Write for admitted and discharged and MCR Surgery.

• Download, Print and distribute MCR RAs and post it to patient account.

• Charge Entry: Pharmacy, LAB, Cardiology, Radiology, Physical Therapy, Surgery charges, Central Supply, Central Supply Equipments + date stamp

• Checks Medicare Days Monday, Wednesday, and Friday + Updates changes where ap- plicable in Census.

01/2020 - Present

EDUCATION

* Careerstep Academy, Lehi, UT 84043

Medical Coding & Billing

* Cairo University, Fayoum Branch, Faculty of Education Bachelor Degree in Psychology

03/2019 – 09/2020

1996 - 2000

• Create New item Charge code (Medication, surgery, Cardio Equipments …..etc.).

• Filling Billed and paid claims to the charts.

Business Office Assistant

Ramona Nursing & Rehabilitation Center, El-Monte, CA 91770 Tel: 626-***-****

• Work with case managers to obtain authorizations.

• Follow up on claims and Co-insurance claims.

• Responsible for running Common Working File (CWF) and face sheets prepare for triple checks and eligibility for all medical patients.

• Appeals for Claims underpayments.

Business Office Assistant

Mission Care Center, Rosemead, CA 91770

Tel: 626-***-****

• Responsible for input Census into PC.

• Responsible for drop bill for HMO patients.

• Work with case manager to obtain pre-authorizations.

• Follow up on HMO claims and Co-insurance claims.

• Responsible for running Common Working File (CWF) and face sheets prepare for triple checks and eligibility for all medical patients.

• Appeals for HMO underpayments.

Admission Assistant

• Collect basic patient information, such as name and address, or verify the information that’s already in the computer for the patient.

• Print admissions forms, release forms and insurance forms, instruct patients to read and sign each form, and answer patient questions.

06/2015 - 01/2020

03/2010 - 05/2015

Contact this candidate