nprayer2
Contributor
I am looking for a full-time position in either a coding or billing/payment posting position in the Illinois area. I currently live in Alton IL. I will commute at least 25-30 miles for the position and have experience working remotely. Please review my resume and respond via email nprayer2@charter.net
Melody Davis-Wilson
nprayer2@charter.net
OBJECTIVE: To obtain full-time or part-time employment in a professional atmosphere which allows me to enhance and utilize my clerical and medical insurance billing skills.
EXPERIENCE:
WELLSPRING RESOURCES
Jennifer Craig 618-462-2331 ext. 2310
Dates: 08/5/2013-03/5/2015
Title: Billing Specialist
Duties: Billing & submitting claims electronically via Gateway EDI; reprocessing insurance denials; post payments from various payers to consumer accounts; downloading 835 remits from Gateway EDI and IL Medicaid Remits from MEDI system; answer questions regarding patient account balances.
AMH OUTPATIENT CANCER & INFUSION CENTER
Joe McMillen 314-653-5340
Dates: 12/8/11-July 2014
Title: Outpatient Coder
Duties: Input all Physician Office Charges & all Physician Hospital Rounds with the correct CPT codes; abstract diagnosis codes from Physicians orders and office notes, key diagnosis codes in 3M system. Import/Export all charges for the day; work charge error report & EBEW Report in Soarian.
MIDWEST HEMATOLOGY ONCOLOGY
Joe McMillen-314-355-5597 ext. 214
Dates: 05/11/07-12/21/2013
Title: Patient Accounts Rep
Duties: Coding insurance claims with the correct ICD-9 and CPT-4 codes for Medical Office and Chemotherapy; billing & submitting claims manually via HCFA-1500 Forms and electronically via WebMD reprocessing denials; work aging accounts (establish payment arrangements/investigate late payments from insurance companies) and account receivables; answering questions regarding patient accounts;
BJC MEDICAL GROUP
Jeanette Fremont(Supervisor) 314-996-8166
Dates: 12/27/04-05/11/07
Title: Insurance Follow-up Representative
Duties follow-up on denied (due to cpt, icd-9, wrong insurance info, etc) Missouri Medicaid & Illinois Dept of Public Aid Claims. Rebill claim once corrections have been made. Train personnel to bill Missouri Medicaid claims via Missouri Medicaid Website using HCFA 1500?s, UB-92?s, Medicare Crossovers and secondary payers.
APRIA HEALTHCARE
Nancy Fromme (Supervisor) 618-343-3777
Dates: 10-03 to 12-27-04
Title: Customer Service Rep II
Duties: Answer calls from multiple referrals (drs., nurses, patients, caregivers) orders for Durable Medical Equipment (oxygen, canes, walkers ,wheelchairs & etc). Verify all documentation qualifies per insurance billing guidelines. Input patient demographics (name, address ,phone, insurance). Schedule day for deliveries and also pickups. Work Medicare denial report. Follow-up on all unprocessed orders.
APRIA HEALTHCARE
Vivian Harvey (Supervisor) 314-264-6044
Dates: 7-02 to 10-03
Title: Illinois & Missouri Medicaid DME Biller
Duties: Processing Insurance claims for Durable Medical Equipment (canes, wheelchairs, oxygen, etc); checking claims for compliance of billing procedures, codes, and documentation;
ALTON COMMUNITY SCHOOL DISTRICT #11
Rosemarie Young (Supervisor) 618-474-2600
Dates: 3-02 to 7-02
Title: Sub-Assistant
Duties: Assigned to various schools to perform a variety of duties (In-School-Suspension Monitor, teacher's assistant (assist students with in-class studies), Study Hall monitor, issue lunch tickets) for various age groups.
ORTHOPEDIC AND SPORTS MEDICINE CLINIC
Rosemary Mann (Supervisor) 618-474-8054
Dates: 2-26-01 to 2-26-02
Title: Medical Insurance Biller
Duties: Coding insurance claims with the correct ICD-9 and CPT-4 codes; Medicare/Medicaid billing; submitting claims manually via HCFA-1500 Forms; reprocessing denials; work aging accounts (establish payment arrangements/investigate late payments from insurance companies) and account receivables; collecting patient payments and answering questions regarding patient accounts; schedule appointments, collect copays, and check-in patients.
ALTON MEMORIAL HOSPITAL
Stephanie Reynolds (Supervisor) 618-463-7311
Dates: 11-14-94 to 2-17-01
Title: Registrar
Duties: entering patient demographics (name, address, insurance info) into a set computer system; registering inpatients, outpatients, and emergency room patients for services; answering a multi-line switchboard; collecting patient copays and payments; filing.
GUARDIAN ANGELS HEALTHCARE
Dr. Vera Carter-Shields(Owner/Supervisor) 618-465-3637
Dates: 8/98 to 1-01
Title: Medical Insurance Biller
Duties: Coding insurance claims with the correct ICD-9 and CPT-4 codes; submitting all claims manually via HCFA-1500 forms; Medicare/Medicaid billing; follow-up and process denials; post payments; light payroll (6 employees); answer phones, schedule appointments; train new employees; filing.
SOFTWARE USED:
CareLogic
Mosaiq
Sorian
NextGen
Medisoft
Medical Manager
MedX
Hboc
Excel
Microsoft Word
EDUCATION:
Lewis and Clark Community College
Associate in Science
Graduated 5/2012
CPC (Certified Professional Coder) ? American Academy of Professional Coders
Alton Senior High School
Diploma obtained
Graduated 1/83
Lewis & Clark Community College
Certificate of Completion - Data Entry Clerk
REFERENCES:
Furnished upon request
I also have a desire to teach billing & coding.
Thanks
Melody Davis-Wilson
nprayer2@charter.net
OBJECTIVE: To obtain full-time or part-time employment in a professional atmosphere which allows me to enhance and utilize my clerical and medical insurance billing skills.
EXPERIENCE:
WELLSPRING RESOURCES
Jennifer Craig 618-462-2331 ext. 2310
Dates: 08/5/2013-03/5/2015
Title: Billing Specialist
Duties: Billing & submitting claims electronically via Gateway EDI; reprocessing insurance denials; post payments from various payers to consumer accounts; downloading 835 remits from Gateway EDI and IL Medicaid Remits from MEDI system; answer questions regarding patient account balances.
AMH OUTPATIENT CANCER & INFUSION CENTER
Joe McMillen 314-653-5340
Dates: 12/8/11-July 2014
Title: Outpatient Coder
Duties: Input all Physician Office Charges & all Physician Hospital Rounds with the correct CPT codes; abstract diagnosis codes from Physicians orders and office notes, key diagnosis codes in 3M system. Import/Export all charges for the day; work charge error report & EBEW Report in Soarian.
MIDWEST HEMATOLOGY ONCOLOGY
Joe McMillen-314-355-5597 ext. 214
Dates: 05/11/07-12/21/2013
Title: Patient Accounts Rep
Duties: Coding insurance claims with the correct ICD-9 and CPT-4 codes for Medical Office and Chemotherapy; billing & submitting claims manually via HCFA-1500 Forms and electronically via WebMD reprocessing denials; work aging accounts (establish payment arrangements/investigate late payments from insurance companies) and account receivables; answering questions regarding patient accounts;
BJC MEDICAL GROUP
Jeanette Fremont(Supervisor) 314-996-8166
Dates: 12/27/04-05/11/07
Title: Insurance Follow-up Representative
Duties follow-up on denied (due to cpt, icd-9, wrong insurance info, etc) Missouri Medicaid & Illinois Dept of Public Aid Claims. Rebill claim once corrections have been made. Train personnel to bill Missouri Medicaid claims via Missouri Medicaid Website using HCFA 1500?s, UB-92?s, Medicare Crossovers and secondary payers.
APRIA HEALTHCARE
Nancy Fromme (Supervisor) 618-343-3777
Dates: 10-03 to 12-27-04
Title: Customer Service Rep II
Duties: Answer calls from multiple referrals (drs., nurses, patients, caregivers) orders for Durable Medical Equipment (oxygen, canes, walkers ,wheelchairs & etc). Verify all documentation qualifies per insurance billing guidelines. Input patient demographics (name, address ,phone, insurance). Schedule day for deliveries and also pickups. Work Medicare denial report. Follow-up on all unprocessed orders.
APRIA HEALTHCARE
Vivian Harvey (Supervisor) 314-264-6044
Dates: 7-02 to 10-03
Title: Illinois & Missouri Medicaid DME Biller
Duties: Processing Insurance claims for Durable Medical Equipment (canes, wheelchairs, oxygen, etc); checking claims for compliance of billing procedures, codes, and documentation;
ALTON COMMUNITY SCHOOL DISTRICT #11
Rosemarie Young (Supervisor) 618-474-2600
Dates: 3-02 to 7-02
Title: Sub-Assistant
Duties: Assigned to various schools to perform a variety of duties (In-School-Suspension Monitor, teacher's assistant (assist students with in-class studies), Study Hall monitor, issue lunch tickets) for various age groups.
ORTHOPEDIC AND SPORTS MEDICINE CLINIC
Rosemary Mann (Supervisor) 618-474-8054
Dates: 2-26-01 to 2-26-02
Title: Medical Insurance Biller
Duties: Coding insurance claims with the correct ICD-9 and CPT-4 codes; Medicare/Medicaid billing; submitting claims manually via HCFA-1500 Forms; reprocessing denials; work aging accounts (establish payment arrangements/investigate late payments from insurance companies) and account receivables; collecting patient payments and answering questions regarding patient accounts; schedule appointments, collect copays, and check-in patients.
ALTON MEMORIAL HOSPITAL
Stephanie Reynolds (Supervisor) 618-463-7311
Dates: 11-14-94 to 2-17-01
Title: Registrar
Duties: entering patient demographics (name, address, insurance info) into a set computer system; registering inpatients, outpatients, and emergency room patients for services; answering a multi-line switchboard; collecting patient copays and payments; filing.
GUARDIAN ANGELS HEALTHCARE
Dr. Vera Carter-Shields(Owner/Supervisor) 618-465-3637
Dates: 8/98 to 1-01
Title: Medical Insurance Biller
Duties: Coding insurance claims with the correct ICD-9 and CPT-4 codes; submitting all claims manually via HCFA-1500 forms; Medicare/Medicaid billing; follow-up and process denials; post payments; light payroll (6 employees); answer phones, schedule appointments; train new employees; filing.
SOFTWARE USED:
CareLogic
Mosaiq
Sorian
NextGen
Medisoft
Medical Manager
MedX
Hboc
Excel
Microsoft Word
EDUCATION:
Lewis and Clark Community College
Associate in Science
Graduated 5/2012
CPC (Certified Professional Coder) ? American Academy of Professional Coders
Alton Senior High School
Diploma obtained
Graduated 1/83
Lewis & Clark Community College
Certificate of Completion - Data Entry Clerk
REFERENCES:
Furnished upon request
I also have a desire to teach billing & coding.
Thanks
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