I am looking to get into coding. I am CPC-A ,but no luck in coding . Below is the copy of resume. Any help will be appreciated.
Shubhra Sharma
249 School Street, Somerville, MA 02145
Phone: 857-234-0384 Email: shub991@yahoo.com
________________________________________
MEDICAL BILLING & CODING SPECIALST
• CPC Certified
• Bi-lingual in Hindi, Punjabi and English
________________________________________
EDUCATION
American Career Institute, Cambridge, MA Graduation: November 2011
Medical Billing & Coding
Bachelor's- Electrical Engineering Graduation: June 1987
Diploma in Marketing & Sales Management Graduation: June 1989________________________________________
SKILLS & QUALIFICATIONS
• Medical Terminology • Medical Insurance • Medisoft • Medical Terminology
• Bi-lingual • Medisoft • CPT -10 • Human Diseases
• Medical Billing • Medical Software • ICD -9 • Anatomy Pathophysiology
________________________________________
EXPERIENCE
Tufts Medical Center, Boston, MA February 2011 – Present
Third Party Billing Specialist
Researches and performs billing and follow-up activity for all assigned financial classes using tape, paper and/or electronic media.
Performs secondary payor billing and follow-up activity in accordance with appropriate carrier specifications for all assigned accounts/financial classes.
Reviews, evaluates and processes all appeals through research and resubmission to appropriate third party of complete and accurate supporting documentation.
Researches and recommends third party appeal adjustments and/or write-offs to Team Leader.
Researches and recommends other third party adjustments and/or write-offs to Team Leader based upon collectability of account.
Contacts third party payors and guarantors to discuss and resolve payment issues and questions.
Resolves charge entry/registration items that are not present, but required for third party payment of the claim, such as physician name, upin number, etc.
Performs on-line data entry of account changes and documents on the system all conversations and follow-up actions taken to resolve outstanding accounts.
Researches and makes charge entry batch corrections.
Researches all credit balances, duplicate charges, outstanding allowances, etc., within assigned financial classes, and recommends to team leader, appropriate refund, payment transfer, charge correction, etc.
Prepares batch corrections for submission to Team Leader.
Processes all correspondence associated with primary and secondary carrier billing and follow-up activities.
Answers telephone inquires from third party carriers regarding claims.
Provides third party carriers with any information necessary to obtain payment of the claim.
Reviews all claims for assigned financial class. Sorts claims that require supporting documentation and requests information from support staff.
Maintains department productivity log in absence of team leader.
Remains knowledgeable and current on third party billing, follow-up and collection applications, requirements and regulatory guidelines at the federal, state and local levels for assigned accounts/financial classes.
Works closely with team members to maintain and monitor the integrity of the billing and collection process.
Reports billing and collection trends and issues to Team Leader.
Meets all monthly and year end fiscal closing deadlines as they relate to the charge entry and correction process.
Provides back-up coverage for other team members in case of absence.
Performs other duties and assignments as needed and requested by management.
III. JOB REQUIREMENTS:
Back Staff Associates, Waltham, MA July 2010 – February 2011
Call Center Representative
Answer phone and respond to customer requests.
Sell education package and put them into the system.
Up sell product and services, follow through the process of resolving all issues.
Recognize, document and alert the supervisor about the changing trend in customer calls.
Other duties as assigned.
Massachusetts Teachers Retirement System, Cambridge, MA March 2002 – April 2006
Benefit Adjustment Counselor
Processing Regular, Retirement Plus, Termination Retirement benefit calculations in accordance to laws and PERAC regulations.
Assist Education Department for Biweekly Group Counseling sessions and individual counseling.
Actively participated in organizational projects, Conduct analysis and identify issues with Regular compensation and contracts.
Answered phones and schedule patient appointments as well as registration.
Shubhra Sharma
249 School Street, Somerville, MA 02145
Phone: 857-234-0384 Email: shub991@yahoo.com
________________________________________
MEDICAL BILLING & CODING SPECIALST
• CPC Certified
• Bi-lingual in Hindi, Punjabi and English
________________________________________
EDUCATION
American Career Institute, Cambridge, MA Graduation: November 2011
Medical Billing & Coding
Bachelor's- Electrical Engineering Graduation: June 1987
Diploma in Marketing & Sales Management Graduation: June 1989________________________________________
SKILLS & QUALIFICATIONS
• Medical Terminology • Medical Insurance • Medisoft • Medical Terminology
• Bi-lingual • Medisoft • CPT -10 • Human Diseases
• Medical Billing • Medical Software • ICD -9 • Anatomy Pathophysiology
________________________________________
EXPERIENCE
Tufts Medical Center, Boston, MA February 2011 – Present
Third Party Billing Specialist
Researches and performs billing and follow-up activity for all assigned financial classes using tape, paper and/or electronic media.
Performs secondary payor billing and follow-up activity in accordance with appropriate carrier specifications for all assigned accounts/financial classes.
Reviews, evaluates and processes all appeals through research and resubmission to appropriate third party of complete and accurate supporting documentation.
Researches and recommends third party appeal adjustments and/or write-offs to Team Leader.
Researches and recommends other third party adjustments and/or write-offs to Team Leader based upon collectability of account.
Contacts third party payors and guarantors to discuss and resolve payment issues and questions.
Resolves charge entry/registration items that are not present, but required for third party payment of the claim, such as physician name, upin number, etc.
Performs on-line data entry of account changes and documents on the system all conversations and follow-up actions taken to resolve outstanding accounts.
Researches and makes charge entry batch corrections.
Researches all credit balances, duplicate charges, outstanding allowances, etc., within assigned financial classes, and recommends to team leader, appropriate refund, payment transfer, charge correction, etc.
Prepares batch corrections for submission to Team Leader.
Processes all correspondence associated with primary and secondary carrier billing and follow-up activities.
Answers telephone inquires from third party carriers regarding claims.
Provides third party carriers with any information necessary to obtain payment of the claim.
Reviews all claims for assigned financial class. Sorts claims that require supporting documentation and requests information from support staff.
Maintains department productivity log in absence of team leader.
Remains knowledgeable and current on third party billing, follow-up and collection applications, requirements and regulatory guidelines at the federal, state and local levels for assigned accounts/financial classes.
Works closely with team members to maintain and monitor the integrity of the billing and collection process.
Reports billing and collection trends and issues to Team Leader.
Meets all monthly and year end fiscal closing deadlines as they relate to the charge entry and correction process.
Provides back-up coverage for other team members in case of absence.
Performs other duties and assignments as needed and requested by management.
III. JOB REQUIREMENTS:
Back Staff Associates, Waltham, MA July 2010 – February 2011
Call Center Representative
Answer phone and respond to customer requests.
Sell education package and put them into the system.
Up sell product and services, follow through the process of resolving all issues.
Recognize, document and alert the supervisor about the changing trend in customer calls.
Other duties as assigned.
Massachusetts Teachers Retirement System, Cambridge, MA March 2002 – April 2006
Benefit Adjustment Counselor
Processing Regular, Retirement Plus, Termination Retirement benefit calculations in accordance to laws and PERAC regulations.
Assist Education Department for Biweekly Group Counseling sessions and individual counseling.
Actively participated in organizational projects, Conduct analysis and identify issues with Regular compensation and contracts.
Answered phones and schedule patient appointments as well as registration.