Need Job in Coding

shub991

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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
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MEDICAL BILLING & CODING SPECIALST

• CPC Certified
• Bi-lingual in Hindi, Punjabi and English
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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
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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.
 
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