1140 NW 183 Street
Miami Gardens, FL 33016
2010 PMC Institute Miami, FL
Certified Professional Coder
1993- 1994 Beacon Career Institute Miami, FL
2006-Present Broward Health Ft. Lauderdale, FL
Customer Service Representative, Central Business Office
Assist with various tasks such as gather financial documentation, bank statements, pay stubs etc, in order to complete an application to recommend or deny charity and taking payments and setting up payment arrangements. Assist doctor’s office with insurance information and authorizations numbers needed to process claims. Performs patient accounting customer services including the review, follow-up, resolution and response to customer requests and issues, and provides collection support to promote excellent customer relations and to support the financial viability of the organization and the accounts receivable process. Establishes and maintains open lines of communication, both internal and external, to promote departmental services. Reviews accounts for payment variances. Provide correspondence to insurance companies, patients and attorneys in response to requests. Perform adjustments to settlements, prompt pays, and administrative write-off according to Broward Health Policy. FAA review and update accounts in the appropriate systems. Advice patients of their financial responsible, I serve as a liaison. Use Excel .
1997-2006 Broadspire formerly Kemper National Services
Billing analyst responsibilities consist of reviewing medical claims and apply modifiers to deny or pay claims as needed. Call providers for additional information if needed to process claims. Refer to state specific fee schedule to process claims with accuracy and to maintain 98% or higher on the quality of all processed claims. Handle confidential and non-routine information.
Bill reviewer task entails adjudicate and processing claims. Review ICD-9, CPT Codes for medical related claims according to the state specific jurisdiction. Communicate to the adjuster any issue that arises with a claim through written communication and data entry of medical claims.
Medical Claims Processor
Medical claims processor duties involve data entry of medical claims according to specific state rules. Identifying duplicate payment history within the state statutes and using the correct provider for billing.
American Academy for Professional Coders (AAPC)
Certified Professional Coder (CPC)