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Yyyyyy x. yyyyyy
0000 xxxxxx xxxx ,
xxxx , xxxxx 00000
xxx-xxx-xxxx
abc@xyz.com
Qualifications Profile
Ø Offering over 20 years experience in Medical Billing and Coding; extensive knowledge of HMO, PPO, Medicare, Medi-Cal, and Workers Compensation billing as well as HCPCCS and ICD-9 coding
Ø Highly proficient in processing, troubleshooting and resolving insurance claims to maximize receivables/collections and minimize rejections; have successfully defined, developed, streamlined, and implemented systems/processes to boost productivity, efficiency and quality of claims processing
Ø Excel in strategically prioritizing, coordinating and managing projects/workflow to maximize performance and meet critical timelines in high-volume environments
Ø Dynamic communication and interpersonal relation skills; effectively interface with clients, insurers, patients, physicians, internal management and associates, and related stakeholders
Ø Take the initiative to actively participate in refresher courses, certificate programs and workshops/ conventions to maintain current knowledge
Ø Additional experience in front and back physician practice operations
Career Track
Medical Biller, MMP-CBIZ-Alhambra, CA 2006-2008
Proficiently managed broad range of claims for USC Anesthesia, from PPO and HMO to Medicare and Medi-Cal; additionally handled pain management
Effectively facilitated denied claims appeals to optimize accounts receivable/collections
Medical Biller/Interim Supervisor, AAI-City, CA 2001-2006
Steered all anesthesia billing for UCLA, from simple procedures to neurosurgery; required comprehensive knowledge of Medicare and Medi-Cal
Strategically streamlined medical billing processes to substantially improve claims turnaround with attached documents and resulting in a low rejection rate
Medical
Biller/Admin Assistant, J.H. Abramson, MD-Sherman Oaks, CA 1984-2006
Efficiently managed high volume of billing and coding, including workers compensation as well as filing of liens, and held full accountability for computer system, successfully defining and implementing policies/procedures to boost claims processing while reducing rejections; recognized with numerous commendations for dynamic job performance
Actively participated in annual billing and coding conference to maintain current knowledge and enhance skills
Concurrently provided physician assistance by taking detailed exam notes and further supported operations by managing front-office reception and appointment scheduling
Professional Development/Credentials
Billing/Coding Program Completed, Coding Source-West Los Angeles; January 2009-July 2009
Coding Exam in all body parts, HCPCCS Coding and ICD-9 Coding pending-December 2009
Participant, AAPC Convention-Las Vegas
Affiliate, American Academy of Professional Coders
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