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Evergreen Health Hospital - Payment Application Specialist Resume Example

Emily Bell
XXXXX XXXX XXX XXXXX , Seatac , WA 98168 | (H) XXXXXXXXXXXXX | XXXXXXXXXXXXXXXXXXXXX
Objective

Looking for a position as a Medical Claims Processor in a fast growth company where I can utilized my skills and knowledge. 

Skills
  • Proficient in all of the standard office desktop software.
  • Self-motivated, fast learner, and ability to work independently and as part of the team.
  • Ability to build and maintain strong customer relationships.
  • Ability to adapt easily to a variety of challenging situations and maintain professional.
  • Extensive knowledge of insurances.
  • Data Entry.
  • Knowledge of the HIPAA Guidelines and Regulations.
  • Mastery of Microsoft Word, Microsoft Excel, Microsoft Outlook.
  • Keyboarding: 45 WPM and 10 keys by touch.
  • Prioritize work load and well organized.
  • Ability to multitask and complex problem solving.
  • Strong communications skills between manager, supervisor, marketing representative, doctor's office, and patients.
  • Ability to complete each task withing deadline. 
  • Judgment and Decision Making
  • Active Learning
Experience
Payment Application Specialist 05/2013 to Present
Evergreen Health Hospital Kirkland, WA
Kirkland, WA
Responsibilities:
  • Create, maintain, and enter information and payments into databases from insurance companies as accuracy as possible.
  • Verify patients information and payments.
  • Performs payment posting daily, ensures complete review of explanation of benefits and the proper application to ensure all payments are posted accurately.
  • Ensure all accounts are at zero or forwarded to the appropriate payer, make determinations where balances are to be applied, responsible for accurately processing all payments through ideal and  on a daily basis and month end.
  • Mastery at 10 keys
  • Verifying insurances to ensure correct billing.
  • Responsible for tracking denial claims and ensure it is given to denial management to handle.
  • Set up insurances for claims.
  • Ensure all accounts are balanced to check amount before posting.
  • Make copies of correspondence or other printed material.
  • Make phone calls to insurance companies regarding claims.
  • Follow up on aged claims.
Charge Entry 04/2012 to 05/2012
Childrens Hospital of Orange County Orange County, CA
Responsibilities:
  • Review all medical records.
  •  Key in charges for patient's procedure to patient's account, working with CPT codes.
  • Creating multiple encounters upon requirements.
  • Input patient's demographic using Nextgen system, and working with multiple insurance including Medi-Cal, CCS, and Caloptima.
  • Insured accuracy at all time, and achieve goals within company's expectation.
Billing Specialist 09/2009 to 03/2012
Paclab Renton, WA
Responsibilities:
  • Verify and input all necessary information to generate a clean claim to insurance companies including: Coding requisitions using ICD-9 codes. 
  • Assist with clients and patients with billing inquiries.
  • Follow up on denial accounts to ensure it is handled within time frame.
  • Answering multiple phone calls.
  • Data entry all information into each account.
  • Verify insurances on eligibility denials.
  • Completing billing report within deadline.
  • Billing 33 accounts or more per hour.
  • Electronic billing through EMR, faxing, filing requisitions, and maintaining company's goal at all time.
  • Achieving productivity log at  all time.
Scanner Operator 06/2007 to 03/2012
Spectrum Information Seattle, WA
Responsibilities:
  • Accurately scanned each documents into system within time frame.
  • Data entry each documents after it is scanned into system.
  • Document preparation, alphabetizing and numeric filing.
  • Complete projects from each individual clients within deadline.
  • Complete quality control activities, monitor equipment operation, and report malfunctioning equipment to supervisor.
Quality Controller 05/2009 to 08/2009
T-Scan Seattle, WA
Seattle, WA
Responsibilities:
  • Quality control medical records and court reports.
  • Ensuring accuracy of records being process and scanned for requested Attorneys.
  • Proof edit with originals documents and scan copy before releasing electronic records to facilities. 
  • All jobs to be completed by month end to achieved production goals.
Education
Diploma: Medical Jan 2009 Everest College - Everest College 2008-2009 Degree: Medical Administrative Assistant Diploma
High School Diploma: Jan 2005 Cornerstone Christian Correspondence School - Cornerstone Christian Correspondence School 2004-2005 Degree: High School Diploma
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Resume Details

This is a real resume for a Payment Application Specialist in Seatac, Washington with experience working for such companies as Evergreen Health Hospital, Childrens Hospital Of Orange County, Paclab. This is one of the hundreds of Payment Application Specialist resumes available on our site for free. Use these resumes as templates to get help creating the best Payment Application Specialist resume.

Previous Companies:

  • Evergreen Health Hospital
  • Childrens Hospital of Orange County
  • Paclab

Previous Job Positions:

  • Payment Application Specialist
  • Charge Entry
  • Billing Specialist
  • Scanner Operator
  • Quality Controller

Schools:

  • Everest College
  • Cornerstone Christian Correspondence School

Level of Education:

  • Diploma
  • High School Diploma

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