Seeking employment in the healthcare field – Glen Burnie

Position Type:

Full-time

Arthea S. Glover           Home: 410 863-1058  OBJECTIVE: To obtain a position within the medical field using my experience in medicalterminology and insurance verification VOLUNTEER EXPERIENCE: 3/2007-present                      Partners in Care                              Severna Park, MDVolunteer Patient Care-          Assist patient to doctor s appointments-          Assist with daily errands (grocery store, family visits, etc.)-          Provide excellent customer service         EXPERIENCE:                        10/2005-01/2007                     Maxim Healthcare Services               Columbia, MDNew Accounts Representative-          Verified insurance benefits-          Phone communications with field offices and clients-          Met deadlines with client’s folders-          Daily use of medical terminology-          Use of ICD-9 -          Assisted with monthly billing on HICFA’S & UB’S-          Ran credit reports on private pay accounts-          Ran D & B- Business credit reports-          Maintained excellent customer service at all times-          Administrative duties as assigned 6/2003-9/2005                         NeighborCare Pharmacy          Annapolis-Junction, MDInsurance Specialist/ Pharmaceutical Billing Representative-          Insurance verification, Third Party insurances-          Reviewed, corrected and resubmitted rejections for timely reimbursements-          Accessed customer files to verify necessary information-          Documented all actions taken on account as necessary-          Contacted Doctor’s offices to gain authorization for pre-certification -          Assisted collectors with resubmission-          Daily use of ICD-9 and CPT coding-          Maintained accurate and complete records on all accounts-          Advised supervisor of areas of concern HIPAA and Compliance Issues -          Medicaid State Notifications, (NOE) Notice of Eligibility-          Approved prescription claims for (DME) Durable Medical Equipments-          Process claim to insure company’s profitability, Electronic Billing-          Maintained Excellent Customer Service-          Reviewed and Evaluated patient files to ensure accuracy of information-          Filed patient records on a monthly basis-          Followed up to ensure the completion of patient records-          Entered new information into system -          All other duties as assigned