Customer Service/Medical Biller/Patient Accounts

Latrice M. Wright

2900 Landrum Drive #94, Atlanta, GA 30311, 404-437-3788, L40rite@hotmail.com

 

 

SUMMARY OF QUALIFICATIONS

  • Strong verbal and written communication skills
  • Contract interpretation, Research, and Analytical Skills
  • Working knowledge of medical (ICD-9, CPT4, HCPCS) and dental (CDT) billing and coding
  • Computer: MS Office/Outlook, Centricity, Med soft, Medical Manager

 

WORK EXPERIENCE

Claims Examiner II, Delta Dental, Alpharetta, GA 12/2012-09/2013

  • Perform review of dental claims for payment of benefits, checking for completeness and returning claims for additional information.
  • Analyze claims for possible discrepancies including duplication of services, billing and incorrect procedure identification.
  • Identify primary insurance carriers for claims received and coordinates payment of benefits with primary carriers.
  • Verify patient eligibility for coverage of claims received, checking appropriate records for date of birth, social security number, date of eligibility and type of coverage needed.
  • Met monthly production and quality goals set by management.

 

Patient Account Representative, ATC Healthcare, Atlanta, GA 11/2006-12/2011

  • Reviewed account and determined what was needed in order to get the account resolved.
  • Followed up with insurance companies on aged accounts
  • Filed and retrieve medical billing documents, such as Explanation of Benefits) and insurance correspondence.
  • Assembled medical claims and documentation for mailing to insurance companies.
  • Generated letters to patients requesting additional information when needed.
  • Assisted patient with account inquiries.

Medical Biller, Central Carolina Family Practice, Charlotte, NC 07/2002-11/2006

  • Submitted claims to Insurance Companies, Medicare, Medicaid, Tricare and Commercial
  • Filed all insurance claims via paper or electronic transmission
  • Checked insurance payment for accuracy
  • Answer all telephone inquires
  • Submitted appeals to insurance companies
  • Assisted front office with phone coverage
  • Schedule patient appointments
  • Back front office with patient check in and patient check out

 

EDUCATION

  • Atlanta Metropolitan College, Social Worker, Atlanta GA  08/2011-07/2013
  • HCFA, Certified Patient Account Representative, Atlanta GA 02/2002-Present

 

  • ID#: 77054
  • Location: Atlanta, GA , 30311

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