Maqiuith Nicholson

Maqiuith Nicholson 4847 Aldrich Ave N Minneapolis, MN 55430 -- Objective: To obtain long full time employment as a medical professional, that will allow me use my skills, knowledge, experience and education for advancement, growth within your company. Qualifications: Medical billing Medisoft Qualified HIPAA Certified Compliance Certified Microsoft Office OSHA Certified Medical Terminology CPT/ICD-9/ICD-10 HCPC Certified Type 45 WPM &10 Key Allina Health-Solution One Collections Account Specialist 12/2012-2/20/20 Both inbound/outbound fielding, and resolved calls from patients, insurance companies, attorneys departments regarding hospitals, clinics, and laboratory accounts. Resolved questions and perform tasks related to: obtaining payment over the telephone from patients/guarantors, resolved patient balances by offering and accepting all appropriate payment arrangements, updated incomplete or missing information on accounts to insure that billing is correct, performed balance reviews, understand charges, note follow-up entries on account. Respond to patient’s inquiry on why insurance did not pay. Provided accurate information and facilitate resolution to customer and third party inquiries while representing the company in a professional and positive manner. Health East Corporate Office Ambulance biller/Insurance Follow-Up11/2008-12/2012 Reviewed billed claims for correct modifiers and insurance payers. Confirmed claims were received by contacting payers for status. Collected and followed up on denials and rejections. Sent appeals and reconsideration letters as needed. Invoiced members with copay's and deductibles. ActivStyle Inc. DME Biller/Collector 7/2000-11/2008 Maintained active communication with Medicaid payers weekly using the following tools: phone, email, and fax. Confirm that items supplied are cost effective per the member’s insurance using appropriate Procedure Code and Allowable to ensure accurate Accounts Receivable. Processed DME claims and Invoices: run claims report, print and review claims and invoices, mail or electronically transmit to appropriate carrier. Worked Denials: correct and resubmit billing errors, process denied claims appropriately. Worked Monthly Aging Reports: Research unpaid claims to determine trends. Decide whether a claim can be appealed, adjusted, or is non-collectible. Worked Validation Reports to determine internal trends. Reviewed Insurance policy and regulations and inform those necessary of any changes. Responsible for performing the Company Monthly Audit. Performed other A/R duties as requested by the Accounts Receivable Manager. American Retrieval Account Manager/Trainer 7/1996-7/2000 Retrieved medical, employment, school etc. and other records on behalf of legal and insurance clients accurately, efficiently and professionally. Communicated with record custodians, medical facilities and clients daily via telephone, fax and email to follow up on status of requested records. Established and maintained positive working relationships with clients and medical facilities by ensuring the best possible customer satisfaction Used company web portals, completes approved record request forms, submits them to record keeping custodians/medical facilities to obtain medical records and other documentation Processed payments for requested records by issuing pre-payments by check or credit card and authorizes payment of invoices Verifies and enters all required information into the computerized system to create and maintain client and facility databases, ensuring accuracy. Uses search engines to locate unfamiliar facilities to validate contact information. Education: Anthem College St. Louis Park, MN Graduated 10-2010 Medical billing and Coding, Diploma MN Bartender Certificate Mpls, MN Graduated 10-2008 University of MN Mpls, MN Graduated 9-2005 Medical Office Administration, Associates in Applied Science Reference upon request.