tazmarie17
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BERNADINE D. CANAVAN, CPC-A
737 Serendipity Dr Aurora, IL 60504
(630)851-5575 brandy.canavan@att.net
QUALIFICATION SUMMARY
As a proven administrative professional with a CPC license, I continue to show my ability to research, maintain and update database information were quality and quantity are demanded. My organizational and time management skills were used to bring a 4-week backlog of daily encounters current within a short period of time, which continues to be current. My communication skills help to build a rapport with the patients and the insurance companies to help promote payment of all claims and put procedures in place that benefit the physician’s practice as well as the patients.
EMPLOYMENT HISTORY
Naperbrook Medical Center, Bolingbrook IL 2010-Current
Medical Biller
• Apply appropriate ICD-9, CPT and HCPCS codes to daily patient encounter following appropriate guidelines and HIPAA regulations to Medicare, Medicaid and commercial insurances to insure proper payment and credit for services provided.
• Daily entry of patient encounters using Medi-soft, applying co-pays and balance payments to the appropriate Patient account. Applying Explanation of Benefits received from Insurance companies to the appropriate patient account. Follow up remaining balances with secondary insurance billing or bill patient for remaining balance as appropriate.
• Successfully brought daily billing current and cleaned up over 500 pages of old claims.
• Effectively researching and sending required documentation on claims that have been denied or rejected in order to attempt to receive payments.
• Created a system that will allow tracking of claims that were being appealed as well as clients with any outstanding balances to be re-billed. Answering phones, setting appointments, verifying insurance
Audatex, San Diego CA (formerly ADP Claim Solution) 1998-2010 Contractor – Illustration QA Specialist (2008-2010)
Illustration QA Specialist – Virtual Office (2004-2008)
Supervisor/Illustration Specialist (2000-2004)
Illustration QA Specialist – (1998-2000)
• Researched, maintained and updated data and picture files of vehicles database to meet strict monthly deadlines. Produced finished product on 188 files which was more than half the workload on a team of 4 specialists.
• Communicated and coordinated work flow with teams in San Diego, CA, Sao Paulo, Brazil and Mexico in order to ensure highest quality of data from Aurora, IL office.
• Team lead for 12 associates, 8 of which were direct reports, while continuing to provide precise instructions to the Illustration team on 5-8 vehicle files a month.
• Helped implement Additional Graphics Project which added on average 150 new parts to 622 identified vehicles files within 90 days to address customer requests for additional coverage.
• Trained new specialists through training class, followed up with email and phone coaching.
EDUCATION
Associate Degree in Occupational Studies, December 2010; Pinnacle Career Institute, Kansas City, MO
Certification: NRCCS, CPC, November 2009
Education Officer; AAPC Oakbrook Chapter ;September 2010-current
737 Serendipity Dr Aurora, IL 60504
(630)851-5575 brandy.canavan@att.net
QUALIFICATION SUMMARY
As a proven administrative professional with a CPC license, I continue to show my ability to research, maintain and update database information were quality and quantity are demanded. My organizational and time management skills were used to bring a 4-week backlog of daily encounters current within a short period of time, which continues to be current. My communication skills help to build a rapport with the patients and the insurance companies to help promote payment of all claims and put procedures in place that benefit the physician’s practice as well as the patients.
EMPLOYMENT HISTORY
Naperbrook Medical Center, Bolingbrook IL 2010-Current
Medical Biller
• Apply appropriate ICD-9, CPT and HCPCS codes to daily patient encounter following appropriate guidelines and HIPAA regulations to Medicare, Medicaid and commercial insurances to insure proper payment and credit for services provided.
• Daily entry of patient encounters using Medi-soft, applying co-pays and balance payments to the appropriate Patient account. Applying Explanation of Benefits received from Insurance companies to the appropriate patient account. Follow up remaining balances with secondary insurance billing or bill patient for remaining balance as appropriate.
• Successfully brought daily billing current and cleaned up over 500 pages of old claims.
• Effectively researching and sending required documentation on claims that have been denied or rejected in order to attempt to receive payments.
• Created a system that will allow tracking of claims that were being appealed as well as clients with any outstanding balances to be re-billed. Answering phones, setting appointments, verifying insurance
Audatex, San Diego CA (formerly ADP Claim Solution) 1998-2010 Contractor – Illustration QA Specialist (2008-2010)
Illustration QA Specialist – Virtual Office (2004-2008)
Supervisor/Illustration Specialist (2000-2004)
Illustration QA Specialist – (1998-2000)
• Researched, maintained and updated data and picture files of vehicles database to meet strict monthly deadlines. Produced finished product on 188 files which was more than half the workload on a team of 4 specialists.
• Communicated and coordinated work flow with teams in San Diego, CA, Sao Paulo, Brazil and Mexico in order to ensure highest quality of data from Aurora, IL office.
• Team lead for 12 associates, 8 of which were direct reports, while continuing to provide precise instructions to the Illustration team on 5-8 vehicle files a month.
• Helped implement Additional Graphics Project which added on average 150 new parts to 622 identified vehicles files within 90 days to address customer requests for additional coverage.
• Trained new specialists through training class, followed up with email and phone coaching.
EDUCATION
Associate Degree in Occupational Studies, December 2010; Pinnacle Career Institute, Kansas City, MO
Certification: NRCCS, CPC, November 2009
Education Officer; AAPC Oakbrook Chapter ;September 2010-current
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