Latisha M. Anderson

Latisha M. Anderson To obtain a position that is challenging with room for advancement

Skills:

Skilled in the requirements of commercial insurance and government programs.

• prepare claim forms and learn basic medical coding skills
• emphasis is placed on electronic claims submission, processing and monitoring, reimbursement calculations, and billing and collection procedures, legal and ethical standards.
• simulate claims billing and processing using medical billing software.

Use and knowledge of Medi-Soft medical billing software

• Group and private healthcare plans
• Managed care (HMO, PPO)
• Medicare :  Aware of medical ethics and legal considerations of medical office personnel, office safety, OSHA and HIPPA regulations, reception techniques, appointment scheduling, diagnostic scheduling, medical records, bookkeeping,billing, collection, and general office management techniques.
• The computer lab used to learn the proper mechanics and formats of various medical documents and reports.

Experience:

• Government Inpatient and Out-patient billing
• Handle TARS and RTD's
• Rebill medi-cal claims hardcopy and electronically
• Fix corrected billing on claims
• Bill mom and new born baby claims
• Handle medi-cal adjustments
• Input correct patient demographics
• Check status on tars & eligibility on Medi-cal website
• Bill for Medicare and other ins crossover claims
• Receive authorization or CCS forms for billing
• Place accounts on user hold for correction needed from other facility
• Input Authorization numbers into the system
• Transfer and reverse accounts
• Handle over1yr claims with mc-180 or POE attached from CMS
• Help with special project if needed
• Government/Ins Biller Handle
• TARS and RTD's
• Re-bill Claims hardcopy and electronically
• Insurance/Government billing primary and secondary
• Appeal with insurance for reimbursement on denied/underpaid claims
• Eligibility verification on insurance data base
• Follow up and check status of claims
• Handle TARS and RTD's for radiology and pet scans
• Re-bill Claims
• Insurance billing primary and secondary
• Appeal with insurance for reimbursement on denied/underpaid claims
• Eligibility verification on insurance data base
• Follow up and check status of claims on vital works
• Data Entry Claims Processing
• Input procedure codes
• Input Claim status
• Check Eligibility
• Recognize/ input POS
• Keep record of attendance
• Answer telephone
• Serve breakfast, lunch and snacks
• Read books to the children
• Supervise while outside on playground

Education:
R.O.P Program

• Medical Administration

Currently enrolled at Everret online Coding Program

• Medical Terminology, Billing Ins, Medical Office Procedure Course Competency Certification
• MediSoft, Emden, Cirius, Eclipsys software knowledge