Demetrius Reeves is seeking a position as a billing representative based on over 10 years of experience in medical billing. Their skills include proficiency in coding, EMR systems, insurance billing, and customer service. Currently working as an access representative and mentor at Scripps Medical Foundation, responsibilities include training staff, resolving billing issues, and assisting customers. Prior experience also includes roles as a mammography scheduler and home health aid. Education includes a diploma from North Community High School and completion of the Certified Medical Administrative Assistant Program at Pima Medical Institute.

1. D E M E T R I C S R E E V E S
7025 Wait DR. #28A | La Mesa CA 91941 | 619.358.5116 | demee7@gmail.com
OBJECTIVE
Proficient and analytical Billing Representative seeking to become an asset to your organization
and its customers through efficient billing processes. Expert at being helpful yet firm in all
customer relations. My enthusiasm will provide opportunity for growth potential within your
organization.
SKILLS PROFILE
- Organized Excellent communication skills/written and oral Experienced trainer
- Leader Team player Customer oriented
- Fast Learner Punctual Professional
- Ten key by touch 45 WPM typing Multiline phones
- Accountspayable/receivable ICD-10, ICD-9, CPT, and HCPCS coding
- EMR (Allscripts, IDX) Proficiency withall typesof insurance(HMO, PPO, Medi-Cal, Medicare)
- Ten key by touch
EMPLOYMENT HISTORY
Scripps Medical Foundation 9/8/2009 — Current
San Diego, CA Access Representative Professional billing/Mentor
- Assigned to workwith management to trainnew personsin department
- Answer high volume phonesto discussbillingissueswithpatients
- Create payment planswith patientsthat need assistance
- Explain insurancebenefitsto patientsthat areconfused aboutmedicalbillingcosts
- Workwith billing andcodingto forward accountsthat need attention
- Create and mail itemized billing statementsper patient request
- Assist customersin setting upauto-pay aswell aspaperlessbilling andstatements.
- Processlatefeeson unpaid accounts.
- Processmonthly billsand send to customersfor payment.
- Receiveand processpaymentsfrom customerswhileupdating their account.
- Worked collectionswhichincluded mailing ofcorrespondence, working withpatientsto establish promissory
notesfor paymentsand if necessary forwarded accountsto collection agency.
- Established guidelinesfor proper coding/billing for providers.
- Review and classification of questionablechargesto appropriatepersons.
- Resolved billing issuesidentified by insurancecarriersand patients.
- Extensiveresearch and review of denied claimswithin awidevariety ofbilling areas.
- Communicateand follow-up with variouscommercial insurancecompaniesin order to get claimsprocessed
and for claim status.
- Initiatetelephoneand written appealsfor denialssuchasmedical necessity, untimely filing, bundled, and
duplicateclaims.
- Corrected and resubmitted claimsdenied by insurancecompany.

2. - Responsiblefor allfollow-up on insuranceclaimsto Medicare, Medicaid,Medical, Tricare, and commercial
insurance.
- Accurately input procedureand diagnosiscodesintobillingsoftwareto generateinvoices
- Used electronic chargecapturepracticessuch asbilling and account receivable(BAR) system and medical
billing clearinghouseaccountsto submitcodesand invoiceson time.
-
Sharps Grossmont Imaging 8/10/2008 — 9/2/2009
San Diego, CA MammographyScheduler
- Monitored all incoming callsin facility and provided response.
- Coordinated with external specialist to preparescheduleasper orders.
- Analyzed and validated all ordersasper treatment plan of patients.
- Monitored referralsto clinic andscheduled appointment.
- Assisted clinical staffto resolveall issuesconcerningreferrals.
- Maintained record ofallpatientinformation onRIS systems.
- Ensured complianceto safety policiesand regulationsefficiently.
- Administered customer account transactionsand maintained insurancedata.
Caregivers Unlimited 10/15/2006 — 11/29/2007
San DiegoCA, Home Health Aid
- Assisted patientswith meal planningand preparation.
- Provided assistancewith daily grooming and bathing activities.
- Maintained detailed recordsofpatientvitalsand weekly progress.
- Ensured that daily mealswereprepared inaccordancewithpatient dietary restrictions.
- Assisted patientswith daily activitiesincluding light housekeeping.
- Provided transportationto and from medical appointments.
- Prepared daily reportsof patient activities.
- Ensured that patientstookdaily medications.
Education:
- North Community HighSchool 1988-1991-Diploma
- PimaMedical Institute 07/07 –10/08
- Completed theCertified Medical AdministrativeAssistant Program