Patricia Carr is seeking a career in the medical billing field. She has over 20 years of experience in medical billing, coding, and insurance verification. Her resume lists positions with various medical offices and ambulance companies where she performed duties such as billing insurance companies, accounts receivable, obtaining authorizations, and answering billing questions. Her most recent role is as a Managed Care Operations Coordinator at Walgreens Specialty Pharmacy where she assists with billing issues, pricing requests, and contracting.

1. PATRICIA A. CARR
3073 Countryside Drive
Allison Park, PA 15101
Phone 412-525-0414
E-mail dpcarr01@verizon.net
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Objective To use my knowledge and extensive work experience to obtain a
successful and challenging career.
Education EMT, CCAC, 1994
MEDICAL ASSISTANT, SAWYER BUSINESS SCHOOL, 1987
SHALER AREA HIGH SCHOOL, 1986
Skills CPT Coding Medicare Billing Procedures
ICD-9-CM Medicaid Billing Procedures
Insurance Verification Commercial Billing Procedures
Ambulance Billing Guidelines Word Processing
HMO Billing Procedures Office Procedures
Electronic Billing Procedures Medical Terminology
Medical Transcription Typing (60-65 wpm)
Physician Office Billing Procedures Collection Procedures
Work experience 1992 – 1995 B.W. MORRISON M.D.
MEDICAL ASSISTANT/MEDICAL BILLER,
DUTIES INCLUDED: Scheduling appointments, answering phone calls,
front office duties, tracking down lab work, preparing patient charts,
scheduling hospital procedures, and assist in back office procedures.
Posting patient charges, billing insurance companies both paper
claims and electronically, collection of money on patient accounts,
billing all patients with outstanding balances, following up with
insurance companies on all outstanding claims, accounts receivable,
accounts payable, payroll, interviewing new office personnel, sorting
through the mail, training new office personnel, and assisting the
office manager in her duties.
1995 – 1998 MED-STAT AMBULANCE SERVICE
MEDICAL BILLING SPECIALIST,
DUTIES INCLUDED:
Insurance verification, inputting of tripsheets, billing insurance
companies (both paper claims and electronically), monthly and
quarterly contractor reports with contracted facilities, billing all paintes
with outstanding balances, following up with insurance companies on
all outstanding claims, accounts receivable, posting accounts
receivable, obtaining authorizations.

2. 1998 – 2004 PRIORITY ONE MEDICAL TRANSPORT
MEDICAL BILLING SPECIALIST,
DUTIES INCLUDED:
Insurance verification, inputting of tripsheets, billing insurance
companies (both paper claims and electronically), monthly and
quarterly contractor reports with contracted facilities, billing all
patients with outstanding balances, following up with insurance
companies on all outstanding claims, accounts receivable, posting
accounts receivable, obtaining authorizations and medical
necessities. Creating and implementing dispatching procedures in
order for insurance guidelines to be followed. Creating and
implementing billing procedures to effectively collect payments.
Answering billing questions from insurance companies as well as
patients.
2004 – 2004 INTERIM HEALTHCARE
BILLING / PAYROLL SPECIALIST
DUTIES INCLUDED:
Insurance verification, inputting of client orders, billing insurance
companies (both paper claims and electronically), monthly and
quarterly AR reports. Following up with insurance companies on all
outstanding claims, posting accounts receivable. Using billing
procedures to effectively collect payments. Answering billing
questions from insurance companies and patient. Weekly processing
of payroll for over 300 employees.
2004 -- 2006 UPMC CORPORATE SERVICES
PRE-ARRIVAL REPRESENTATIVE /SWAT
DUTIES INCLUDED:
Insurance verification, pre-registration of patients for out patient
testing.Calling patients to update personal information. Daily counting
of schedules. Updated all schedules with add ons. Communicating
with facilities with problems and copays.
2006 – 2008 UPMC CORPORATE SERVICES
TRANSPLANT CREDIT ANALYST
DUTIES INCLUDE:
Insurance verification, inputting of transplant patient's information into
the system. Obtaining authorizations, counseling of patients at clinic,
pulling of reports, maintaining patient's files, setting up single case
agreements, working with insurance case managers. Answering all
patient questions. Verifying of in patient accounts.
2008 -- Present WALGREENS SPECIALTY PHARMACY
SR. INSURANCE VERIFICATION SPECIALIST
DUTIES INCLUDE:
Insurance verification,obtaining prior authorizations from insurance
companies, reviewing insurance companies medical criteria,
counseling the patients on their financial responsibilities, answering
patient questions and assisting them with their needs.

3. 2009 – 2013 WALGREENS SPECIALTY PHARMACY
INSURANCE GROUP SUPERVISOR
DUTIES INCLUDE:
Supervisor Insurance Verification Staff. Managing Kronos hours for
employees, train new staff, managing daily work for staff, .running
daily reports, making staff schedule, counsel employee’s as needed.
Resolving issues/problems that need taking care of daily, Insurance
verification, obtaining prior authorizations from insurance companies,
reviewing insurance companies medical criteria, counseling the
patients on their financial responsibilities, answering patient questions
and assisting them with their needs
2013 – Present WALGREENS SPECIALTY PHARMACY
MANAGED CARE OPERATIONS COORDINATOR
DUTIES INCLUDE:
Assisting the Operation Manager, Specialty Contracts and Pricing.
Working with SAM’s and the clients with billing issues. Working pricing
requests. Assisting in setting up LOA for clients when needed. Helping
Reimbursement with billing issues with payers. Assisting the Operation
staff with contracting issues with clients.