STANLEY G.

SHIVES
468-2 Airbrake Avenue Wilmerding, PA 15148 412-638-7821 email- stanshi120@yahoo.com OBJECTIVE: Seeking a Medical Coding and Billing position where I may utilize my billing, medical terminology, and computer skills while meeting and exceeding the companys expectations. EDUCATION Pittsburgh Technical Institute - Oakdale, PA 2010 Bidwell Training Center - Pittsburgh, PA 1996 Wheeler Business School - Pittsburgh, PA 1983 Certificate in Medical Coding and Billing Diploma: Medical Claims Processing Associate in Business Administration / Retail Management SKILLS ICD-9CM HCPCS (CPT4) HIPPA Compliance Medical Terminology Medicare Guidelines Third Party Reimbursement Computerized Patient Billing CMS-1500 Claim Forms WORK EXPERIENCE Remx Staffing/CVS/Caremark, Pittsburgh, PA -2011-2012 Customer Care Reservist Take incoming calls from medical facilities and general public to fill and take medicine prescription orders. Dial America-Pittsburgh, PA- 2011 Customer Service Rep. Answer incoming calls and take reservations and give directions for Megabus. Cardworks Services- Pittsburgh, PA-2010 Collections Rep. Answer inbound and outbound calls for the purpose of credit card payments. Verify and update all pertinent information pertaining to card holders. PTI-Internship with Interim Healthcare - Pittsburgh, PA- 2010 Biller Posted incoming payments. Pulled patient records to begin billing process for services rendered. Contacted members for deductibles and overdue payments. Unison Health Plan- Pittsburgh, PA- 2005-2007 Provider Services Rep Answered calls relating to physician claim inquires. Verified and forwarded denied claims for authorization or reprocessing. Rechecked claim to ensure it was submitted with a valid code for processing. Semper Care Hospital - Pittsburgh, PA- 2003-2005 Materials Technicians Stocked and ordered supplies for nurses station. Reviewed invoices and remittances for payments. Guardian Angel Ambulance Service - Pittsburgh, PA-2000 - 2002 Medical Biller Posted incoming payments into computer. Billed first and secondary insurance carriers along with private payers. Responded to insurance and patient denials and appeal inquiries. Verified insurance carriers for billing purposes. Allegheny Health, Education and Research Foundation - Pittsburgh, PA- 1997 - 1999 Prebiller/Billing Clerk Denials and Appeals Payment Postings HDS 45, SMS Billing Software Patient Confidentiality

Researched and entered ICD-9 codes on accounts for Bill Holding Report. Retrieved electronic medical records from document imaging systems and routed to biller for claim submission. Acted as a liaison between billers and utilization review departments for appeals, certifications and audits. Verified patient insurance coverage.