I have proved myself in numerous capacities that relate to the medical and health industry. I have worked on both sides of the spectrum which gives a better understanding on how things work and should be done. I have provided care for patients in the hospital setting,SNF, and their homes as a medical assistant in California and here in Arkansas. I have been in the office for medical records, billing, auditing, patient processing and coding for over 20 years. I have medical terminology knowledge and procedure and diagnosis coding. I just recently completed Medical Coding through NTI. My experiences have also included the tact necessary to audit clinical notes to keep in alliance with correct E&M coding. Insure accurate and consistent work in several different medical softwares. All of these positions have required an incredible amount of organization, scheduling, timely filing, accurate medical billing, dedication, self motivation on learning every update within the software and billing aspect along with quickly learning new software. When I do anything I always finish after giving it 110%.
Responsible for AR and submitting claims as well as correcting codes including procedures, surgeries , global maternity and E&M visits and diagnosis codes prior to submitting electronically and very few on HCFA 1500 paper claims with hollister and/or records attached. Direct patient customer service over phone or in person answering thier questions regarding thier bill and claims to insurance as well as taking payments or setting up signed monthly payment plans with option of auto draft. Direct person for front staff to call regarding patients accounts when patient checking in and has questions or if I have blocked patients account due to over due balance and getting payment or signed payment agreements or a verbal approval if pt could'nt pay from physician to reschedule patients appointment or unblock thier account so they could be seen that day. weekly reports for AR and resubmitting claims or calling insurance to find out where payments are holding up etc. Weekly statements and collection letters out to patients and preparing patients accounts that have had all statements and collection letters and courtesy call to send to collection company after physician approval. Creating documents requiring patients acknowledgement and signature. Only person to do collections and enter payments and adjustments from collection company and send new clients to them. Set up collections system in thier new system when I started and create collection letter templates and manage all patient collections for the entire time employed. Verify eligibility and benefits and obtaining authorization if needed for patients that were new to office for Global Maternity and setting up payment contract or for patients having a procedure or out patient surgery and going over those individually with patients and marking each account with details including past due payments or down payments or delinquent patients. Processing refund request for patients that over paid and have a credit in thier account so it will be returned to them in mail by check. I learned everything from checking patients in to adding demographics to setting up insurance info for correct billing to adding charges and adjusting charges when asked by physician along with the only one that set up and got thier collections side of software running and managed it solely for almost 4 years. direct person for constant contact with the liason for collection companies we used. Able to fill in all postision's including in opening drawers for clinic in am and filling in upfront when needed and also closing drawers etc for end of day. The only position I could'nt fill was MA because I chose not to keep my cerification renewed. If there was something I did'nt know I would ask or make a phone call to our I.T. contacts. Never have been written up and always had so many compliments from patients and staff and direct contacts about my patience and professionalism.
Just completed the medical coding and billing course at NTI.
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