Administrative Assistant skilled at medical billing, coding, experienced at registering patients, scheduling appointments. Expertise includes verifying insurance coverage, and recording and filing patient medical records. Enters orders and information quickly and accurately.
Certified Medical Billing Specialist, Health Information Management Certificate
Thoroughly investigated past due invoices and minimized number of unpaid accounts.Recorded and filed patient data and medical records.Carefully reviewed medical records for accuracy and completion as required by insurance companies.Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.Strictly followed all federal and state guidelines for release of information.Wrote clear and detailed clinical phone messages for physicians.Directed patient flow during practice hours, minimizing patient wait time.Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered.Scheduled patient appointments.Completed registration quickly and cordially for all new patients.Accurately entered procedure codes, diagnosis codes and patient information into billing software.Ensured compliance with medical/legal requirements, JCAHO standards and Army regulations.Consistently ensured proper coding, sequencing of diagnoses and procedures.Acted as a liaison between the business department, billers and third party payers in resolving billing and reimbursement accuracy.Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative.Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.Thoroughly reviewed remittance codes from EOBS/AR's.Confirmed patient information, collected copays and verified insurance.Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature.Completed appeals and filed and submitted claims.Applied payments, adjustments and denials into medical manager system.Submitted refund requests for claims paid in error.Ensured timely and accurate charge submission through electronic charge capture, including the billing and account receivables (BAR) system and clearing house.Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials.
Coursework in Health care Management
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