Accurate Medical Billing Coder capable of performing all aspects of medical billing, including coding, charge entry, transmission, correction and resubmission. Offering 20 years of experience in working hand-in-hand with front office to validate proper information for claims processing. Detail-oriented and helpful professional with expertise in resolving billing issues and reviewing claim denials.
Hardworking and reliable with strong ability in Medical Coding and Billing. Highly organized, proactive and punctual with team-oriented mentality.
Skills
Medical coding and billing
Medical terminology understanding
Medical insurance understanding
PC proficiency
EPIC EMR knowledge
HIPAA and confidentiality
Excellent oral and written communication
Ethical business standards
Insurance procedures understanding
Customer service excellence
Experience
01/2018 to 05/2020
MedIcal Biller and CoderMercy Clinic – City, STATE,
Performed with precision by entering data accurately and researching to resolve questions.
Oversaw day-to-day operations in billing department, including medical coding, charge entry, claims and denials for three Women's Health practices.
Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
Utilized electronic charge capture systems to consolidate and streamline billing processes.
Reviewed all claims for accurateness and appropriateness.
Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
Applied HIPAA Privacy and Security Regulations while handling patient information.
Verified final claim submissions by comparing account charges with documentation.
Reviewed account information to confirm patient and insurance information is accurate and complete.
Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
Added modifiers, coded narrative diagnosis and verified diagnoses.
Checked claims coding for accuracy with ICD-10 standards.
Sought clarification from physicians and other hospital personnel for answers to any needed coding interpretations prior to abstracting records.
Investigated denials and collaborated with internal team members and third-party representatives to identify solutions.
12/2000 to 12/2017
Medical Receptionist and CoderMercy Clinic Women's Health – City, STATE,
Maximized office efficiency by answering more than 100 incoming calls per day to provide office information and transfer calls to desired personal.
Scheduled and confirmed patient appointments for diagnostic, surgical and consultation services in busy office with 4 providers.
Supported administrative and healthcare staff with skilled clerical assistance such as ordering supplies and organizing office inventories.
Set up appointments for physician visits and procedures using calendar software.
Took messages from patients and promptly relayed to appropriate staff.
Delivered high-quality administrative and customer service to sustain patient and work flows.
Straightened up the waiting room so that it remained neat and organized.
Scheduled and followed up on patient appointments, collected and processed patient payments and maintained patient files.
Observed strict HIPAA guidelines at all times according to company policy.
Answered multi-line phone system and directed callers to requested personnel and departments.
Communicated with all partners throughout the practice including physicians, nursing staff, technicians and medical assistants.
Informed patients of financial responsibilities prior to rendering services.
09/1996 to 12/2000
In-Home Childcare ProviderDr. Amy Ruggeri – City, STATE,
Prepared meals and snacks for children, teaching table manners and keeping fed appropriately without allowing overindulgence.
Instructed children on proper routines and techniques for eating, tooth-brushing, toilet use and hand-washing.
Taught children basic skills and encouraged creativity in painting, drawing, arts and crafts, music and other expressive activities.
Conferred with parents to inform on type of daily activities, successes, strengths observed and potential obstacles to healthy development.
Supported healthy emotional and social development through intervention in conflict between children, positive reinforcement techniques and encouraging cooperation.
Monitored children's activities at all times, mindful of safety hazards and development of good hygienic and social habits.
Changed diapers and dressed children, assisting and educating children on proper use of clothing, such as tying shoelaces.
Discussed new developments, misbehavior and concerns with parents or guardians.
Provided nurturing and appropriate environment for children ranging in age from newborn to 7 years old.
Kept children safe and secure at all times.
Cared for up to 2 children ranging in age from newborn to 9.
Led children in tidying up, handwashing and [Task] to teach responsibility.
Enforced rules to teach manners and maintain safe environment.
Education and Training
Expected in
Associate of Arts: Social Sciences Southeast Missouri State University - Cape Girardeau, MO, GPA:
Expected in 06/1989
High School Diploma: Mehlville High School - St. Louis, MO, GPA:
Accomplishments
Daisy Award winner for excellence on customer service.
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