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Medical Billing and Coding Specialist Resume Example

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MEDICAL BILLING AND CODING SPECIALIST
Summary

An accomplished, driven and dedicated administrative professional having long-standing and diverse experience throughout multiple industries and capacities. Highly experienced in reconciling accounts with a high degree of accuracy. Offering a solid foundation in software applications, database management, and data entry. A fast learner with outstanding organizational and multi-tasking skills. Detail oriented with strong ability to work independently. Excellent communicator with outstanding time-management and patient needs assessment skills. Exercise effective judgment, decision-making, and problem solving abilities. Dedicated to maintaining strict patient confidentiality and quality care.

Highlights
  • Proficient in Microsoft/IBM-based PC's
  • Windows 7/10/XP
  • MS Office Suite (Word, Excel, Outlook, Power Point)
  • Internet Savvy
  • CPT-4
  • ICD-9
  • HCPCS II
  • 10-Key
  • Typing - 30 WPM
  • EOB
  • Anatomy and Physiology
  • Medical Terminology
  • HIPPA Compliance
  • Insurance Verification
Accomplishments

Employee of the Month 5 times within 1 year

Promoted to Customer Service Manager after 3 months of employment and Lead Customer Service Manager 2 years after

Nominated to represent my company at their national shareholders meeting after 1 year of service.

Promoted to Case Manager after 6 months of service.


Experience
Nisqually Indian TribeNovember 2008 to CurrentMedical Billing and Coding Specialist
Olympia , WA

Reviewing physicians' notes and charts for accuracy

Obtaining any necessary clarification of information on the notes and charts

Ensuring that all medical records have been signed by the appropriate parties

Assigning appropriate medical codes to all diagnoses or services

Entering and organizing the codes into management software

Translate codes into insurance companies' preferred coding system

Prepare the appropriate claims documents required by each insurer

Submit, organize and track all insurance claims filed by the health care provider

Follow-up until payment is received, and manage collections activities when necessary


Bluecross Blueshield Of Tennessee, Inc.August 2007 to September 2008Medical Case Manager
Chattanooga , TN

•To carefully understand the needs of the client and/or patient

Managed a caseload of clients and maintained case files.

Productively acted as a liaison with attending physicians, other medical providers

Audited insurance claims for accuracy prior to submission

Ensured proper and timely follow up

Took ownership of client and patient issues and effectively resolved problems

WalmartOctober 2003 to October 2006Lead Customer Service Manager
City , STATE

Supervised a staff of up to 120 associates

Creates schedules and processed vacation requests of said associates

Evaluated the daily operations, develop forecast and strategic planning to ensure quality customer service

Engaged in consistent communication with upper management regarding operations

Monitored and mentored associates and team leaders, providing all with

necessary training and development to achieve personal and organizational goals


Education
University of Phoenix2013Associate of Arts: Health Care AdministrationCity, State

Continuing education in Health Care Administration

Coursework in Human Resource Management and Business Administration

Banner Institute2007Certificate : Medical Billing and CodingCity, State

Academic Achievement Award

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77Average
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Resume Overview

School Attended

  • University of Phoenix
  • Banner Institute

Job Titles Held:

  • Medical Billing and Coding Specialist
  • Medical Case Manager
  • Lead Customer Service Manager

Degrees

  • Associate of Arts : Health Care Administration
    Certificate : Medical Billing and Coding

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