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Medical Billing & Coding Specialist Resume Example

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MEDICAL BILLING & CODING SPECIALIST
Professional Summary
Motivated medical billing and coding specialist with over 3 years' experience in health operations management, billing, and coding. Expertise in ICD-9 and ICD-10, CPT, and HCPCS coding. Highly skilled in analyzing and validating patient information, diagnoses, and billing data. Demonstrated leadership skills that enable the processing of high volumes of patient information to achieve revenue generation goals. ICD-9 and ICD-10 Coding. HMOs and Medicare. Strong understanding of HIPAA and privacy laws. Operations Management Quality Assurance and Auditing. CPT and HCPCS Coding Medical Billing. Medical Records Management. Patient Confidentiality. Fluent in Spanish and English.
Skill Highlights
  • SRS Software
  • Medical Manager
  • Five9
  • Microsoft Access
  • Microsoft XP, Vista, Windows 7, Windows 10
  • Microsoft Office 2007, 2010, 2013
  • Adobe Professional
  • PeopleSoft Enterprise Human Resources
  • HRtrack
  • Work Force Management
  • Learning Management System
Professional Experience
Medical Billing & Coding Specialist04/2016 to CurrentMaternal Fetal Associates of the Mid-AtlanticFair Oaks, VA
  • Provide administrative support to physicians and interpret medical reports and data to assign ICD-9 and ICD-10 codes.
  • Accurately input patient information, procedure, and diagnosis codes into billing software to generate invoices.
  • Examine patients encounter forms to verify diagnosis codes, and reconcile codes against services rendered.
  • Uphold and reinforce compliance with office policies and federal regulations such as HIPAA.
  • Follow up on past due invoices and delinquent accounts to reduce number of unpaid and outstanding balances.
  • Document patient data and medical records, and perform routine medical record audits to comply with insurance company requirements.
  • Maintained and updated all files including insurance companies, diagnosis, procedure, and fees.
  • Responsible for collection accounts which includes, mailing of correspondence, working with patients to establish promissory notes for payment.
  • Resolves billing issues identified by insurance carriers and patients.
  • Research and reply in a timely manner to insurance, patient, and internal customer inquiries.
  • Maintained the highest levels of accuracy and patient confidentiality.
  • Quickly identified and resolved medical billing, coding and insurance discrepancies.
  • Responsible for cash management, supply ordering, and customer service relations.
  • Reviews patient bills for accuracy and completeness, and obtained any missing information.
  • Posted payments to patient's accounts and verified medical insurance.
  • Answer all patient telephone inquiries regarding their bills and insurance questions.
Scheduling Specialist12/2014 to 04/2016Advance HealthChantilly, VA
  • Place a high volume of outbound calls to members of different health plans to schedule them for their in home visits with a Physician or a Nurse Practitioner via an auto dialer system.
  • Read from required scripts, and also have the ability to be on the line with the member all while being in line with call center requirements.
  • Schedule member's appointments according to the Nurse Practitioner's availability & geographic location.
  • Achieve call center performance standards: Quality, productivity, goals, attendance.
  • Data entry of the member's record with accurate information obtained on the call.
  • Ensuring that the appointments are scheduled accurately following department policies and procedures Resolving any scheduling conflicts.
  • Routing calls to the appropriate department as needed.
Office Administrator/HR assistant07/2012 to 07/2015MRB Counseling Services, INCHyattsville, MD
  • Performed a variety of administrative and clerical duties that required a high degree of knowledge and understanding of the office and the ability to work with tight deadlines.
  • Answered telephones and directed calls to appropriate staff members.
  • Reviewing resumes and applications sent in by job applicants Conducting pre-employment background checks on prospective employees.
  • Preparing job postings for vacancies.
  • Preparing badges, passes, and identification cards for staff.
  • Maintaining employee files and the HR filing system.
  • Scheduling interviews for job applicants.
  • Maintained office files ensuring easy accessibility.
  • Received office mail and distributed mail to employees.
  • Developed new organizational processes and procedures which assisted in the overall improvement of the office.
  • Scheduled meetings or special events for my immediate staff, arranging for meeting space and audiovisual needs.
  • Maintains office inventory by checking stock to determine inventory levels; anticipating needed supplies; placing and expediting orders for supplies; and verifying receipt of supplies.
  • Utilized Microsoft Word to prepare a variety of correspondence with accuracy and Microsoft Excel to prepare a variety of reports.
  • Offered excellent customer service in a pleasant and professional manner.
Education and Training
High School Diploma: Business AdministrationPresentGeorge Washington UniversityBusiness Administration
Skills
administrative, administrative support, Adobe, billing, call center, cash management, clerical, excellent customer service, customer service, Data entry, diagnosis, special events, filing, forms, Human Resources, HR, ICD-10, ICD-9, insurance, inventory levels, inventory, notes, mailing, medical billing, Medical Manager, meetings, Microsoft Access, Microsoft Excel, mail, Microsoft Office, office, Windows 7, Windows, Microsoft Word, Enterprise, organizational, PeopleSoft, policies, processes, coding, Quality, Read, Research, Routing, Scheduling, scripts, telephone, telephones, Vista
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Resume Overview

Companies Worked For:

  • Maternal Fetal Associates of the Mid-Atlantic
  • Advance Health
  • MRB Counseling Services, INC

School Attended

  • George Washington University

Job Titles Held:

  • Medical Billing & Coding Specialist
  • Scheduling Specialist
  • Office Administrator/HR assistant

Degrees

  • High School Diploma : Business Administration Present

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