Competent patient business representative providing 3 years of experience in handling wide variety of medical billing tasks, including; billing primary, secondary and tertiary insurances. Adding and removing condition codes to medical claims and handling insurance denials in a timely maner. Determined and hardworking individual with excellent communication skills and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Confidence in being detail-oriented, focused, dedicated and skillful in billing Inpatient, Outpatient, Therapy & Miscellaneous hospital claims.
Skills
ICD-10, CPT/HCPCS knowledge
Medical terminology
MS Office
Able to work Remotely
Medical Records Management
Insurance Knowledge
HIPAA Compliance
Invoice Processing
Patient Care
Work History
01/2020 to Current
Medical Billing SpecialistOklahoma Mental Health Council – Lawton, OK,
Responsible for billing facility claims to correct insurance within timely filing guidelines, correct any errors on claims before submitting, and add coding modifiers when needed.
Maintain insurance work que's work insurance correspondence, EOB’s and denials in timely fashion.
Contact insurance to review, appeal and or check on status of claims if unable to locate in provider portals.
Speak with patients to advise if information is needed for their claim or to assist in updating their Coordination of Benefits.
Performed billing and coding procedures for ambulance, emergency room, impatient and outpatient services.
Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
Posted and adjusted payments from insurance companies.
Precisely evaluated and verified benefits and eligibility.
Identified and resolved patient billing and payment issues.
Prepared billing correspondence and maintained database to organize billing information.
Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
Communicated effectively and extensively with other departments to resolve claims issues.
Educated and assisted patients with inquiries on billing of their insurance, processing of their claims and balances after insurance.
Worked with patients in resolving coding and or billing errors for their claims.
Maintained WQ’s in timely manner, worked patient and insurance correspondence, updated and billed primary, secondary and tertiary insurances for patient.
Worked spreadsheets provided by lead/supervisor in timely fashion.
Recorded actions taken, issues resolved and document information to effectively manage customer accounts.
Responded to customer requests for billing, payments and insurance information.
Investigated and resolved patient inquiries and complaints quickly.
Handled over 100 calls per shift signing assisting patients.
03/2017 to 03/2018
General ManagerRod Martin's Complete Basement Systems – Livonia, MI,
General Manager of Naples, FL, Sanibel Island, FL, and Estero, FL locations.
Reduced corporate risk by managing shrink processes and controlling inventory levels.
Managed budget implementations, employee reviews, training, and schedules.
Designed modern employee training program which boosted productivity knowledge and sales.
Set, enforced and optimized internal policies to maintain efficiency and responsiveness to demands.
Held weekly meetings with sales associates to identify techniques to overcome sales obstacles.
05/2013 to 03/2015
Assistant Store ManagerKroger – Oak Lawn, IL,
Achieved recognition from senior management for contribution to store success, including managing sales, employees and operations to foster optimal performance.
Verified inventory counts remained within monthly tolerance levels and compiled financial data in compliance with budget.
Created organization systems for inventory control, merchandising, financial reports and schedules, dramatically increasing operational efficiency.
Offered hands-on assistance to customers, assessing needs and maintaining current knowledge of products.
Helped with planning schedules and delegating assignments to meet coverage and service demands.
Monitored cash intake and deposit records, increasing accuracy and reducing discrepancies.
Education
Expected in 03/2020
Certified Professional Coding: Medical Billing & Coding Fort Myers Technical College - Fort Myers, FL GPA:
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