Certified Professional Coder/Medical Billing Specialist with experience supporting physicians in a medical billing office. Expertise includes verifying insurance coverage, managing primary and secondary claims, posting charges and payments (both electronic and manual from EOB's), regularly working accounts receivable, Highly efficient Medical Biller with experience physician billing. Excellent multi-tasker and demonstrated team player with a positive attitude.
CPC Certification ICD-9/ICD-10
AAPC Member since 2013
Maintains strict confidentiality
Extensive anatomy/physiology knowledge
CPT and HCPCS coding
Medisoft billing system
Team player with positive attitude
09/2009 to Current
Medical Billing SpecialistL A Medical Billing & Consulting Company － Riverdale, United States, GA
Recorded and filed patient data and medical records. Demonstrated analytical and problem-solving ability by addressing barriers to receiving and validating accurate HCC information. Provided administrative support for three physicians. Accurately entered procedure codes, diagnosis codes and patient information into billing software. Quickly responded to staff and client inquiries regarding CPT codes. Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative. 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. Posted charges, payments and adjustments. Applied payments, adjustments and denials into medical manager system. Submitted refund requests for claims paid in error. Performed full-cycle medical billing in a fast-paced medical billing company. Manage claims, both Primary and Secondary for a Mississippi based Nephrology Group by coding from ICD-9, CPT and HCPCS manuals as needed.
Have worked with Medicare, Medicaid and Commercial insurance claims.
Post charges for physician billing, post Primary and Secondary payments do insurance verification and work on accounts receivable as needed.
While working for this company I attended Clayton State University and completed the course in Medical Billing and Coding, graduating in December 2013.
Took the Certification exam with the AAPC and obtained my CPC in December 2013.
Have a working knowledge of Windows XP, Microsoft Word, Excel, Powerpoint, Medisoft, AcumenEHR and NueMD.
I also have an extensive knowledge of medical terminology which I use daily.
Supervisor: Carolyn Christian (770 991-6186770 991-6186 ext.
Okay to contact this Supervisor: Yes.
08/2005 to 08/2009
Office ManagerChurch Street Chiropractic Clinic － Riverdale, United States, GA
Hours per week: 35 Answered phones, Scheduled appointments, patient check-in and check-out, insurance verification, collecting payments and co-pays, posting charges and maintaining claims, posting payments and maintaining accounts, maintain medical records.
I have a working knowledge of Windows, Microsoft office, Excel, Powerpoint, and Lytec Medical.
I also used Medical Terminology, CPT and ICD-9 codes as it pertained to chiropractic procedures on a daily basis.
Supervisor: Robert E.
Okay to contact this Supervisor: Yes.
12/2001 to 08/2005
Receiving Clerk, Sales AssociateWalmart － Riverdale, United States, GA
Hours per week: 40 Worked receiving dock, scanned merchandise, balanced invoices, managed lingerie sales floor, performed weekly ordering of merchandise, in charge of keeping sales floor stocked and cleaned, and provided customer service.
Education and Training
Technical or Occupational CertificateClayton State University － Morrow, GACredits Earned: 21.7 Continuing Education Unit
Medical Billing and Coding CertificationCourses that I completed for this certification are Medical Terminology, Anatomy & Physiology, ICD-9, CPT, HCPCS, and Medical Billing.
Medical Billing & Coding CertificationTechnical College System of Georgia － Jonesboro, GA, United States
CPR Certified - May 2014CPC
Anatomy & Pathophysiology (thru AAPC) - 2014.
AAPC - Member since 2013
Accounts Receivable, insurance billing, CPC, ICD-9, Anatomy, Medical Terminology, Physiology, Medisoft, Excel, Microsoft office, Powerpoint, Windows, Windows XP, Microsoft Word, Nuemed, E-Clinical