Medical Coding And Billing Specialist resume example with 20+ years of experience
JessicaClaire
Montgomery Street, San Francisco, CA94105609 Johnson Ave., 49204, Tulsa, OK
H: (555) 432-1000
C:
resumesample@example.com
Date of Birth:
India:
:
single:
Summary
Cheerful Medical Coder with a career spent assessing provider documentation to ensure that appropriate codes have been assigned. Bilingual individual with a strong work ethic and a can-do demeanor. Well-versed in medical billing and some coding. Ready to tackle new challenges in an office-based environment.
Skills
Data entry
Medical terminology
Documentation oversight
Healthcare claim coding
Insurance Verification
Insurance billing
Billing procedures
Team management
Communication
Teambuilding
Problem resolution
Experience
Medical Coding and Billing Specialist, 01/2019 - Current Pacific Dental Services – Olney, MD,
Read through patient health data, including histories, physician diagnoses and treatments to gain understanding for coding purposes.
Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
Reviewed account information to confirm patient and insurance information is accurate and complete.
Thoroughly reviewed remittance codes from EOBS/AR's.
Office Manager, 04/2018 - 12/2018 Trilogy Health Services – Orleans, IN,
Increased office organization by developing filing system and customer database protocols.
Solicited vendor quotes to determine optimal material purchase pricing.
Handled scheduling and managed timely and effective allocation of resources and calendars.
Entered invoice data into company database and updated details, including customer contacts and delivery dates to keep information current.
Managed daily operations with two office by supporting continuous delivery of excellent services and care.
Managed and controlled office supply inventory to secure timely ordering or requisition of depleted or low-level stock.
Oversaw digital patient charting, including data entry and administrative duties regarding insurance, billing and accounts receivable.
Elevated customer satisfaction ratings by resolving client and case issues effectively.
Communicated with patients to resolve inquiries, schedule appointments and address billing questions.
Trained and mentored administrative staff members in company policies, daily task execution and industry best practices.
Supported office needs including taking messages, scanning documents and routing business correspondence.
Trained employees on best practices and protocol while managing teams to maintain optimal productivity.
Interviewed, onboarded, developed and oversaw daily activities of clerical and administrative office personnel.
Oversaw day-to-day office operations, including receiving and organizing correspondence, answering and forwarding calls.
Billing Manager, 07/2016 - 04/2018 Elite Sem – San Diego, CA,
Managed billing calendar and scheduled claims for payments.
Conducted insurance verification and pre-authorization, coded procedures and managed patient charts.
Developed improved standard operating procedures to increase billing accuracy and cash flow.
Helped customers to bring accounts into good standing by implementing payment plans.
Built high-performance team by collaborating with new members on procedural, administrative, collections and compliance areas.
Resolved billing issues by applying knowledge and completing in-depth research.
Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
Executed medical billing including submitting claims to insurance companies and researching and resolving denials and explanation of benefit rejections within billing cycle timeframe.
Processed and sent monthly invoices to customers on standard billing cycle, including adjustments, credit memos and corrections.
Medical Coding and Billing Specialist, 01/1999 - 07/2016 Pacific Dental Services – Oregon City, OR,
Verified proper coding, sequencing of diagnoses and accuracy of procedures.
Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
Reviewed and abstracted relevant clinical data from electronic medical records to select appropriate code for procedures.
Verified final claim submissions by comparing account charges with documentation.
Acted as liaison between business department, billers and third party payers in resolving billing and reimbursement accuracy.
Thoroughly reviewed remittance codes from EOBS/AR's.
Reviewed account information to confirm patient and insurance information is accurate and complete.
Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
Verified and abstracted all medical data to assign appropriate codes for hospital inpatient records.
Communicated with healthcare personnel, including practitioners to promote accuracy.
Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
Read through patient health data, including histories, physician diagnoses and treatments to gain understanding for coding purposes.
Quickly responded to staff and client inquiries regarding CPT codes.
Education and Training
High School Diploma: , Expected in 05/1994 - Immokalee High School - Immokalee, FL GPA:
Associate of Arts: Health Information Technology, Expected in 12/2016 - Southern Technical College At Fort Myers - Fort Myers, FL GPA:
Associate of Arts: Medical Billing And Coding, Expected in 12/2016 - Southern Technical College At Fort Myers - Fort Myers, FL GPA:
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