Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • Home: (555) 432-1000
  • Cell:
  • :

Fully Certified Medical Coder with a strong background in ICD-10-CM, Medical Terminology, Anatomy, Data Management, Data Entry,  Billing Practices and other Administrative Tasks.  Also Experienced Medical Biller & Medical Receptionists with 5 years + in maintaining customer satisfaction and contributing to company success.

  • Extensive knowledge of medical terminology across a broad range of medical practice areas
  • Excellent data entry skills
  • Multi-tasking abilities
  • Strong understanding of ICD-10-CM and CPT Requirements
  • Great interpersonal skills and the ability to function as a team member
  •  Experience with fast-paced medical care environments
  • Insurance terminology
  • HIPAA/Patient confidentiality
  • Electronic health records
  • Microsoft Office systems (Word, Excel, Office)
  • Medical billing and coding software
  • Medicare, Medicaid, and private insurance claims
Medical Coding and Billing Specialist, to
Pacific Dental ServicesGladstone, OR,
  • Assigned procedure and diagnosis codes for insurance billing using CPS System
  • Thoroughly reviewed remittance codes from EOBS/AR's.
  • Submitted and processed insurance claims to conduct medical code verifications and assessments.
  • Sought clarification from physicians and other hospital personnel for answers to any needed coding interpretations prior to abstracting records.
  • Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
  • Assigned procedure and diagnosis codes for insurance billing using CPS System.
  • Completed appeals and filed and submitted claims.
  • Posted charges, payments and adjustments.
  • Submitted refund requests for claims paid in error.
  • Confirmed patient demographics, collected copays and verified insurance.
  • Tracked and recorded the status of delinquent accounts.
Physician Billing Follow-Up Rep, to
E CancercareNashville, TN,
  • Worked with the company system Epic and diligently completed all assigned tasks.
  • Interpreted medical terminology and created appeals to submit to insurance companies for reprocessing
  • Ensured that customers were satisfied with company and service by doing follow-up calls.
  • Assisted customers & insurance companies over the phone regarding account information.
  • Managed the company database and verified, edited and modified members' information.
  • Maintained an organized, efficient and professional work environment.
  • Followed-up on all outstanding insurance claims at 60 days- 90 days from the date or service in accordance with practice protocol.
  • Research all returned claims and reviewed coding denials within a timely manner to achieve maximum reimbursement with emphasis on patient satisfaction.
  • Submitted primary and secondary insurance claims electronically each day on a HCFA to ensure timely reimbursement.
  • Adhere to all practice policies related to OSHA, HIPAA, and Medicare Compliance.
  • Handled and resolved patient and insurance correspondence.
  • Actively reduced insurance balance due an accts to ensure a positive cash flow for ProHealth Care facilities.
Medical Receptionist, to
QuadMed Sussex Health CenterCity, STATE,
  • Sussex, Wisconsin.
  • Welcomes and greets all patients and visitors, in person or over the phones.
  • Answers the phone while maintaining a polite, consistent phone manner using proper telephone etiquette.
  • Responsible for keeping the reception area clean and organized.
  • Registers new patients and updates existing patient demographics by collecting patient detailed patient information including personal and financial information.
  • Facilitates patient flow by notifying the provider of patients' arrival, being aware of delays, and communicating with patients and clinical staff.
  • Responds to patients', prospective patients, and visitor inquiries in a courteous manner.
  • Keeps medical office supplies adequately stocked by anticipating inventory needs, placing orders, and monitoring office equipment.
Medical Billing Rep/Medical Receptionist, to
South Bend Medical FoundationCity, STATE,
  • Assisted in handling claims and resolving denials.
  • Accountable for maintaining customer bills and special medical reports.
  • Reviewed patient bills for accuracy and completeness, and obtained any missing information.
  • Followed the guidelines to be in compliance with local, state and federal regulations regarding patient privacy.
  • HIPPA.
  • Answered patient inquiries regarding laboratory services, medical billing, and insurance.
  • Prepared information for collection agency.
  • Also maintained phone coverage while performing multiple duties such as service orders, reviews, audits, and data entry.
Education and Training
Bachelor of Arts: Theology & Concentrated Studies, Expected in 2012 to ABI - Saint Paul, MN
High School Diploma: General Studies, Expected in 2008 to Mishawake High School - Mishawaka, Indiana

CPC- Certified Professional Coder through AAPC


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Resume Overview

School Attended

  • ABI
  • Mishawake High School

Job Titles Held:

  • Medical Coding and Billing Specialist
  • Physician Billing Follow-Up Rep
  • Medical Receptionist
  • Medical Billing Rep/Medical Receptionist


  • Bachelor of Arts
  • High School Diploma

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