Organized medical office administrator trained in scheduling, patient medical records updating and insurance processes. Reliably completes accurate work and goes above and beyond to meet daily demands. Brings good computer skills and thrives under pressure. Focused medical office administrator well-versed in medical terminology, coding and compliance procedures. Proficient at answering requests quickly and delivering exceptional results. Experienced medical biller offering over 15 years of healthcare experience. Highly accurate and efficient with strong time management skills and reliable, hardworking nature. Dedicated medical biller professional with history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand. Medical Biller with over 15 years of successful experience in medical billing and coding. Recognized consistently for performance excellence and contributions to success in healthcare industry. Strengths in claims submissions and collection backed by training in medical billing and healthcare office administration.
Skills
Trained in office administration with emphasis on medical office technology
Work well in busy professional settings handling a wide range of responsibilities
Highly self-motivated and a dependable worker who can get the job done
Work well with the public and with all level of staff and management
Computer Software: Windows 95 and above; Microsoft Word, Excel, Access, PowerPoint, Star, HPF, Search America, Express Bill, AS400, DDE, CCSM, Trailblazer, SSI, FSS, Medicaid system, Vantive, Medtron and Emdeon, Medisoft experience.
Other Skills: Handling money accurately; scheduling; problem-solving; type 65 wpm
Knowledge of medical records confidentiality, filing, retrieving, indexing, numbering, storage and content
Working medical terminology knowledge based on body systems
Knowledge of the health care delivery system including safety, security, and infection control procedures
Knowledge of CPT, HCPCS, ICD-9 and ICD-10 codes and medical billing UB04, 1500
Patient Medical Records Maintenance
Information Sourcing
Treatment Documentation
Time Management
Clerical Functions
Verbal and Written Communication
Interpersonal Communication
Appointment Scheduling
Data Entry
Attention to Detail
DRGs Patient Assignments
Word Processing Software
Insurance Billing
Medical History Recording
Medical Billing Processing
Epic Systems
Problem Solving
Office Health Records Preparation
Government Forms
Paperwork Processing
ICD-9 Coding
Coding Error Resolution
Medical Information Computerization
Workers' Compensation Forms
Patient Information Verification
Microsoft Excel
Medical Terminology
Records Review
Hospital Inpatient and Outpatient Records
Doctor Communication
Patient Rights
Charting and Clinical Documentation
Discharge Documentation
Protected Health Information
Electronic Filing System Organization
Patient Admission Documents Processing
EMR Systems
Patient Admission
Demographics Information
Inventory Coordination
Electronic Health Record Applications
Records Scanning
Physicians Orders
Past Due Account Management
Patient Health Information Access
Compliance Verification
ICD-10 Coding
Records Accuracy
Work History
Medicare/Medicaid Biller II/Collector/Analyst, 03/2009 to 09/2019 Northside Hospital Atlanta – City, STATE,
Primary function is to submit claims via SSI and Trailblazer
Follow-up on claims via FSS and CCSM
Monitor cash intake
Generate reports for management
Review accounts prior to submitting to the audit or coding department for additional follow-up
Work Medicare/Medicaid open series report, work daily Medicare/Medicare 72 hour rule report, work daily Medicare/Medicaid Discharge and Therapy report
Verify Medicare
Submit necessary information to insurance company in order for claims to be paid in a timely manner
Follow-up on status of claims
Prepare report for management documenting status of hold claims etc.
Assist patients via telephone with questions and concerns pertaining to their medical expenses
Work assigned referrals daily
Follow-up with patients
Work hand in hand with attorneys, medical facilities such as: ambulance service, doctors facilities etc.
Resolve patient issues
Read and interpret EOB’s from insurance companies
Work with insurance companies to resolve delay in payments
Handle credit card and check transactions
Handle patients correspondence, forward mail to patients, attorneys, and insurance companies in reference to requested documentation etc
Prepared and processed forms for government healthcare programs.
Kept accurate log of all requests for medical information and records.
Communicated effectively with staff, patients and insurance companies by email and telephone.
Used correct diagnosis-related groups based on patient encounter details.
Input data into computer programs and filing systems
Posted billings to medical insurance providers.
Maintained accuracy, completeness and security for medical records and health information.
DME Customer Service Representative, 07/2007 to 10/2008 Lincare – City, STATE,
Primary function is to input order for DME equipment accurately into system
Verify patients insurance
Gather prior authorization if needed
Collect patient's responsibility
Manage patient's chart
Code patient's chart
Work hand in hand with physician’s offices to insure the certificate of medical necessity is signed in a timely manner
Offer customer service to patients via telephone as well as in person
Work held sales (unbilled insurance claims)
Work weekly reports, billing, batch necessary information to the corporate office
Dispatch deliveries to drivers, work Accounts Receivable Report etc.
Provided primary customer support to internal and external customers.
Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
Liaised with customers, management and sales team to better understand customer needs and recommend appropriate solutions.
Answered customer telephone calls promptly to avoid on-hold wait times.
Assisted customers with setting appointments, special order requests, and arranging merchandise pick-up.
Answered constant flow of customer calls with minimal wait times.
Patient Registrar/Trainer, 09/2004 to 03/2007 North Okaloosa Medical Center – City, STATE,
Facilitated timely check-in by greeting visitors and establishing purpose of visits.
Coordinated with nursing staff to process and direct patients to appropriate departments
Explained financial responsibilities to patients as well as payment options and potential collection procedures imposed upon patients and other responsible parties.
Collected payments and co-pays from customers using large variety of insurance programs, adjusting amounts based on specific plan directives.
Accurately inputted all patient and insurance information into company's computer system using AS400.
Collected and processed co-payments and out-of-pocket charges
Interpreted physician's orders accurately to input correct testing information and verify admissions criteria.
Distributed informational materials, necessary forms and hospital procedures to patients.
Set up patients in system by documenting key data, confirming eligibility and verifying insurance benefits.
Arranged transfers from outside facilities by communicating effectively with facility representatives, physicians and nursing staff.
Identified non-participating and out-of-network insurance plans and worked with patients and providers to address situations.
Took reservations from physicians and office staff to coordinate bed placements for scheduled and unscheduled patients.
Imaged and scanned patient and registration documentation into electronic patient record via [System].
Balance register
Order inventory
Trained employees
Batch necessary information to medical records and other departments
Team Lead/Customer Service Representative, 07/2002 to 08/2004 National Electronic Warranty – City, STATE,
Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
Provided primary customer support to internal and external customers.
Handled day-to-day customer contact via phones, faxes and emails.
Took payment information and other pertinent information such as addresses and phone numbers to place orders.
Resolved product or service problems by clarifying customer's complaint, determining cause of problem and selecting best solution to solve problem.
Exhibited high energy and professionalism when dealing with all levels of clients and staff.
Cross-trained and provided back up for customer service managers.
Managed timely and effective replacement of damaged or missing products.
Trained staff on operating procedures and company services.
Implemented and developed customer service training processes.
Analyze and grade monitored calls
Dispatched service calls to technicians
Education
Certificate: Health Information Technology, Expected in 09/2013 Santa Fe College - Gainesville, FL GPA:
Continuing education in Health IT workforce training accelerated Information Technology Practice Workflow & Information Management Redesign Specialist
Bachelor of Science: Healthcare Management, Expected in 02/2012 Kaplan University - Fort Lauderdale, FL, GPA:
Associate of Applied Science: Medical Office Administration, Expected in 05/2008 University of Northwest Florida - Niceville, GPA:
Professional development completed in medical billing and coding
Certficate: Medical Office Management, Expected in 05/2008 University of Northwest Florida - Niceville, FL, GPA:
Certificate: Office Management, Expected in 05/2008 University of Northwest Florida - Niceville, FL, GPA:
Certificate: Medical Billing And Coding Certificate, Expected in 08/2006 University of Northwest Florida - Nice, GPA:
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