Patient-focused Physical Therapy Office Manager, skilled at medical billing, coding and office management. Comfortable leading and working in multi-tasking offices. Knowledgeable with commercial and private insurance carriers. Experienced with ICD-9 and ICD-10 coding. Certified arthritis aquatic instructor. Certified in CPR and AED.
Thoroughly investigated past due invoices and minimized number of unpaid accounts. Recorded and filed patient data and medical records. Demonstrated analytical and problem-solving ability by addressing barriers. Carefully reviewed medical records for accuracy and completion as required by insurance companies. Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses. Strictly followed all federal and state guidelines for release of information. Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered. Acquired insurance authorizations for procedures and tests ordered by the attending physician. Scheduled patient appointments. Completed registration quickly and cordially for all new patients. Accurately entered procedure codes, diagnosis codes and patient information into billing software. Consistently ensured proper coding, sequencing of diagnoses and procedures.
Acted as a liaison between the business department, billers and third party payers in resolving billing and reimbursement accuracy. Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information. Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative. Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses. Confirmed patient information, collected copays and verified insurance. Completed appeals and filed and submitted claims. Posted charges, payments and adjustments.
Education and Training
Associates of Applied Business & Office Admistration Technology: Medical Office ManagmentMarion Technical College － Marion, OH, United States
Graduated Magna cum Laude
Undergraduate Work - No Degree Obtained: Secondary EducationOhio State Unoiversity － Columbus, OH, United StatesAttended 2 years
High School Diploma: College PreparatoryMarion Elgin High School － Marion, OH, United States