Reimbursement SpecialistMiddle Georgia Orthopaedic Sports & Surgery － Warner Robins, GA
Charge posting to include DME, office, surgery, injections radiology charges
and therapy; medical records review for verification of correct coding and unbilled
charges; insurance follow-up for unpaid claims and retrieval of processed claims
information; correcting and resubmitting of denied claims; filing appeals on incorrectly
denied claims for all payer groups to include commercial and workman's compensation;
compile/compute monthly accounts receivable reports; and insurance payment posting.
Billing Department lead person assisting and instructing other billers in resolving unpaid
billing issues and correct coding issues.
07/2007 to 06/2008
Medical Billing & Coding InstructorAmerican Professional Institute － Macon, GA
Instruction and lecturing of medical billing concepts daily; prepare lesson plans;
prepare weekly quizzes, tests and final examinations; calculate and record grades weekly
and at the end of each module; complete daily class assessment reports and weekly
07/1999 to 07/2007
Reimbursement SpecialistResurgen's Orthopedics － Atlanta, GA
Work monthly aging reports including personal and insurance open balances;
decipher RA's and EOB's correcting and resubmitting claims for payment; obtain referrals
and prior authorization on required procedures; code and bill surgical procedures and office
procedures in addition to MRI, PT, OT, radiology and DME.
109 Brian Drive
Warner Robins, GA 31088
medical records for correct coding when coding issues are evident; insurance follow-up
with delayed and denied claims, as well as appeal incorrectly denied claims.
03/1990 to 01/1999
Medical Office Secretary/ManagerSpectrum Health － Grand Rapids, MI
Responsible for distributing physicians transcription among employees, as well as
transcribing medical reports when staff is overloaded with work; medical records custodian
assuring files returned daily; case management duties to include coordinate and oversee
physician clinics; review of medical records for accuracy; communicating with insurance
companies obtaining prior authorization of evaluations and ongoing treatment plans;
entered daily charges and completion of patient registration and diagnostic coding.
Education and Training
ICD 10 ProficiencyCPC
A.A.S: Health Insurance Claims ManagementDavenport University － Grand Rapids, MIHealth Insurance Claims Management 3.8
accounts receivable, Billing, case management, consulting, filing, gastroenterology, ICD 10, injections, instructing, Instruction, insurance, internal medicine, lecturing, lesson plans, Medical billing, Medical Manager, medical records review, review of medical records, medical terminology, office, Works, organizational skills, orthopaedics, coding, fast learner, radiology, self-
motivated, surgery, therapy, transcription, treatment plans, word processing