LiveCareer-Resume
Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
Professional Summary

Driven Medical Biller motivated to perform beyond expectations. Reliable Medical Biller with coding and medical terminology knowledge. Polished and hardworking performer with a background overseeing accounts and handling records management tasks. Considered a team-oriented person with great decision-making skills. Client-focused Medicare Collector with 15 years of experience. Adept at maintaining long-term relationships with clients and accurately recording payments and collections. Successful in efficient collections and communicating with coworkers.

Skills
  • Lesson plan implementation
  • Teaching and instruction
  • Autism and spectrum disorders
  • Medical record security
  • Collection calls
  • Payment posting
  • Medical terminology expert
  • Medical claims submission
  • Data entry
  • Proficiency in e Clinical Works
  • Physical therapy guidelines
  • Occupational rehabilitation
Work History
Special Education Paraprofessional, 02/2018 to Current
Lighthouse AcademiesEast Chicago, IN,
  • Oversaw class of approximately 20 students when instructor was out of room.
  • Supported teacher in development of individual learning strategies.
  • Maintained positive attitude and affirmatively communicated with each student.
  • Collaborated with teacher to create customized classroom environment that was integral to students' needs.
  • Provided student support through special accommodations, extra assistance and assessments.
  • Created and managed IEPs to define student learning objectives and educational strategies, in addition to applying instructional knowledge and methods to support goals.
  • Cultivated connections and strong student rapport to foster classroom engagement, in addition to recording student progress to inform parents and school administration.
  • Redirected students using Positive Behavior Support (PBS).
Medical Biller/Outpatient Coder, 08/2013 to 02/2018
Red Rock Family PracticeCity, STATE,
  • Ensured timely and accurate charge submissions utilizing eClinical Works
  • Prepared billing statements for patients and ensured correct diagnostic coding.
  • Researched and followed up on denied insurance claims.
  • Adhered to established standards to safeguard all patients' health information.
  • Orchestrated day-to-day operations of billing department, including medical coding, payment posting, accounts receivables and collections.
  • Posted payments and collections on regular basis.
  • Participated in workshops and other training opportunities to remain current on billing procedures, regulations and industry updates.
  • Prevented financial delinquencies by working closely with managers to ensure billing issues were resolved before becoming unmanagable.
  • Communicated with insurance providers to ensure any denied claims were resolved and resubmitted.
  • Submitted electronic and paper claims to insurance companies including Medicare and Medicaid to collect medical payments.
  • Liaised between patients, insurance companies and billing office.
  • Reviewed services rendered and completed to reconcile codes.
  • Ensured proper submission of workers comp and MVA claims.
  • Verified signatures and checked medical charts for accuracy and completion.
  • Analyzed medical records to satisfy insurance company mandates.
  • Efficiently collected payments and communicated with clients.
  • Reviewed patient records, identified medical codes and created invoices for billing purposes.
  • Collected payments and applied to patient accounts.
  • Transferred balances to correct payers.
  • Maintained current accounts through aged revenue reporting.
  • Guarded against fraud and abuse by verifying all coded data accurately reflected services provided.
Outpatient Therapy Biller/Medical Coder, 03/2003 to 08/2013
Gottsche Rehabilitation CenterCity, STATE,
  • Reviewed patient charts to better understand health histories, diagnoses and treatments.
  • Verified signatures and checked medical charts for accuracy and completion.
  • Accurately selected proper descriptive code when more than one anatomical location was indicated.
  • Reviewed outpatient records and interpreted documentation to identify all diagnoses and procedures.
  • Interacted with physicians and other healthcare staff to ask questions regarding patient services and ensure chart accuracy.
  • Utilized active listening, interpersonal and telephone etiquette skills when communicating with others.
  • Guarded against fraud and abuse by verifying all coded data accurately reflected services provided.
  • Initiated, performed and documented quarterly coding audits for physicians.
  • Performed billing and coding procedures for ambulance, emergency room, impatient and outpatient services.
  • Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Education
Bachelor of Science: General Studies, Expected in 05/2020
University of Wyoming - Laramie, WY,
GPA:
Associate of Arts: Psychology, Expected in 05/2007
Central Wyoming College - Riverton, Wyoming,
GPA:

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Resume Overview

School Attended

  • University of Wyoming
  • Central Wyoming College

Job Titles Held:

  • Special Education Paraprofessional
  • Medical Biller/Outpatient Coder
  • Outpatient Therapy Biller/Medical Coder

Degrees

  • Bachelor of Science
  • Associate of Arts

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