, , 609 Johnson Ave., 49204, Tulsa, OK100 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 Academies – East 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 Practice – City, 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 Center – City, 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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