Surgical Coordinator Resume Example Company Name

SURGICAL COORDINATOR

Summary

Accurate Medical Coding and Billing Specialist with the ability to perform all aspects of medical billing, including coding, charge entry, transmission, correction and resubmission. Offering 25+ years of experience in working in the healthcare industry to validate proper information for claims processing. Detail-oriented and helpful professional with expertise in resolving billing issues and reviewing claim denials. My goal is to obtain a permanent position within a company that offers advancement and incentives for meeting or exceeding the job expectations.

Skills

Basic office skills
Medical Billing
CPT coding
Data entry
Medical terminology
Healthcare claim coding
Documentation oversight

Insurance billing
Medical recordkeeping
Insurance Verification
Database management
Billing procedures
Multitasking
Clerical

Experience

Surgical Coordinator, Company Name, October 2015-CurrentCity, State

Checked patient insurance and collected pre-authorizations from providers.
Contact patient about their financial responsibilities regarding scheduled procedures.
Work closely with lead nurses and surgery center employees regarding patient information, insurance requirements and ICD-10 and CPT coding edits.
Schedule post-operative appointments with referring physicians and generate surgery charge cards and consent forms.
Answered daily phone calls to schedule appointments and address patient inquiries and insurance company inquiries or updates.

Human Resources Director, Company Name, April 2013-June 2015City, State

Basic human resource duties of hiring, dismissal, discipline, training, etc…
Maintaining training files on all employees and cross tracking with state and federal agency requirements,
Non-profit organization and maintaining budget guidelines high priority.
Worked with department managers to assess needs.
Conducted exit interviews and recorded employee feedback for use in retention strategy development.
Notified all employees immediately when policies/procedures were updated or changed.
Handled employee conflicts efficiently while following all company procedures.

Coding/Medical Billing Specialist, Company Name, November 2012-April 2013City, State

Credentialing for nurse practitioner and oversight physician with most major insurance companies.
Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
Reviewed account information to confirm patient and insurance information is accurate and complete.
Post electronic and manual EFTs and EOBs.
Worked monthly aging report and any denials from insurance companies.

Office Manager/Billing Specialist/Certified Coder, Company Name, April 2005-December 2012City, State

Managed daily operations within radiology office by supporting continuous delivery of excellent services and care.
Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.
Responsible for all workers compensation claims.
Schedule, set up training, overview of timesheets, etc..
Handle patient billing questions or issues.
Review all collections, data entry, charge entry, billing payments etc….
Generated financial reports for management review.
Managed office budget to handle all needs, including inventory, postage and vendor services.
Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials.
Contacted patients for unpaid claims for HMO, PPO and private accounts and performed friendly follow-ups to ensure proper payments were made according to contracts.
Prepared billing statements for patients, ensuring correct diagnostic coding.
Maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third-party billing requirements.
Posted charges, payments and adjustments.
Completed appeals and filed and submitted claims.
Submitted refund requests for claims paid in error.

Education and Training

Certified Professional CoderAmerican Academy Of Professional Coders, 2008

Willing to become a certified medical coder again if needed for job requirement

Honors DiplomaCherokee High School, , CityState1988

Interests

Community activities , 2003-2004 Hawkins County Leadership Program 2008 Notary Public for State of Tennessee 2006-2011 Leader in Celebrating Freedom Program

Resume Overview

School Attended

American Academy Of Professional Coders
Cherokee High School

Job Titles Held:

Surgical Coordinator
Human Resources Director
Coding/Medical Billing Specialist
Office Manager/Billing Specialist/Certified Coder

Degrees

Certified Professional Coder
Honors Diploma

Surgical Coordinator Resume Example

Resume Score: 80%

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