Surgical Coordinator Resume Example
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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
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Experience
Surgical Coordinator, Beth Israel Deaconess Medical Center, October 2015-CurrentMedford , MA
- 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, Columbus Hospitality, April 2013-June 2015Scottsdale , AZ
- 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, Main Street Family Practice, 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, Tri City Radiology, 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
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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
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