Jessica Claire
, , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
Home: (555) 432-1000 - Cell: - - -

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.

  • 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
09/2015 to Current
Surgical Coordinator Beth Israel Deaconess Medical Center Medford, 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.
03/2013 to 05/2015
Human Resources Director Columbus Hospitality Scottsdale, 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.
10/2012 to 03/2013
Coding/Medical Billing Specialist Main Street Family Practice City, 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.
03/2005 to 11/2012
Office Manager/Billing Specialist/Certified Coder Tri City Radiology City, 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
Expected in 2008
Certified Professional Coder:
American Academy Of Professional Coders - ,

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

Expected in 1988
Honors Diploma:
Cherokee High School - Rogersville, TN

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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


  • Certified Professional Coder
  • Honors Diploma

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