Volunteer as Medical Coding and Billing Specialist Resume Example
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VOLUNTEER AS MEDICAL CODING AND BILLING SPECIALIST
http://www.linkedin.com/in/swatipanchal2426
Professional Summary
Enthusiastic Health Information Technology Professional eager to contribute to team success through hard work, attention to details and excellent organizational skills. Adaptable and driven with strong work ethic and ability to thrive in team-based or individually motivated to learn, grow and excel in Health care Industry.
Skills
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Work History
February 2020-CurrentVolunteer as Medical Coding and Billing Specialist | Bodhi Medical Services, LLC | City , STATE
- Maintained accuracy, completeness and security for medical records and health information.
- Checking eligibility and benefits verification for treatments, and procedures.Creates and reviews claim data following insurance and coding guidelines.
- Kept accurate log of all requests for medical information and records.Ensure patient information is accurate and complete & proper coding on provider documentation.
- Reviews physician's documentation in electronic health record and ensures that the documentation supports the level of service and treatment.
- Verifies accuracy of selected diagnosis and procedure in accordance with ICD-10 and CPT codes.
- Preparing, reviewing, and transmitting claims using billing software, including electronic and paper & claim processing within standard billing cycle timely frame.
- Adjust system reported Accounts Receivables (AR) balances to third-party EOB's through the payment posting process.
- Contacts insurance companies and/or patient/guarantor through phone contact, correspondence, online portals and other approved means to obtain status of outstanding claims and submitted appeals.
- Resolve outstanding claims in accounts receivable by reviewing insurance EOBs and other insurance correspondences.
- Respond to patient and or insurance telephone, email and or fax inquiries daily in a professional manner.
- Review electronic remittance advice posting (where applicable) for proper application to system records.
October 2019-January 2020Student Externship: Medical Biller | Aristotle's Psychological Services | City , STATE
- Made sure Documentation standards of Patient's demographic information.Review records for completeness, accuracy, and compliance with regulations.
- Reviewed patient records, identified medical codes and created invoices for billing purposes.
- Efficiently performed Insurance verification, billing department, including medical coding, payment posting, accounts receivables and collections.
- Posted payments and collections on regular basis.Prepared billing statements for patients and ensured correct diagnostic coding.
- Used MD Rhythm Software to input information into computerized patient record system.Create invoice for reimbursement to various Insurances.
- Resolve or clarify codes or diagnoses with conflicting, missing, or unclear information by doctors or others by consulting Office Manager.
September 2019-December 2020Volunteer as Front Desk Assistant | ASA College | City , STATE
- Maintain student profiles and database in Excel.
- Keep the track of student records and appointments.
- Review account status with departments and responded to career inquiries.
- Provides student assistance related to Externship.
- Assist as receptionist by managing multiple telephone lines, directing calls, ensuring appropriate transmission of messages.
February 2019-May 2019Volunteer as Pharmacy Technician | Dunbar Pharmacy | City , STATE
- Maintained clean and organized pharmacy shelving and work areas.Maintained accurate inventory of medications.
- Efficiently processed cash register transactions for new and refilled prescription orders.
- Received and verified daily incoming drug inventories, reported discrepancies and logged items into inventory system.
- Received, reviewed, dispensed, and labeled over 200 prescriptions daily with accuracy.
- Assisted patients in finding over-the-counter solutions to aid minor health issues.
- Assisted pharmacist in daily operations tasks and administrative tasks.
- Supported pharmacists with day-to-day activities and pharmacy office management functions.
- Located and processed ready prescriptions to customers, distributed medication information documentation and facilitated medication consultations.
Education
February 2020Associate of Applied Science: Health Information TechnologyASA College, City
May 2003Bachelor of Commerce: Advance Accounting & Advance StatisticsGujarat University, City
Certifications
Workshops Certificates:
- Medical Billing training using Medi-Soft Software.
- Claim form completion training using CMS-1500 claim form.
- HIPPA Certificate: ASA College
Accomplishments
- Phi Theta Kappa International Honor Society: Honor Roll
- Academic Excellence: GPA 3.92/4. MEMBER #21073236
- President's List: GPA 4/4 (3 SEM).
- Dean's List: 3.89/4.
- Cumulative GPA: 3.89/4
Additional Information
References: 1. Tshering Pelmo -Administrative director at Aristotle Psychological and Biofeedback services
tshering@aristotlespsychological.com
2. Prof. Sharyn St. Bernard-Professor at ASA College
sstbernard@asa.edu
3. Rashmi Gaonkar-Professor/ Head of HIT Department
rgaonkar@asa.edu
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Resume Overview
School Attended
- ASA College
- Gujarat University
Job Titles Held:
- Volunteer as Medical Coding and Billing Specialist
- Student Externship: Medical Biller
- Volunteer as Front Desk Assistant
- Volunteer as Pharmacy Technician
Degrees
- Associate of Applied Science : Health Information Technology
Bachelor of Commerce : Advance Accounting & Advance Statistics
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