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Volunteer as Medical Coding and Billing Specialist Resume Example

Resume Score: 80%

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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
  • Medical coding and billing
  • Medical records and documentation
  • Time management
  • Team building
  • English/Hindi/Gujarati
  • HCPSCS, ICD-10 and CPT Coding & Classification
  • CMS 1500 forms, DRG calculation
  • Insurance verifications & Eligibility review
  • Understanding of Anatomy Physiology and Medical Terminology
  • NeuMD Software; Udoc Softawre
  • Med iSOFT & MD Rhythm Software
  • Account Receivables
  • Insurance Receivables
  • Adaptive & Interpersonal skills
  • Records review
  • Database Management
  • MS Office
  • Medical record-keeping
  • Electronic Medical Records Transmission
  • Invoicing and billing
Work History
February 2020-CurrentVolunteer as Medical Coding and Billing Specialist | Bodhi Medical Services, LLC | New York, NY
  • 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 | Queens, NY
  • 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 | Brooklyn, NY
  • 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 | Manhattan, NY
  • 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, Manhattan, New York
May 2003Bachelor of Commerce: Advance Accounting & Advance StatisticsGujarat University, Ahmedabad, India
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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Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.

Resume Overview

Companies Worked For:

  • Bodhi Medical Services, LLC
  • Aristotle's Psychological Services
  • ASA College
  • Dunbar Pharmacy

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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