Shakisha Mickle
Medical Billing Specialist
Owings Mills,MD
Summary
Certified Medical Billing Specialist with 5 years of experience in fast-paced, multiple-client medical billing company serving large private practice conglomerates and outpatient clinics. Researched denied claims and submitted appeals. Familiar with health billing and collections.
Overview
6
6
years of professional experience
Work History
Medical Billing Specialist
Learn Behavioral
Pikesville , MD
12.2019 - 10.2021
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
- Posted and adjusted payments from insurance companies.
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
- Prepared billing correspondence and maintained database to organize billing information.
- Maintained and updated collections tracking spreadsheet to help organize payment information.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Located errors and promptly refiled rejected claims.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Orchestrated medical coding, payment posting, accounts receivables and collections.
- Delivered timely and accurate charge submissions.
Medical Billing Specialist
Ajilon Professional Staffing
Baltimore, MD
07.2019 - 12.2019
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Reviewed patient records, identified medical codes and created invoices for billing purposes.
- Precisely evaluated and verified benefits and eligibility.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
- Posted and adjusted payments from insurance companies.
- Prepared billing correspondence and maintained database to organize billing information.
- Located errors and promptly refiled rejected claims.
- Managed collections claims for unpaid bills against estates of debtors.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Collected payments and applied to patient accounts.
- Orchestrated medical coding, payment posting, accounts receivables and collections.
- Prepared accounts with past due balances and transferred those cases to collection agency.
- Delivered timely and accurate charge submissions.
Medical Billing Specialist
People Encouraging People
Baltimore, Maryland
10.2016 - 08.2018
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Precisely evaluated and verified benefits and eligibility.
- Posted and adjusted payments from insurance companies.
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
- Prepared billing correspondence and maintained database to organize billing information.
- Maintained and updated collections tracking spreadsheet to help organize payment information.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Located errors and promptly refiled rejected claims.
- Gathered information from multiple sources to simplify billing and organize accounts.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Posted payments and collections on regular basis.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Filed and updated patient information and medical records.
- Orchestrated medical coding, payment posting, accounts receivables and collections.
- Translated and interpreted medical billing codes with strong accuracy to enable swift payment from insurance agencies.
- Delivered timely and accurate charge submissions.
Medical Billing Specialist
Robert Half Office Team
Baltimore, MD
04.2015 - 10.2016
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
- Posted and adjusted payments from insurance companies.
- Identified and resolved patient billing and payment issues.
- Prepared billing correspondence and maintained database to organize billing information.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Located errors and promptly refiled rejected claims.
- Gathered information from multiple sources to simplify billing and organize accounts.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Posted payments and collections on regular basis.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Filed and updated patient information and medical records.
- Orchestrated medical coding, payment posting, accounts receivables and collections.
- Translated and interpreted medical billing codes with strong accuracy to enable swift payment from insurance agencies.
- Delivered timely and accurate charge submissions.
- Maintained and updated collections tracking spreadsheet to help organize payment information.
- Precisely evaluated and verified benefits and eligibility.
Education
No Degree - Medical Coding
AAPC
Pennsylvania Furnace, PA 11.2021 - Current
Skills
Medicare and Medicaid process
undefinedWork Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
Opportunities Don't happen.You create them.
Chris Grosser
Timeline
No Degree - Medical Coding
AAPC
11.2021 - Current
Medical Billing Specialist
Learn Behavioral
12.2019 - 10.2021
Medical Billing Specialist
Ajilon Professional Staffing
07.2019 - 12.2019
Medical Billing Specialist
People Encouraging People
10.2016 - 08.2018
Medical Billing Specialist
Robert Half Office Team
04.2015 - 10.2016
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