Misty Lauramore
MEDICAL BILLER/CODER
Spring Hope,NC
Summary
Hardworking professional applies official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services. Confident Medical Coder adheres to data confidentiality and privacy rules in all workflows and promotes dynamic interpersonal skills. Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment.
Overview
11
11
years of professional experience
Work History
EMS Billing Coder
City of Boynton Beach Fire Rescue
04.2015 - 09.2022
- Review EPCR - Assign Correct Level of Transport ALS2, ALS1 or BLS. Assign appropriate ICD 10 codes based on EPCR Narrative,Review EPCR for required signatures & medical necessity necessary for submission to Insurance
- Confirm all Patient information (Name, DOB, SS# & Address) for accuracy
- Locate Workers Comp, Motor Vehicle or Hospice Insurance information when applicable & coordinate submission of claim accurately
- Follow up on denied or unpaid claims monthly – communicate with Patients or Insurance to resolve and correct any discrepancies for payment of claims
- Handle Attorney Request ensuring that record & Billing Request are responded to in a timely manor
- Respond to Customer calls & voicemails to answer billing questions or concerns
- Often reaching an acceptable Payment agreement for Deductibles, Coinsurance or Copays
- Productively worked from a remote position for over 3 years
Desk/Data Entry
Dermatology of Boca
01.2011 - 01.2015
- Check in/out, New Patient Registration, Data Entry, Scanning, Insurance Verification, Collection of Co-Pays, Past Due Balances, Deductibles, Co-Insurance, Answering & triaging Multi-Line Phone System
- Obtaining Authorizations/ Referrals for various procedures
- End of Day Balance, Deposits, Reports, Spreadsheets, Tracking and ordering of all office supplies
TECH ACADEMY Teacher/Instructor
SOUTH
- Teaching Insurance Terminology and Compliance
- Preparedness for NCCT Certification Exam with a 85% success rate of passing students
- Understanding Insurance Contracts
- Medicare, Medicaid, Tricare, Champ VA, Workers Comp Compliance
- Fair Debt Collection Practices Act compliance
Education
Medical Coding & Billing Specialist Diploma Program -
Florida Career College
2011
Skills
- COMPUTER QUALIFICATIONS
- Operating Systems & Software Applications
- Windows 10 Enterprise, Medisoft, Medware, Ederm, Word, Excel, Fireworks,
- MS Outlook, MP Cloud Technologies, NSure, Availity, Change Healthcare
- SKILLS/EXPEERIENCE
- Ability to type 40 wpm
- Ability to work at a fast pace, Prioritize and meet deadlines,
- Strong attention to Detail and Accuracy
- Ability to Navigate multiple Screens & Systems to obtain Patient Information & Insurance Information
- Medical Terminology
- Data Entry
- CAC CERTIFIED
- Group and Individual Instruction
- Creative Lesson Plan Development
- Test Proctoring
- Critical Thinking
Timeline
EMS Billing Coder
City of Boynton Beach Fire Rescue
04.2015 - 09.2022
Desk/Data Entry
Dermatology of Boca
01.2011 - 01.2015
TECH ACADEMY Teacher/Instructor
SOUTH
Medical Coding & Billing Specialist Diploma Program -
Florida Career College
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