Alexis Wilson
Anchorage,AK
Summary
Highly knowledgeable biller and coder with 17 years of experience in billing, accounts resolution, insurance research, coding, and collections. Well versed in both commercial and government insurance programs. Expert in all aspects of account resolution, from initial coding to collecting patient balances.
Overview
17
17
years of professional experience
2
2
Certifications
Work History
Medical Coder
Eargo Hearing, Inc
09.2022 - Current
- Reviewed all incoming medical records against payer medical necessity policies to determine if medical necessity criteria is met prior to claims submission
- Assigned ICD-10 and HCPCS codes to the highest level of specificity
- Followed up on rejected, denied and underpaid claims to ensure maximum reimbursement, including appeals and corrections
Medical Coder/Biller
Alaska Center For ENT
02.2022 - 09.2022
- Reviewed medical records and assigned appropriate ICD-10, CPT and HCPCS codes for professional fees, radiology, hearing aids, and in-office procedures
- Queried providers as needed to ensure accurate coding
- Followed up on rejected, denied and underpaid claims to ensure maximum reimbursement
- Researched government and commercial payer policies to ensure claims-specific regulations were followed
Neurosurgery Medical Billing Specialist
Anchorage Neurosurgical Associates, Inc
05.2019 - 01.2022
- Communicated daily with insurance companies to resolve denied or underpaid claims, to include phone calls, written correspondence and all levels of appeal
- Reviewed CPT and ICD-10 coding for compliance and to maximize reimbursement
- Researched local and federal billing guidelines and regulations to ensure compliance
- Identified and resolved claims submission errors and rejections
Cardiology and ASC Patient Accounts Representative
Alaska Heart Institute
1 2012 - 04.2019
- Billed primary, secondary and tertiary claims-HCFA and UB
- Worked aging reports daily to identify and address outstanding claims
- Created and maintained Business Office Procedures manual
- Mentored and trained new billers
- Submitted appeals of all levels to pursue payment of denied or underpaid claims
Hospital/Clinic Medical Biller
Sitka Community Hospital
07.2007 - 09.2011
- Billed primary, secondary and tertiary claims on UB04 claim forms
- Account resolution - filed appeals, submitted claims and claims corrections
Education
High School Diploma -
East Anchorage
Anchorage, AK2002
Skills
- CPT assignment
- ICD-10 assignment
- HCPCS assignment
- Denial/underpayment Research
- Insurance Appeals
- Researching payment and clinical policies
Certification
- CPC - Certified Professional Coder - AAPC 2018
- CPB - Certified Professional Biller - AAPC 2015
Timeline
Medical Coder
Eargo Hearing, Inc
09.2022 - Current
Medical Coder/Biller
Alaska Center For ENT
02.2022 - 09.2022
Neurosurgery Medical Billing Specialist
Anchorage Neurosurgical Associates, Inc
05.2019 - 01.2022
Hospital/Clinic Medical Biller
Sitka Community Hospital
07.2007 - 09.2011
Cardiology and ASC Patient Accounts Representative
Alaska Heart Institute
1 2012 - 04.2019
High School Diploma -
East Anchorage
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