Alisa McCallum
Medical Billing Specialist
Winter Garden,FL
Summary
Competent Medical Biller with coding and medical terminology knowledge. 8 Years of experience in handling wide variety of medical coding and billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Expertise in accurately inputting procedure and diagnosis codes into billing software to generate invoices.
Overview
8
8
years of professional experience
Work History
Office Medical Biller
Breakthrough Behavior
Maitland, FL
10.2020 - 02.2022
- Filed and updated patient information and medical records.
- Delivered 93% timely and accurate charge submissions.
- Adhered to established standards to safeguard patients' health information.
- Generated reports and analyzed trends to maximize reimbursement and reduce claim denials.
- Verified insurance of patients to determine eligibility.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Liaised between patients, insurance companies, and billing office.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Researched and resolved medical record discrepancies.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Followed up with medical staff regarding missing information in patient records.
Inventory Specialist
Lockheed Martin
Orlando, FL
05.2017 - 05.2018
- Analyzed inventory trends to identify and prepare for potential issues and discrepancies.
- Compiled reports of cost factors such as labor, production and equipment.
- Managed timely and effective replacement of damaged or missing products.
- Marked stock with identification tags and labels to outline information such as storage locations.
- Maintained store assets with effective loss prevention strategies.
Education
Certificate - Medical Assisting
Gwinnett College
Orlando, FL04.2016
Certificate - Medical Insurance Billing
Ultimate Medical Academy - Clearwater
Clearwater, FL04.2014
Skills
- Billing Procedures
- Eligibility Checks
- Healthcare Terminology
- Office Procedures
- Diagnostic Codes
- Medicare and Medicaid Processes
- Verifying Coverage
- Benefits Verifications
- Claim Submission
- CPT Code Modifiers
- ICD-10 Coding
- Payments Posting
- CMS-1500 Billing Forms
- Medical coding knowledge
- Behavioral Health billing knowledge
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
There is a powerful driving force inside every human being that, once unleashed, can make any vision, dream, or desire a reality.
Tony Robbins
Timeline
Office Medical Biller
Breakthrough Behavior
10.2020 - 02.2022
Inventory Specialist
Lockheed Martin
05.2017 - 05.2018
Certificate - Medical Assisting
Gwinnett College
Certificate - Medical Insurance Billing
Ultimate Medical Academy - Clearwater
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