Summary
Overview
Work History
Education
Skills
Work Availability
Certification
Quote
Work Preference
Websites
Accomplishments
Timeline
SoftwareEngineer
Amanda Fisher

Amanda Fisher

Albuquerque,NM

Summary

Results-driven healthcare professional with a strong foundation in medical billing and coding. Demonstrated expertise in accurate claims processing, regulatory compliance, and resolving billing discrepancies. Highly regarded for collaborative approach, adaptability, and consistent delivery of high-quality outcomes in team settings. Advanced skills in CPT, ICD-10, and HCPCS coding with keen eye for detail and unwavering commitment to accuracy.

Overview

6
6
years of professional experience
1
1
Certificate

Work History

Member and Provider Service Representative

Centene
05.2022 - Current
  • Resolved 10-15 complex billing inquiries daily, maintaining a 98% customer satisfaction rating
  • Processed and responded to inquiries regarding eligibility, benefits, claims status, and provider information
  • Resolved complex billing, enrollment, and authorization issues, ensuring timely and accurate solutions
  • Maintained accurate member and provider records, ensuring data integrity
  • Educated members and providers on health plan policies and procedures

Medical Biller and Coder

Foot and Ankle Specialists of New Mexico
05.2023 - 02.2024
  • Processed 45+ medical claims weekly, ensuring accurate and timely reimbursement
  • Utilized ICD-10, CPT, and HCPCS coding systems to maintain 99% coding accuracy
  • Reduced claim denials by [Quantify Percentage, if known] through proactive denial management and appeals
  • Managed charge entry, payment posting, and accounts receivable follow-up, optimizing revenue cycle efficiency
  • Tracked and resolved outstanding claims, verifying insurance and generating invoices
  • Ensured compliance with coding guidelines and billing regulations, minimizing audit risks

Case Manager

Hewlett Packard
10.2021 - 11.2022
  • Led investigations and resolutions for escalated customer issues, achieving consistently high customer satisfaction
  • Proactively communicated with customers throughout the resolution process, ensuring transparency and timely updates
  • Utilized strong problem-solving skills and detailed case documentation to streamline resolution processes
  • Maintained detailed case records and documentation

Retail Assistant Manager

Dollar Tree
02.2019 - 11.2021
  • Supervised and trained 5 store associates, improving team performance
  • Managed inventory, reducing stock discrepancies
  • Provided customer service and resolved customer complaints

Education

Medical Billing and Coding Certificate -

Carrington College
02.2024

Individualized Studies -

New Mexico State University
03.2025

Bachelor of Science - Nursing

University of New Mexico
01.2008

Skills

  • ICD-10
  • CPT
  • HCPCS
  • Claims Submission
  • Denial Management
  • Payment Posting
  • Accounts Receivable
  • Charge Entry
  • Epic
  • NextGen
  • HIPAA
  • Medical Billing Regulations
  • Auditing
  • Member Relations
  • Provider Relations
  • Issue Resolution
  • Verbal Communication
  • Written Communication
  • Interpersonal Communication
  • Analytical Problem-Solving
  • Critical Thinking
  • Decision-Making
  • Microsoft Office Suite

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Certification

  • Medical Billing and Coding Carrington College 2024

Quote

I cannot believe the purpose of life is to be happy. I think the purpose of life is to be useful, to be responsible, to be compassionate. It is, above all, to matter, to count, to stand for something, to have made some difference that you lived at all.
Leo Rosten

Work Preference

Work Type

Full Time

Work Location

Remote

Important To Me

Work-life balanceCareer advancementFlexible work hoursPaid sick leave401k matchStock Options / Equity / Profit Sharing

Accomplishments

  • Conflict Resolution - Responsible for handling customer account inquiries, accurately providing information to ensure resolution of product/service complaints and customer satisfaction.
  • Telephone Service - Professionally processed 20+ calls per day, providing information and service to ensure customer satisfaction.
  • Customer Relations - Earned highest marks for customer satisfaction.
  • Completed manager training program.
  • Supervised team of 5 staff members.
  • Monetary Transactions - Handled cash, check, credit and automatic debit card transactions with 100% accuracy.

Timeline

Medical Biller and Coder

Foot and Ankle Specialists of New Mexico
05.2023 - 02.2024

Member and Provider Service Representative

Centene
05.2022 - Current

Case Manager

Hewlett Packard
10.2021 - 11.2022

Retail Assistant Manager

Dollar Tree
02.2019 - 11.2021

Individualized Studies -

New Mexico State University

Bachelor of Science - Nursing

University of New Mexico

Medical Billing and Coding Certificate -

Carrington College

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Amanda Fisher