Summary
Overview
Work History
Education
Skills
Certification
Affiliations
Personal Information
Work Availability
Quote
Work Preference
Timeline
RegisteredNurse
Amanda Bindrum

Amanda Bindrum

Broken Arrow,Oklahoma

Summary

Registered Health Information Technician, Hardworking, highly motivated professional eager to lend combined knowledge and skills to enhance business performance. Operates well in both individual and team capacities, leveraging seasoned work ethic to quickly adapt to different processes and drive company objectives. Resourceful and results-driven with a passion for growth and efficiency to meet company needs and increase service value.

Overview

5
5
years of professional experience
2
2
Certification

Work History

Medical Biller and Coder

Olympia Neurological Institute
05.2023 - 02.2024
  • Generated revenue by arranging payments, collecting accounts, and monitoring and pursuing delinquent ones
  • Disputed and obtained payment in claims over 365 days, resolving aging claims facing timely filing
  • Facilitate coding and auditing of complex inpatient hospitals, outpatient, ER, surgery and critical care encounters
  • Create and submit charge slips as well as research and resolve all denials and discrepancies, exceeding an average reimbursement goal of 50% or higher on all charges, including leveling review of ER E&M, emergency, regular codes, and unlisted procedure
  • Processed 100+ incoming new patient referrals, verifying insurance details, creating charts using EMR, & scheduling initial appointments
  • Enhanced customer satisfaction by 20% Jan 2023- Feb 2024 through preparation of statistical, narrative reports, & graphic presentations yielding metrics on process efficiency
  • Reviewed encounters and all relating documentation for ER, inpatient, and all encounters to verify that level of service billed meets medical documentation and that appropriate level of service was billed
  • Review level of care billed does not line up with documentation, notate why and bill accordingly.

Senior Claims Examiner

Cigna
01.2022 - 05.2023
  • Completed various coding and auditing tasks that involved multi-specialty encounters for outpatient, inpatient hospital, ER, same day and or emergent surgery, critical care, and unlisted codes/procedures
  • Maintained 95% accuracy and above
  • Worked coding denials, disputes, and appeals for multi-specialty encounters for outpatient, inpatient hospital, ER, same day and or emergent surgery, critical care, and unlisted codes/procedures
  • Review documentation to verify the level of service billed conforms to the medical documentation submitted, bill accordingly, query when necessary.

Senior Claims Examiner

CVS
10.2021 - 01.2022
  • Completed various coding and auditing tasks that involved multi-specialty encounters for outpatient, inpatient hospital, ER, same day and or emergent surgery, critical care, and unlisted codes/procedures
  • Maintained 95% accuracy and above
  • Evaluated coding denials, disputes, and appeals for multi-specialty encounters for outpatient, inpatient hospital, ER, same day and or emergent surgery, critical care, and unlisted codes/procedures.
  • Prepared detailed reports on claim activity for management review, highlighting areas for improvement.
  • Handled high-profile cases professionally, maintaining confidentiality while achieving satisfactory resolutions.
  • Researched claims and incident information to deliver solutions and resolve problems.

Medical Biller and Coder

E5 Workflow
07.2020 - 10.2021
  • Executed a major 'clean up' project of Covid-19 tests that denied, there were over 50,000 tests being denied by multiple payors.
  • In addition to utilizing Covid-19 state grants for uninsured patients
  • Investigated coding and billing medical claims for multiple hospital and nursing facilities, inclusive of emergency and critical care services and inpatient services.

Case Manager

Green Country Behavioral
09.2018 - 07.2020
  • Processed case assignments, drafted service plans, reviewed case progress and determined case closure.
  • Helping clients achieve wellness and autonomy
  • Facilitate multiple care aspects (case coordination, information sharing, etc.)
  • Helped patients make informed decisions by acting as their advocate regarding their clinical status and treatment options
  • Developed effective working relations and cooperated with medical team throughout the entire case management process.
  • Promoted quality and cost-effective interventions and outcomes
  • Assessed and addressed motivational and psychosocial issues
  • Adhere to professional standards as outlined by protocols, rules and regulations
  • Billed for all services rendered.

Education

Associate of Applied Science - Health Information Technician -

Rasmussen University
Remote
03.2024

Career Diploma - Medical Billing and Coding -

Penn Foster
Remote
01.2020

Skills

  • Proficient in Microsoft Office, Word, PowerPoint, Excel and Outlook
  • Capable of problem-solving and decision-making skills including troubleshooting
  • Skilled in information governance, data analytics, data mining, data forecasting, report creation, revenue cycle management and compliance
  • Knowledgeable of all applicable guidelines
  • Well-informed of Medicare and Medicaid policies for multi- state, procedures, processes
  • Versed in multi-specialty billing and coding including but not limited to ER, outpatient, inpatient, private practice, same day surgery, emergency surgery, profee and more
  • HIPAA Compliance
  • ICD-10 Proficiency

Certification

  • RHIT-Ahima
  • CCA-Ahima

Affiliations

Current member of AHIMA national chapter and the Oklahoma Chapter.

Personal Information

Title: Registered Health Information Technician

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote

Fall seven times; stand up eight.
Japanese proverb

Work Preference

Work Type

Full TimePart TimeContract Work

Work Location

Remote

Important To Me

Work from home optionPersonal development programsPaid time offCompany Culture

Timeline

Medical Biller and Coder

Olympia Neurological Institute
05.2023 - 02.2024

Senior Claims Examiner

Cigna
01.2022 - 05.2023

Senior Claims Examiner

CVS
10.2021 - 01.2022

Medical Biller and Coder

E5 Workflow
07.2020 - 10.2021

Case Manager

Green Country Behavioral
09.2018 - 07.2020

Associate of Applied Science - Health Information Technician -

Rasmussen University

Career Diploma - Medical Billing and Coding -

Penn Foster
Amanda Bindrum