Amira Sehic
FENTON,MO
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
9
9
years of professional experience
Work History
Medical Biller (REMOTE)
Ascent Healthcare Group
Portland, OR
04.2023 - Current
- Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
- Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
- Compiled and processed data for billing purposes utilizing billing software programs.
- Performed follow up activities on unpaid claims with insurance companies or other third party payers by phone or written correspondence.
- Completed and submitted appeals for denied claims.
- Reviewed claims for coding accuracy.
- Maintained up-to-date knowledge of coding regulations and changes in reimbursement policies.
- Interpreted physician orders, notes, lab results, radiology reports. for appropriate code assignment.
- Communicated with healthcare personnel, including practitioners to promote accuracy.
Front Office Administrator
Ascent Healthcare Group
Portland, OR
04.2023 - 12.2024
- Reviewed contracts prior to signing on behalf of the organization.
- Answered phone calls to provide assistance, information, and medical personnel access.
- Scanned documents into EHR systems according to established protocols.
- Maintained office supplies inventory by checking stock to determine inventory level; anticipating needed supplies; placing orders for supplies; verifying receipt of supplies.
- Managed incoming and outgoing mail; distributed accordingly.
- Developed filing systems for records management and retrieval.
Precertification Specialist/Patient Access Representative
St Lukes Hospital
CHESTERFIELD, MO
12.2022 - 04.2023
- Applied knowledge of payer requirements and utilized online eligibility systems to verify patient coverage and policy limitations.
- Processed patient responsibility estimate determined by insurance at pre-registration.
- Reviewed eligibility responses to assess patient benefit level and prepare estimates.
- Entered data in EMR database to record payer, authorization requirements, and coverage limitations.
- Navigated through multiple online systems to obtain documentation.
- Contacted patients to arrange payment arrangements for deductible and out-of-pocket liability.
- Determined estimated self-pay portion by calculating charges, co-insurance, and deductibles.
Surgery Scheduling Coordinator
Precision Plastic Surgery, P.C.
CHESTERFIELD, MO
01.2017 - 12.2022
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Completed relevant insurance and other claim forms.
- Filed and submitted insurance claims.
- Worked with operating facilities to schedule procedures on behalf of the surgeon.
- Distributed treatment and procedural information to patients.
- Coordinated work processes and routed paperwork to appropriate physicians and staff members.
- Investigated and resolved issues to maintain billing accuracy.
- Prepared reports, invoices, letters, or medical records using word processing, spreadsheet, or other software applications.
- Schedule tests, lab work, or x-rays for patients based on physician orders.
Restaurant Server
Herbies
Clayton, Missouri
04.2020 - 05.2021
- Attended to guests needs in a timely manner, ensuring satisfaction throughout their dining experience.
- Provided menu recommendations and answered questions regarding food ingredients and preparation methods.
- Recorded orders accurately into the Point of Sale system.
- Delivered beverages, appetizers, entrees, and desserts to guests in an efficient manner.
Fine Dining Server/Banquet Server
Westborough Country Club
St Louis, MO
07.2019 - 04.2020
- Assisted in the setup and breakdown of banquet tables, chairs, linens, and other equipment.
- Provided prompt, friendly service to all guests during banquets or catered events.
- Served beverages and appetizers to guests in an efficient manner.
- Demonstrated knowledge of wine list and recommended wines based on customer preferences.
- Ensured proper set-up of dining area before service began including silverware, condiments, napkins.
Medical Receptionist/Medical Biller
Sandy Pike & Associates
Saint Louis, MO
08.2015 - 01.2017
- Entered insurance, demographics and health history into patient database.
- Checked patients in and out for appointments and collected co-payments.
- Photocopied insurance cards, documented details and verified patient coverage for upcoming procedures or appointments.
- Managed office phone lines by checking voicemail, returning calls and directing messages to team members.
- Retrieved faxes and uploaded documents to patient charts to assist clinical staff.
- Assessed medical codes on patient records for accuracy.
- Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
Education
Certificate - Medical Billing And Coding
Missouri College
St Louis, MO07.2015
Associate of Arts - General Studies
Saint Louis Community College
St Louis, MOSkills
- Insurance Authorizations
- CPT Coding
- Coverage Determination
- Patient Billing
- Organization and Time Management
- Administrative Support
- Outpatient Procedures
- Scheduling Tests and Procedures
- Epic Systems
- Appointment Scheduling
- Problem-Solving
- GHRIMED EMR System
- Medical Billing
Languages
English
Full Professional
Croatian
Native/ Bilingual
Timeline
Medical Biller (REMOTE)
Ascent Healthcare Group
04.2023 - Current
Front Office Administrator
Ascent Healthcare Group
04.2023 - 12.2024
Precertification Specialist/Patient Access Representative
St Lukes Hospital
12.2022 - 04.2023
Restaurant Server
Herbies
04.2020 - 05.2021
Fine Dining Server/Banquet Server
Westborough Country Club
07.2019 - 04.2020
Surgery Scheduling Coordinator
Precision Plastic Surgery, P.C.
01.2017 - 12.2022
Medical Receptionist/Medical Biller
Sandy Pike & Associates
08.2015 - 01.2017
Certificate - Medical Billing And Coding
Missouri College
Associate of Arts - General Studies
Saint Louis Community College
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