Certified Medical Biller with coding and medical terminology knowledge. Polished and hardworking performer with background overseeing accounts and handling records management tasks. Team-oriented person with great decision-making skills.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Medical Billing Specialist
Center for Primary Care
02.2017 - Current
Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
Collected payments and applied to patient accounts.
Filed and updated patient information and medical records.
Liaised between patients, insurance companies, and billing office.
Communicated with insurance providers to resolve denied claims and resubmitted.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
Attained up-to-date knowledge of coding requirements through continuing education courses and certification renewal.
Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
Reviewed patient charts to better understand health histories, diagnoses, and treatments.
Communicated effectively with staff, patients, and insurance companies by email and telephone.
Posted payments and collections on regular basis.
Utilized various software programs to process customer payments.
Monitored outstanding invoices and performed collections duties.
Collaborated with customers to resolve disputes.
Responded to customer concerns and questions on daily basis.
Communicated effectively and extensively with other departments to resolve claims issues.
Paraprofessional
Columbia County Board Of Education
08.2015 - 02.2017
Monitored students on field trips, handling roll call, and group movement to keep youths safe in public settings.
Assisted classroom teacher in supervising snack time and indoor and outdoor play.
Delivered personalized educational, behavioral, and emotional support to individual students to enable positive learning outcomes.
Oversaw students in classroom and common areas to monitor, enforce rules, and support lead teacher.
Kept classrooms clean, neat, and properly sanitized for student health and classroom efficiency.
Reported on student progress, behavior, and social skills to parents.
Prepared instruction materials, constructed bulletin boards, and set up work areas.
Enforced rules and instructions to maintain discipline.
Assisted students in developing deeper understanding of course concepts by providing one-on-one support.
Helped teacher prepare instructional material and displays.
Education
Associate of Applied Science - Medical Billing And Coding
Miller-Motte Technical College
Augusta, GA
12.2015
Skills
Collections Management
Payment posting
Insurance Verification
HIPAA Compliance
Patient Billing
Medicare and Medicaid process
Certification
CPC - Certified Professional Coder (AAPC)
Timeline
Medical Billing Specialist
Center for Primary Care
02.2017 - Current
Paraprofessional
Columbia County Board Of Education
08.2015 - 02.2017
Associate of Applied Science - Medical Billing And Coding
Miller-Motte Technical College
CPC - Certified Professional Coder (AAPC)
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