AMY BOKINSKIE
Ogden,UT
Summary
Certified Professional Coder (CPC) with a Medical Coding and Billing Certificate and hands-on experience in medical billing, collections, and insurance resolution. Skilled in ICD-10, CPT, HCPCS coding, insurance claim management, and EHR systems. Adept at analyzing claim denials, preparing resubmissions, and communicating effectively with patients, insurance companies, and healthcare providers. Proven ability to ensure accuracy, compliance, and efficiency throughout the billing cycle.
Overview
3
3
years of professional experience
Work History
Medical Billing & Collections
MTN States Pulmonary & Critical Care
Ogden, UT
12.2024 - Current
- Supported billing team with patient demographic entry into EHR systems.
- Assisted with coding review, claims submission, and follow-up on outstanding balances.
- Communicated with patients regarding billing questions and insurance coverage.
- Accurately assigned CPT code 99291 and 99292 based on precise documentation of total time spent in critical care, excluding non-continuous time.
- Applied appropriate modifiers (e.g., -25, -59) to distinguish critical care services from other procedures or evaluation services performed on the same day.
- Continuously updated knowledge on industry best practices pertaining to medical billing and collections.
- Upheld high standards of accuracy while adapting to frequent updates in medical billing codes and insurance regulations.
Customer Service Professional
Cambia Health Solutions
Remote
05.2024 - 10.2024
- Answered benefit and claims-related inquiries from members.
- Assisted with eligibility issues, provider searches, and benefit quotes.
- Liaised between members and providers to resolve billing and insurance concerns.
- Operated in dynamic, high-volume environments to provide skilled assistance to more than 30 customers each day.
- Evaluated account and service histories to identify trends, using data to mitigate future issues.
Insurance Resolution Specialist
Ogden Clinic
Ogden, UT
05.2023 - 02.2024
- Researched denied claims, applied coding knowledge, and prepared appeals for resubmission.
- Processed paper claims and corrected errors in collaboration with reception staff.
- Managed unprocessed claims in Claredi and updated financial tracking spreadsheets.
- Assisted with credentialing documentation for providers.
- Exceeded performance targets consistently by prioritizing workload effectively and managing time efficiently during periods of high call volume or complex caseloads.
- Coordinated with cross-functional teams to address and resolve product-related complaints.
- Streamlined dispute resolution process, cutting down average handle time.
Education
Certificate of Technical Studies - Certified Professional Coder
Ogden Weber Technical College
Ogden, UT10.2024
Skills
- Medical Billing & Collections
- ICD-10-CM, CPT, HCPCS Coding
- Claim Denial Analysis & Appeals
- Patient Payment Collection & Posting
- Insurance Verification & Eligibility
- EHR Systems & Microsoft Office Suite
- Knowledge of Medicare & Medicaid
- HIPAA Compliance & Medical Law
- Strong Verbal & Written Communication
- Data Entry & Accuracy in Documentation
Timeline
Medical Billing & Collections
MTN States Pulmonary & Critical Care
12.2024 - Current
Customer Service Professional
Cambia Health Solutions
05.2024 - 10.2024
Insurance Resolution Specialist
Ogden Clinic
05.2023 - 02.2024
Certificate of Technical Studies - Certified Professional Coder
Ogden Weber Technical College