Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
23
23
years of professional experience
Work History
Medical Billing and Collections Specialist
ENT And Allergy Associates Of Florida,LLC
02.2018 - Current
O Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable
Posted and adjusted payments from insurance companies
Located errors and promptly refiled rejected claims
O Code and enter physician daily charges hospitat, consults and procedures
O Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy
O Review and respond to correspondence from insurance appeals and denials
R Collected payments and apptied to patient accounts
Prepared billing statements for patients and verified address correct.
Billing Clerk and Medical Assistant
Florida Kidney physicians
06.2015 - 01.2018
Coded and enter physicians daily office and procedures
Verify all insurances Medicare, Medicaid, Commerical insurance and HMO.
Prepared claims for electronic billing and payer claims submission.
Handled account payments and provided information regarding outstanding balances.
Work under physician direction o Triage patient's performed a variety services including chart prep call in refills, prepare referrals for patient's needing specialty services,prepare registration for transplant service
Obtain information front dialysis centers for patient upcoming appointments.
Medical Biller and Coder
Florida Heart And Vascular Center
02.2014 - 06.2015
Correctly coded and billed medical claims for various hospital and daily office and procedures
Prepared claims for electronic billing and paper claims submission
Collected on outstanding patient balances.
Verify insurances and obtain authorizations for office and hospital procedures
Reviewed insurance letters and explanation of benefits by identifying, results or rejection denials
Research pending claims and appeal,when necessary by providing appropriate documentation.
Medical Biller , Auto Injury
Comprehensive Physician Services
03.2010 - 01.2014
Communicated with auto insurance providers to obtain insurance injury information.
Work closely with attorney offices.
Posted and entered charges, payments, and adjustments for the insurance.
Prepared and attached all required claims documentation including referral treatment plans.
Faxed medical records to attorney offices when requested.
Medical Billing and Collections Specialist
Tampa Heart Center
01.2001 - 02.2010
Verified all insurances Medicare, Medicaid,Commerical insurance.
Code and enter physician daily charge, hospital visits, and procedures.
Knowledge of medical billing procedures.
Post insurance and payments to patient accounts
Review and respond to correspondence from insurance appeals and denials.
Work Account receivable reports.
Follow up on all denials and rejected claims.
Education
High School Diploma -
Cocoa High School
Cocoa, FL
06.1988
Associate of Science - Medical Assisting
Tampa Bay Tech High School
Tampa, FL
Tampa College
Tampa, Fl.
Skills
Athena Health
Eclinical Works
Cerner
Word Excel
Mod Medicine
Insurance Website
Trizetto
Availity
1500
Timeline
Medical Billing and Collections Specialist
ENT And Allergy Associates Of Florida,LLC
02.2018 - Current
Billing Clerk and Medical Assistant
Florida Kidney physicians
06.2015 - 01.2018
Medical Biller and Coder
Florida Heart And Vascular Center
02.2014 - 06.2015
Medical Biller , Auto Injury
Comprehensive Physician Services
03.2010 - 01.2014
Medical Billing and Collections Specialist
Tampa Heart Center
01.2001 - 02.2010
High School Diploma -
Cocoa High School
Associate of Science - Medical Assisting
Tampa Bay Tech High School
Tampa College
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