Summary
Overview
Work History
Education
Skills
Timeline
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Angela Demarco

Eugene,OR

Summary

Knowledgeable medical office professional experienced at correcting, reviewing documentation to identify proper diagnosis codes for billing, and resubmitting claims. Skilled in analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment. Adheres to medical records policies and procedures to comply with HIPAA regulations. As well as multitasking, and providing excellent customer service to patients and staff.

Overview

6
6
years of professional experience

Work History

Medical Coding and Billing Specialist

Dr. Robert J. Swangard
01.2018 - Current
    • Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
    • Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
    • Utilized electronic medical record systems to store, retrieve and process patient data.
    • Used classification manuals to gain additional knowledge of disease and diagnoses processes.

Insurance Specialist

Northwest Anesthesia
08.2020 - 05.2023
    • Maintained confidentiality of patient finances, records, and health statuses.
    • Resolved discrepancies in insurance payments by collaborating with carriers.
    • Tracked pending authorizations to resolve discrepancies and avoid revenue loss.
    • Built relationships with clients using active listening and issue resolution to provide excellent service.
    • Researched and resolved routine and complex issues.
    • Followed up on denials, late payments, extensions and other special circumstances.

Medical Coding and Billing Specialist

Northwest Surgical Specialists
04.2019 - 04.2020
  • Attained up-to-date knowledge of coding requirements through continuing education courses and certification renewal.
  • Communicated with insurance companies to research and resolved coding discrepancies.
  • Reviewed patient charts to better understand health histories, diagnoses, and treatments.
  • Interacted with physicians and other healthcare staff to ask questions regarding patient services.

Education

High School Diploma -

Willamette High School
Eugene, OR
06.1995

Skills

  • Problem Resolution
  • Medical Terminology
  • Data Entry
  • Medical Claims Coding
  • Coding Appeals
  • Past Due Balance Management
  • Coverage Determination
  • ICD-10 Requirements
  • Records Scanning
  • Doctor Communication

Timeline

Insurance Specialist

Northwest Anesthesia
08.2020 - 05.2023

Medical Coding and Billing Specialist

Northwest Surgical Specialists
04.2019 - 04.2020

Medical Coding and Billing Specialist

Dr. Robert J. Swangard
01.2018 - Current

High School Diploma -

Willamette High School

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Angela Demarco