Medical billing and coding specialist with hands-on experience in claim reconciliation, denial resolution, eligibility verification, and patient payment processing. Supports clean claim submission, payer communication, and accurate account updates across women’s health and specialty practices using Athena and other EHR tools to reduce billing errors and support steadier cash flow.
Work History
Medical Coding and Billing Specialist
4 Years
Together Women's Health | Grosse Pointe, Michigan | 10.2022 - 10.2026
Submitted insurance claims and corrected billing edits for payer requirements.
Updated patient accounts, payment plans, and billing records in practice systems.
Assigned appropriate codes using ICD-10-CM for diagnosis, CPT for procedures, HCPCS for supplies and modifiers as required by payers.
Submitted claims electronically to insurance companies in accordance with regulations.
Adhered to HIPAA regulations when handling confidential patient information.
Trained new employees on EHR billing system, Athena.
Updated patient demographics information within practice management system.
Proofread documents carefully to check accuracy and completeness of all paperwork.
Processed medical claims for women's health patients using EHR billing systems.
Physician Billing Specialist
4 Years 1 Month
Murray-Calloway County Hospital | Murray, KY | 09.2018 - 10.2022
Put in all daily Claims (Office visits) for Women's Health OB/GYN, Murray Urology, and West Kentucky Gastroenterology.
Resolved insurance denials and coding issues to ensure accurate billing.
Coordinated coding for office visits, surgeries, and consultations to maintain compliance and efficiency.
Murray Orthopedics: Coding-Missing slips (daily office visits), surgeries, consultations, subsequent visits for inpatient visits, working denials with denials and benefits.
Addressed patient payment inquiries and processed transactions to enhance patient satisfaction.
Performed insurance verification, pre-certification and pre-authorization.
Posted payments and adjustments to patient accounts.
Billing Office
4 Years 9 Months
Murray Woman's Clinic | Murray, KY | 11.2013 - 08.2018
Processed EOBs and EFT checks, resubmitted claim denials, verified surgery eligibility, and entered surgery charges to ensure timely billing.
Recorded and processed patient payments daily, contributing to accurate financial tracking..
Addressed patient complaints daily to ensure satisfaction., answering phone calls, and making patient appointments.
Customer Service Rep.
1 Year
Pharmacy Incorporated | Murray, KY | 11.2012 - 11.2013
Answered customer calls and resolved pharmacy service questions.
Contacted patients to confirm nebulizer medication orders and process credit card transactions.
Processed prescription refill requests using pharmacy computer systems.
Directed patients to pharmacists for medication concerns and clarification.
Verified patient's Medicare and insurance coverage to ensure accurate billing.