To obtain a position as an Advanced Medical Coder or Medical Biller or related field, where I can utilize my experience, skills and training.
Overview
12
12
years of professional experience
Work History
Accounts Receivable Specialist Remote
Vituity
12.2022 - Current
AIDX training for Hospital Specialty AR and Billing Specialist for Michigan state wave one. Training in Claim Acknowledgment Rejections, Correspondence, SIU and TES Edits, No Activity Open and Rejections Open.
Accurately resolving 100+ claims daily in MED/FM and AIDX resulting in resolution of accounts for all payers.
Knowledge of all payer Financial Classifications including AR management, denial management and correspondence.
Able to identify payer trends and effectively communicate them to leadership. Able to problem solve challenges and prioritize workflow and work autonomously.
Basic understanding of Word, Excel and Outlook
I complete write-offs and bad address as needed
Train fellow team members as needed or requested and help assist with special projects.
Actively participate in all regional meetings, attend town halls and team building activities and trainings to help support and advance my professional growth.
Medical Billing and Coding Instructor
CCI - Ceres Adult School
09.2022 - 12.2022
Taught the students ICD-10, CPT, and HCPCS coding and helped prepare them to take their CPC certification thru the AAPC.
Lectured on all Medical Billing and Coding Subjects using Power Slides and appropriate text book materials.
Record and report attendance, administer all tests appropriate for the course, record and submit grades for tests and overall grades for each module into the students transcripts.
Follow class schedule and make necessary adjustments as needed.
Complete all general office and administrative duties.
Designed detailed learning plans for struggling students based on test, homework and assignment records.
Participated in department meetings to provide input to colleagues about student achievement and improvement.
Billing Clerk
Livingston Community Health
12.2018 - 11.2019
Billed 200 plus Dental and Medical Provider claims daily for all HMO's PPO's, Medi-Cal and Medicare
I also billed for Self Pay and Commercial and I am familiar with Every Woman Counts and Family Pact
I entered all new patients’ information into our system
I was responsible for checking patient eligibility and submitting patient authorizations and applied patient payments
I worked all follow up and collections accounts and all correspondence I received in the mail
I was responsible for keeping open communication with all my Dental and Medical Provider and supervisor staff at all times and provided all month end and quarterly reports as requested
At Livingston Community Health we used Nextgen
Livingston Community Health is an FQHC
Lead Medical Biller
Merced Chiropractic
03.2018 - 11.2018
Was the lead biller for Merced Chiropractic
Touching 100 + accounts a day
I processed patients and assisted in running the front office
I entered all charges for HMO's, PPO's, Commercial, Self Pay and Medicare patients
I verified all patient's eligibility and benefits as well as submitting authorizations
Developed efficient billing workflows to reduce turnaround time for processing claims and receiving payment.
Posted all payments paper and thru edit
Completed all insurance adjustments and patient write offs
Sent out all patient statements and made sure we were paid correctly by verifying payments to our contract
I was responsible for all insurance follow up and collections and sending patients to collections
I appealed all our insurance claims that were not paid correctly
I printed out the schedule daily to audit every patient account and worked every patient ledger thoroughly
At Merced Chiropractic I used Chirotouch Billing software, Trizetto Clearing House, Navi Net, Availity, Word and Axel and Blue Shield
Moved Practice Out of State
Lead Medical Biller
Advantage Vaccinations
05.2016 - 08.2017
At Advantage I was the lead biller for 3 clinics
I processed patients and assisted in running the front office
I entered all charges for HMO's, PPO's, Commercial, Self Pay, Medicare and Tricare patients for all 3 clinics as well our flu clinics
I verified patient benefits and eligibility as well as all authorizations
I was responsible for posting all patients and checking our contracts to make sure we were paid correctly
I was responsible for all insurance and patient collections, adjustments, write off's and appeals
I transmitted and uploaded all daily reports and ran all month end reports
I was responsible for training all new employees as well as the Interns that I brought in from vocational schools
At Advantage I used Charm Billing software, Quick Books, Transact, Office Ally, Navi Net, Availity, Hamnet, Drop Box, Word and Excel
Medical Billing Instructor
Four D College
09.2012 - 08.2015
I am teaching students ICD-9, ICD-10, CPT and HCPCS Coding
I am teaching students how to properly complete a CMS-1500 and UB04 claim form
Prepare students to take their CPC state exam and reviewed all the rules and regulations of CMS and HIPPA
Lectured on all subjects using Power Point slides and appropriate textbook materials
Record and report attendance administer all tests appropriate for the course, record and submit grades for tests and overall grades for each module into the student’s transcript
Follow class schedule and make necessary adjustments as needed
Placed students in extern and followed up with employers on students’ performance while completing an extern site visit
Completed all general office and administrative duties
Regional Medical Records Technician
Altegra Health
07.2012 - 09.2012
I was hired for a temporary project for IEHP to scan and copy medical records for a Medicare Risk Review
I travelled up to 250 miles from my base city San Bernardino to doctors’ offices that were included in the audit
I scanned paper charts, hybrid charts and EMR charts into Simple Index and File Zilla our company Imaging software
I have experience with Nextgen, Clinical Works and All Scripts My Way
My daily duties were to upload each day’s data from all scanned charts and applicable forms to our company server
Report on my daily productivity and progress by completing and uploading my Daily Office Log and emailing my project coordinator
Provide face to face feedback when necessary to my upper management and to prepare, receive and submit forms, documentation and correspondences from and with provider offices
Education
Diploma - General
Merced Adult School
Merced, CA
06.2022
Diploma - Medical Billing
US Colleges
Montclair, CA
08.2006
Skills
Medical Billing (10years)
Medical Coding (10years)
Account reconciliation
Collections
Payment posting
Accounts receivable
Claims Processing
Teamwork and collaboration
Customer service
Problem-solving abilities
Excellent communication
Timeline
Accounts Receivable Specialist Remote
Vituity
12.2022 - Current
Medical Billing and Coding Instructor
CCI - Ceres Adult School
09.2022 - 12.2022
Billing Clerk
Livingston Community Health
12.2018 - 11.2019
Lead Medical Biller
Merced Chiropractic
03.2018 - 11.2018
Lead Medical Biller
Advantage Vaccinations
05.2016 - 08.2017
Medical Billing Instructor
Four D College
09.2012 - 08.2015
Regional Medical Records Technician
Altegra Health
07.2012 - 09.2012
Diploma - General
Merced Adult School
Diploma - Medical Billing
US Colleges
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