Nacole Porter
Atlanta,TX - Texas
Summary
Certified Medical Billing Specialist with 5+ years of experience in fast-paced, multiple-client medical billing company serving large private practice conglomerates and outpatient clinics. Researched denied claims and submitted appeals. Familiar with health billing and collections. Advanced knowledge of private insurance processes and codes. Reliable and hardworking performer with background overseeing accounts and handling records management tasks. Team-oriented person with great decision-making skills.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Medical Coding and Billing Specialist
Castle Biosciences
Friendswood, TX
06.2020 - 03.2022
- Submitted and coded up tp 100 claims per day.
- Translated and interpreted medical billing codes with strong accuracy to enable swift payment from insurance agencies.
- Prepared accounts with past due balances and transferred those cases to collection agency.
- Orchestrated medical coding, payment posting, accounts receivables and collections.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Delivered timely and accurate charge submissions.
Medical Biller and Coder
Orthopaedic Associates L.L.P.
Houston, TX - Texas
11.2018 - 06.2020
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Resourcefully used various coding books, procedure manuals and on-line encoders.
- Reviewed patient charts to better understand health histories, diagnoses and treatments.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Used Centricity and E-Clinical to assign procedure and diagnostic codes to patient records for billing purposes.
- Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures
- Coded inpatient charts at rate of 15 per hour or 100 per day
Reimbursement Specialist
AT&T Mobility
Houston, TX - Texas
08.2003 - 02.2018
- Monitored and documented accounts receivable trends and account-specific profitability.
- Employed clinical and billing codes expertise to correct billing inconsistencies.
- Created documents in accordance with payer guidelines and submitted to appropriate parties.
- Executed billing tasks and recorded information in company databases.
- Managed invoicing and payment processing operations.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Developed rapport with clients and vendors to cultivate loyalty and satisfaction.
- Posted data and kept other records concerning costs of goods or services or shipment of goods.
- Handled account payments and provided information regarding outstanding balances totaling $500,000 a month.
Education
Medical Coding And Billing Certification - Medical Billing
College of Healthcare Professions
Houston, TX11.2018
Skills
- EMR Systems
- Workers' Compensation Forms
- Medical Records and Documentation
- Charting and Clinical Documentation
- Filing Appeals
- Electronic Health Record Applications
- Patient Health Information Access
- ICD-10 (International Classification of Disease Systems) and CPT Codes
- Spreadsheet Tracking
- Problem Resolution
- Accounts Payable and Accounts Receivable
- Verbal and Written Communication
- Teamwork, Critical Thinking, Time Management
Certification
- CCS - Certified Coding Specialist
Timeline
Medical Coding and Billing Specialist
Castle Biosciences
06.2020 - 03.2022
Medical Biller and Coder
Orthopaedic Associates L.L.P.
11.2018 - 06.2020
Reimbursement Specialist
AT&T Mobility
08.2003 - 02.2018
Medical Coding And Billing Certification - Medical Billing
College of Healthcare Professions
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