Experienced Medical Billing and Follow-Up Specialist skilled in optimizing revenue cycle operations and resolving denied claims. Certified Coding Associate adept in CPT, HCPCS, and ICD-10-CM coding, with practical expertise in EMR/EHR systems and payer portals. Effective communicator, capable of managing high-volume workloads while ensuring compliance and accurate claim submissions.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Follow-Up Specialist
Ovation Healthcare llc
Brentwood, Tennessee
10.2023 - 01.2026
Prepared and sent follow-up emails to customers regarding their inquiries.
Assessed customer needs and delivered tailored solutions to enhance satisfaction.
Provided excellent customer service by responding promptly to inquiries.
Investigated denied claims by examining payer requirements and crafted successful appeals.
Researched customer feedback and identified areas for improvement.
Evaluated data trends to uncover actionable insights for process enhancements.
Verified accuracy of patient information and insurance data in billing system.
Reviewed medical records and identified diagnosis codes, procedures, services and supplies for coding.
Submitted claims to insurance companies electronically or by mail.
Maintained current CPT, HCPCS codes library as well as ICD-9, 10 CM diagnostic codes.
Medical Billing Specialist
Northern Ohio Medical Specialists
Sandusky, OH
11.2022 - 10.2023
Identified and resolved patient billing and payment issues, ensuring timely reimbursements.
Communicated with insurance providers to resolve denied claims, facilitating prompt resubmission.
Identified errors in patient billing records and promptly refiled rejected claims.
Researched CPT and ICD-9 coding discrepancies to ensure compliance and optimize reimbursement accuracy.
Reviewed patients' insurance coverage, deductibles, and payments to identify outstanding balances.
State Tested Nurse Assistant
Ohio Veterans Home Sandusky
01.2018 - 10.2021
Assists with direct patient care under the supervision of the RN or other medical professionals
Provide patients with help walking, exercising, and moving in and out of bed
Position, feed, bathe, dress and assist patients with grooming and other tasks.
Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
Reported unusual or urgent circumstances in patients' condition or environment immediately to nurse supervisor.
Wiped down equipment with proper cleaning products after each patient transport to reduce instances of infection.
Engaged in employee training sessions to enhance skills by actively taking part in employee training and taking classes to improve skills.
Medical SPECALIST
Midwest Health Services
Wooster, OH
10.2015 - 09.2018
Taken individuals out in community for career planning, career explorations
Running doctor appointments, Filing, answering phones, running errands.
Obtained client medical history, medication information, symptoms, and allergies.
Performed medical records management, including filing, organizing and scanning documents.
Collected and documented patient medical information such as blood pressure and weight.
Scheduled appointments, registered patients, and distributed sample pharmaceuticals as prescribed.
State Tested Nursing Assistant
Cleveland Clinic
05.2012 - 10.2015
Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
Reported unusual or urgent circumstances in patients' condition or environment immediately to nurse supervisor.
Promoted good oral and personal hygiene by aiding patients with shaving, bathing, and teeth brushing.
Maximized patient satisfaction by helping individuals carry out personal tasks such as dressing and walking.
Education
Certified Coding Associate - Medical Billing And Coding
DeVry University
Villa Park, IL
Certificate - State Tested Nurse Asst
Wayne County Schools Career Center
Smithville, OH
High school DIPLOMA - Basic
Rittman High School
Rittman, OH
Skills
Medical Billing Technology
ICD-9
Billing Codes
Microsoft Office
Data Entry
CPT Code Modifiers
Claim resolution
Insurance verification
Insurance company communication
Microsoft office
EHRs and billing systems ( Epic, Meditech, Active, Cerner, RCM, CPSI etc)
Certification
CNA - Certified Nurse Assistant
Timeline
Follow-Up Specialist
Ovation Healthcare llc
10.2023 - 01.2026
Medical Billing Specialist
Northern Ohio Medical Specialists
11.2022 - 10.2023
State Tested Nurse Assistant
Ohio Veterans Home Sandusky
01.2018 - 10.2021
Medical SPECALIST
Midwest Health Services
10.2015 - 09.2018
State Tested Nursing Assistant
Cleveland Clinic
05.2012 - 10.2015
Certified Coding Associate - Medical Billing And Coding