Carolyn Troxtell
Melissa,Texas
Summary
Accomplished Medical Billing Manager with a proven track record at Universal Health Systems, enhancing patient satisfaction and reducing claim denials by implementing rigorous review processes. Expert in medical coding and billing software, demonstrating exceptional leadership and negotiation skills. Achieved a significant increase in coding accuracy, leveraging ICD-10 and CPT coding knowledge alongside strong team collaboration. Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.
Overview
18
18
years of professional experience
Work History
Medical Billing Manager
Universal Health Systems
09.2017 - 08.2020
- Reviewed billing problems, researched issues, and resolved concerns.
- Worked with customers to develop payment plans and bring accounts current.
- Increased patient satisfaction by addressing billing inquiries promptly and professionally.
- Reduced denied claims through diligent review, correction, and resubmission of errors.
- Developed strong relationships with insurance companies through effective communication and negotiation skills, enhancing payment turnaround times.
Medical Coder
Universal Health Systems
03.2008 - 09.2017
- Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Collaborated with physicians to obtain necessary documentation, improving claim approval rates.
- Supported the implementation of electronic health record systems, simplifying the coding process.
Medical Receptionist
Universal Health Systems
08.2002 - 03.2008
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Checked patient insurance, demographic, and health history to keep information current.
- Helped patients complete necessary medical forms and documentation.
- Maintained strict confidentiality of patient information, adhering to HIPAA regulations and medical office policies.
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Provided compassionate customer service, creating a welcoming atmosphere for patients and their families.
- Enhanced patient satisfaction by efficiently managing the front desk operations and addressing inquiries in a timely manner.
- Contributed to a positive work environment by collaborating effectively with colleagues and supporting team initiatives.
Education
High School Diploma -
Spring Hill High School
Longview, TXCPC Certifications - Medical Insurance Coding
American Academy of Professional Coders
Salt Lake City, UTSkills
HIPAA Compliance Knowledge
Claims Processing Proficiency
Patient Confidentiality Practices
Team Leadership Qualities
Payment Posting Abilities
Medical Coding Expertise
ICD-10 Familiarity
CPT Coding Understanding
Medical Billing Software Mastery
Claims Processing
Timeline
Medical Billing Manager
Universal Health Systems
09.2017 - 08.2020
Medical Coder
Universal Health Systems
03.2008 - 09.2017
Medical Receptionist
Universal Health Systems
08.2002 - 03.2008
High School Diploma -
Spring Hill High School
CPC Certifications - Medical Insurance Coding
American Academy of Professional Coders
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