Charlet Dyckman
Fallbrook,USA
Summary
High-performing professional with 23 years of experience delivering high-impact work in the medical billing industry. I am confident in my ability to thrive in a fast-paced setting and leverage skills in managing billing systems, resolving discrepancies, and ensuring compliance with billing regulations. Committed to lifelong learning and going the extra mile to contribute to facilitate continuous improvement.
Overview
24
24
years of professional experience
Work History
Billing Manager
NIFA Medical Billing Inc.
Temecula, CA
02.2001 - Current
- Reviewed medical records and identified diagnosis codes, procedures, services and supplies for coding.
- Verified accuracy of patient information and insurance data in billing system.
- Submitted claims to insurance companies electronically or by mail.
- Resolved denied claims by researching payer requirements and preparing appeals.
- Reconciled accounts receivable to ensure accuracy of payments received.
- Performed daily audits on all bills submitted for accuracy and completeness.
- Analyzed patient accounts for errors, inaccuracies or discrepancies in billing documentation.
- Processed corrections and adjustments as needed to ensure accurate payment from third party payers.
- Interpreted physician orders, notes, lab results, radiology reports. for appropriate code assignment.
- Worked closely with physicians to obtain additional clinical information when needed for accurate coding assignments.
- Maintained current CPT, HCPCS codes library as well as ICD-9, 10 CM diagnostic codes.
- Prepared financial statements that summarize account activity over a period of time.
- Ensured timely filing of all claims within established guidelines.
- Tracked details such as authorizations, pre-certifications or referrals required prior to service delivery.
- Filed and submitted insurance claims.
- Documented and filed patient data and medical records.
- Assessed medical codes on patient records for accuracy.
- Expertly assigned charges and payments for medical procedures.
- Performed routine quality assurance audits to promote data integrity.
- Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Communicated with healthcare personnel, including practitioners to promote accuracy.
- Maintained high accuracy rate on daily production of completed reviews.
Education
Diploma -
Oasis High School
Fallbrook, CA06.2005
Skills
- HIPAA Compliance Certification
- Multitasking and Organization
- Attention to detail
- Proficient in Health PAC-Software
- Proficient in Claim MD
- Proficient in Office Alley-Clearinghouse
Timeline
Billing Manager
NIFA Medical Billing Inc.
02.2001 - Current
Diploma -
Oasis High School
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