Charmaine W. Fields
Tennessee Orthopaedic Clinics
Knoxville,TN
16
years of professional experience
Pursue rewarding position enabling personal growth and professional advancement in medical billing and coding.
Work History
Medical Account Receivable
6 Years 1 Month- Resolves electronic claim rejections, review and research insurance correspondence and make sure necessary corrections to ensure claim payment, follow up on unpaid/unresolved account balances. Performs claim appeals, working A/R aging reports directed, provides insurance payers with requested information, regularly contacts with commercial and government payers for resolutions for claims not paid. Prepare adjustments and write off requests as necessary; performs other duties and responsibilities as required or assigned. Review EOBs for proper reimbursement; analyzing and gathering information, following up patients on delinquent payments or insurance questions, bringing recurring issues to Billing Manager’s attention, resubmit secondary bills as necessary, new insurance updates daily, claim edits daily, medical claim scrubber daily, End of day daily payments, charges, and adjustment report each day, special projects as directed, & AR Team Leader for two month due sick leave.
Medical Biller and Coder Remote
7 Years 7 Months- Reviewed patient charts to assign accurate CPT, ICD-10, and HCPCS codes for compliant claim submission.
- Managed denial follow-up, corrected billing errors, and resubmitted claims through revenue cycle workflows.
- Verified insurance eligibility and benefits to support clean claims and reduce reimbursement delays.
- Posted payments, adjustments, and refunds while maintaining accurate account balances in billing systems.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
Medical Biller and Coder Contract Work
11 Months- Reviewed medical records to assign accurate ICD-10, CPT, and HCPCS codes.
- Submitted clean claims and corrected billing errors to support timely reimbursement.
- Investigated claim denials, resolved edits, and resubmitted compliant transactions.
- Audited charge capture and documentation for coding accuracy and payer compliance.
Supervisor/ Housekeeping
4 Years 11 Months- Directed housekeeping operations to maintain consistent cleanliness standards across guest rooms and common areas.
- Supervised staff schedules, assignments, and coverage to support efficient daily workflow.
- Trained team members on cleaning procedures, safety practices, and service expectations.
- Monitored supply inventory and ordered materials to prevent service interruptions.
Education
High School Diploma
Skills
Effective use of internet resources
including commercial payer and government websites
supports reimbursement follow-up.
Advanced CPT
ICD-10
and HCPCS coding knowledge strengthens compliance with medical billing requirements.
Customer service and communication skills help recover outstanding reimbursement through approved procedures and guidelines.
Experience with Navicure
NextGen
Centricity
Experian
and Windows-based programs supports billing workflow and follow-up activity.
Strong understanding of payer contracts
medical policies
follow-up process
appeal process
insurance regulations
interpersonal skills
problem-solving skills
dependability
honesty
hard work
team orientation
and 15 years of A/R follow-up experience contributes to medical reimbursement results.
Timeline
Medical Account Receivable
Tennessee Orthopaedic Clinics
09.2020 - CurrentRead More
Medical Biller and Coder Remote
EverCommerce
01.2019 - 08.2026Read More
Medical Biller and Coder Contract Work
Tennova
03.2016 - 02.2017Read More
Supervisor/ Housekeeping
Duncan & Son’s
06.2010 - 05.2015Read More
Penn Foster Career School
High School Diploma
Read More