CHELSEA LYON
Covington,GA
Summary
Medical Biller with 3 years of experience who genuinely loves the billing world — clean claims, organized A/R, and solving denials are my thing. Certified in Medical Billing through AAPC and skilled in ICD‑10, CPT, and HCPCS. I’ve worked across dermatology, ENT, and primary care, keeping revenue cycles moving and providers paid. Comfortable in Epic, Nextech, and eClinicalWorks, and known for being the person who catches issues early, communicates clearly, and keeps the workflow calm even on busy days. Passionate, detail‑driven, and always growing in the field I care about.
Overview
1
1
Certification
3
3
years of professional experience
Work History
Medical Biller/Medical Coder
Capital Dermatology of NC
Raleigh, North Carolina
07.2025 - Current
- Manage the entire billing workflow on my own, from claim creation to payment posting, while coordinating with a small clinical team
- Work A/R daily, follow up on unpaid claims, resolve issues with payers, and keep aging balances under control
- Review and correct claim rejections and denials, update coding or documentation, and resubmit clean claims to secure reimbursement
- Scrub claims before submission, checking diagnosis codes, CPTs, modifiers, and provider notes for accuracy
- Communicate directly with providers to clarify chart details, fix missing information, and prevent repeat denials
- Post ERAs/EOBs, apply adjustments, and keep patient and insurance balances accurate and up to date
- Track denial trends and payer behavior, flag recurring issues, and adjust workflows to reduce future problems
- Maintain steady billing output while working part‑time, ensuring claims stay timely and the practice gets paid consistently
Medical Receptionist
ENT Specialists
Conyers, GA
01.2024 - 12.2024
- Handled steady ENT patient flow while verifying insurance, referrals, and authorizations, making sure everything was correct upfront so claims didn’t get held up later
- Updated charts, demographics, and visit details in the EMR, keeping provider documentation accurate and ready for coding and billing
- Caught missing or unclear Dx/CPT information and worked with providers to fix it before encounters were released, preventing avoidable denials
- Explained copays, deductibles, and balances at check‑in, collected payments, and helped patients understand how their insurance applied to ENT procedures
- Supported high‑volume ENT workflows — scopes, audiology testing, allergy visits, injections — and made sure each visit had the right documentation and insurance requirements
- Monitored encounter completion and followed up with clinical staff when charting needed corrections, helping billing stay on schedule
- Acted as a front‑end quality checkpoint by keeping patient information clean, reducing claim errors, and keeping the revenue cycle moving smoothly
Medical Receptionist, Medical Biller
SnapCare Clinic Primary Care Facility
Decatur, Ga
09.2023 - 01.2024
- Checked in patients, verified insurance, and kept visits moving while answering questions and explaining coverage
- Spent a lot of time directly with patients, reviewing balances, collecting payments, and helping them understand their visit
- Handled back‑office tasks like prepping charts, updating demographics, and keeping the provider’s schedule organized
- Worked with the provider and clinical staff to fix charting issues in eCW( eClincal works) so encounters were complete and ready for billing
- Kept patient flow smooth by prepping rooms, coordinating with medical assistants, and staying ahead of busy periods
- Caught documentation or insurance problems early and communicated them to billing to prevent delays
Education
Medcial Billing Certification Course Completion - Medical Billing/Coding
AAPC
REMOTE08-2026
Skills
- Full revenue cycle billing (claims, A/R, denials, rejections, payment posting)
- AAPC‑Course Certified Medical Billing (ICD‑10, CPT, HCPCS)
- EMR experience: Epic, Nextech, eClinicalWorks
- Insurance verification, coverage checks, and patient billing support
- Chart prep, documentation review, and correcting coding issues
- Strong communication with providers, MAs, and patients
Certification
CMBS (Certified Medical Billing Specialist) (Course Completion)
Timeline
Medical Biller/Medical Coder
Capital Dermatology of NC
07.2025 - Current
Medical Receptionist
ENT Specialists
01.2024 - 12.2024
Medical Receptionist, Medical Biller
SnapCare Clinic Primary Care Facility
09.2023 - 01.2024
Medcial Billing Certification Course Completion - Medical Billing/Coding
AAPC