Organized medical biller boasts several-year career performing difficult multitasking and claims-processing tasks. Works quickly with insurance companies to resolve problematic disputes and handle patient inquiries. Brings can-do attitude to collaborating with medical professionals, insurance providers and clients to handle multi departmental resolutions.
Oversaw inventory control for medical supplies in healthcare settings
Performed clerical and administrative functions to maintain smooth office operation.
Answered questions and fulfilled requests with friendly and knowledgeable service.
Proofread documents carefully to check accuracy and completeness of all paperwork.
Compiled and coded patient data using standard classification systems.
Streamlined day-to-day office processes to meet long-term goals.
Medical Coding and Billing Specialist
Nittany Valley Medical Associates
State College, PA
05.2006 - 07.2018
Verified patient information, including medical history and insurance coverage, to ensure accuracy of coding and billing.
Submitted claims electronically to insurance companies in accordance with regulations.
Generated reports from software systems to track claim status and denials.
Reviewed physician orders, laboratory results, diagnostic images, clinical statements and other health care provider services for completeness and accuracy.
Maintained detailed accounts receivable aging reports on a daily basis to ensure timely payments from patients and insurance companies.
Facilitated payment arrangements with patients and guarantors who were unable to make full payment at time of service.
Trained new employees on medical coding practices.
Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Analyzed medical records to determine if further information was needed in order to process appeals.
Developed processes and procedures for appealing denied claims that improved efficiency and effectiveness.
Maintained up-to-date knowledge of applicable laws, regulations, policies and procedures related to appeals processing.
Secretary Coordinator
Robert G Saylor DDS
State College, PA
05.2005 - 05.2006
Managed and maintained executives' calendars, organized meetings, and scheduled appointments.
Answered incoming calls from customers and clients in a professional manner; assisted with inquiries as needed.
Greeted visitors in a friendly manner; provided assistance to guests when needed while ensuring their safety during their visit.
Medical Office Secretary
Central PA Eye Associates
State College, PA
01.2002 - 05.2005
Greeted patients, collected personal information and verified insurance coverage.
Assisted in scheduling appointments for patients.
Answered incoming calls and responded to inquiries from patients and staff members.
Managed patient records by entering data into a computerized system.
Provided administrative support to the medical staff including physicians, nurses and technicians.
Ensured all HIPAA regulations were followed when handling confidential patient information.
Entered patient billing codes into the computer system accurately.
Generated invoices for services rendered to patients.
Set up new patient files with appropriate documentation.
Assisted in preparing documents for insurance claims submission.
Verified that all required paperwork was completed before patient visits.
Provided customer service assistance to visitors who had questions about their health plans or benefits packages.
Prepared and sent financial statements to support bookkeeping functions.
Calculated billing charges, prepared and submitted claims to insurance companies.
Verified insurance coverage and identified third-party payers for billing purposes.
Monitored accounts receivable activity to ensure timely payment of invoices.