Summary
Overview
Work History
Education
Skills
Certification
Timeline
Hi, I’m

Chiana Jim

Altamonte Springs,FL

Summary

Proactive, adaptable and self-motivated individual, eager to contribute to team success through hard work, attention to detail and excellent
organizational skills.

Overview

9
years of professional experience
1
Certification

Work History

Physicians Rehabilitation Centers

Medical Coder and Billing Specialist
01.2019 - 07.2022

Job overview

  • Collaborated with medical and administrative personnel to maintain patient-focused, engaging and compassionate environment.
  • Performed clerical duties, such as word processing, data entry, answering phones, medical records and filing.
  • Communicated with patients and insurance companies for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
  • Precisely completed appropriate claims paperwork, documentation and system entry. Along with thoroughly posting and sending out all medical claims.
  • Communicated effectively and extensively with other departments to resolve claims issues.
  • Accurately posted doctor and therapy visits as well as payments for assigned carriers.
  • Located errors and promptly refiled rejected claims.
  • Maintained and updated collections tracking spreadsheet to help organize payment information.
  • Kept filing log of all requests for medical information and records.
  • Printed and reviewed monthly patient aging report and solicited overdue payments.

Meraki Wellness & Med Spa

Patient Coordinator/Medical Aesthetic Assistant
08.2021 - 03.2022

Job overview

  • Answering incoming calls and inquiries about services, products and scheduling clients.
  • Front office duties utilizing data entry skills in framework of spa/medical database.
  • Organizing patient files and streamlining operations to improve efficiency.
  • Completing patient intakes with case histories, payment information and mandated forms.
  • Preparing initial patient chart for admission. Obtaining pre-treatment vital signs and weight.
  • Administering IM injections.
  • Prepping patients for Aesthetic services.
  • Prepping procedures for Nurse Practitioners as well as aiding Nurse Practitioners/Medical Directors with aesthetic procedures.
  • Keeping medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depletion.
  • Collaborating with medical personnel to maintain patient-focused, engaging and compassionate environment.
  • Accounting and financial management for company.
  • Creating content for email campaigns and social media marketing.

Central Florida Injury

Medical Coder and Billing Specialist
01.2015 - 08.2019

Job overview

    • Accurately prepared and executed claims by adhering to all CMS and specific insurance guidelines
    • Communicated with insurance providers to ensure any denied claims or discrepancies were resolved and resubmitted
    • Assisted with coverage of front desk to serve incoming clients, answered phones, and helped schedule appointments for patients. Managing over 50 calls a day.
    • Translated and interpreted medical billing codes with strong accuracy to ensure swift payment from insurance agencies
    • Liaised between patients, insurance companies, attorneys and third party billing offices.
    • Guarded against fraud and abuse by verifying all coded data accurately reflected services provided
    • Participated in workshops and other training opportunities to remain current on billing procedures, regulations and industry updates
    • Worked with facility doctors to find ways to increase revenue and/or provide ways to decrease mistakes to ensure the medical facility remains lucrative
    • Analyzed patients' encounter forms diagnosis codes to validate accuracy, completeness and specificity
    • Maintained and updated collections tracking spreadsheet to help organize payment information.

Education

Florida Technical College
Orlando, FL

Associate of Applied Science from Medical Billing And Coding
01.2015

Skills

Customer Service

  • HIPAA Compliance
  • Data Entry
  • Record Keeping
  • CPT Coding

ICD 10 Coding
Patient Account Analysis
Insurance claims and collections
Invoice Processing
Account management and follow-up

Payment posting
Reimbursements and denials

A/P and A/R operation
EOB, Commercial Insurance, and Workers Compensation

MS office, Excel and spreadsheets
Knowledgeable in Chirofusion, Availity and Kareo EMR

Certification

Certified Medical Biller and Coder Degree by Florida Technical College, Orlando , FL

Timeline

Patient Coordinator/Medical Aesthetic Assistant

Meraki Wellness & Med Spa
08.2021 - 03.2022

Medical Coder and Billing Specialist

Physicians Rehabilitation Centers
01.2019 - 07.2022

Medical Coder and Billing Specialist

Central Florida Injury
01.2015 - 08.2019

Florida Technical College

Associate of Applied Science from Medical Billing And Coding
Chiana Jim