A self-motivated, strong work ethic, resourceful, and attentive learner looking to join a Data Entry, Credentialing, or Billing team. Careful and meticulous with dedication to efficiency and accuracy. Seeking out opportunities to work remote.
Overview
12
12
years of professional experience
Work History
Coding & Billing Specialist II
Biodesix
Boulder, CO
11.2021 - Current
Inputted data into computer system to ensure accuracy and completeness of records.
Responded to daily inquiries and requests within mandated timeframe to meet deadlines.
Entered large volumes of data quickly with a high degree of accuracy.
Identified errors in the data entry process and corrected them promptly.
Researched denied claims to determine the cause of denial and corrected errors as needed.
Assigned appropriate codes using ICD-10-CM for diagnosis, CPT for procedures, HCPCS for supplies and modifiers as required by payers.
Conducted audits of medical records to identify missing or incorrect documentation that could affect accurate coding and billing.
Proofread documents carefully to check accuracy and completeness of all paperwork.
Submitted claims electronically to insurance companies in accordance with regulations.
Scanned documents for digital storage in accordance with company policies.
Team Leader/Office Manager
Comfort Dental
Thornton, CO
02.2012 - 11.2021
Prepared source data by compiling necessary documents, files and information at start of each new project.
Entered customer information into database systems.
Resolved discrepancies between physical documents and electronic records.
Reviewed and processed credentialing applications to ensure accuracy, completeness, and compliance with all accreditation standards.
Processed re-credentialing applications for existing providers according to contractual requirements.
Prepared correspondence for various departments concerning credentialing updates or requests for additional information.
Hired employees and processed hiring-related paperwork.
Completed enrollments into Medicaid, Medicare and private insurance plans.
Conferred with management to develop or implement personnel policies or procedures.
Addressed credentialing requests, overseeing compliance with governmental and organizational guidelines regarding tiered data access.
Ensured timely completion of credentialing processes by providing guidance to providers on required documentation.
Education
Certified Professional Coder -
AAPC
12.2022
Medical Coding & Billing Certificate -
Pima Medical Institute
Denver
06.2009
Some College (No Degree) - Business
Business College
Denver
Skills
Data Accuracy
Multiple Practitioner Credentialing
Provider Relations
Processing time sensitive & confidential materials
Problem solving Patient & provider relations
Timeline
Coding & Billing Specialist II
Biodesix
11.2021 - Current
Team Leader/Office Manager
Comfort Dental
02.2012 - 11.2021
Certified Professional Coder -
AAPC
Medical Coding & Billing Certificate -
Pima Medical Institute
Some College (No Degree) - Business
Business College
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