Cody Ganseveld
Lindale,TX
Summary
Organized Medical Biller thoroughly versed in medical coding and HIPAA requirements. Personable professional with several years of hands-on experience claiming refunds, reviewing claims, and maintaining billing reports. Accommodating and helpful team player proficient in job-related billing software.
Overview
6
6
years of professional experience
Work History
Medical Billing Specialist
TS Medical Billing LLC
Inver Grove Heights , MN
02.2024 - Current
- Assisted with the reconciliation of accounts receivable ledgers at month-end close process.
- Submitted appeals for denied claims when appropriate according to the insurance company's criteria.
- Maintained detailed records of all billing activities including denials, adjustments, and payments received.
- Prepared daily reports summarizing payments received from insurers or other sources.
- Adhered to HIPAA regulations when handling confidential patient information.
- Researched complex billing issues involving multiple providers or services rendered over a period of time.
- Updated patient accounts with information obtained from internal departments or external sources.
Medical Billing Specialist
Netsmart
Overland Park , KS
11.2022 - 02.2024
- Performed quality assurance audits on submitted claims ensuring that they met industry standards.
- Ensured HIPAA compliance by maintaining confidentiality of all patient information.
- Assisted with the reconciliation of accounts receivable ledgers at month-end close process.
- Submitted appeals for denied claims when appropriate according to the insurance company's criteria.
- Provided customer service support to patients who had questions about their bills or payments due.
- Prepared daily reports summarizing payments received from insurers or other sources.
- Reviewed patient records for accuracy and completeness of information in medical billing system.
- Verified the accuracy of claim data prior to submission to insurance carriers.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
Fulfillment Clerk
King Solutions
Dayton , MN
04.2018 - 06.2020
- Evaluated existing processes regularly, making recommendations for improvement where necessary.
- Managed multiple tasks simultaneously while meeting tight deadlines.
- Collaborated with other departments such as Sales and Marketing to ensure efficient operations.
- Assembled corrugate boxes for packaging shipments according to size specifications.
- Loaded trucks for distribution using pallet jacks or forklifts in a safe manner.
- Utilized computer software systems to track orders, update inventories, and process payments.
- Received and processed customer orders accurately and efficiently.
- Prepared packing slips and invoices for each order shipped out.
- Inspected outgoing packages for accuracy prior to shipping out to customers.
- Coordinated product shipments with carriers, ensuring timely delivery of goods.
Education
High School Diploma -
Eastview Senior High School
Apple Valley, MN05-2009
Some College (No Degree) -
University of Phoenix
Tempe, AZSkills
- Quality-oriented team player
- Bill payment
- Files and records management
- Generally Accepted Accounting Principles (GAAP)
- Methasoft software applications proficiency
- Payment posting
Timeline
Medical Billing Specialist
TS Medical Billing LLC
02.2024 - Current
Medical Billing Specialist
Netsmart
11.2022 - 02.2024
Fulfillment Clerk
King Solutions
04.2018 - 06.2020
High School Diploma -
Eastview Senior High School
Some College (No Degree) -
University of Phoenix
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