Summary
Overview
Work History
Education
Skills
Additional Information
Timeline
Generic

Constance Okla

Hartford,WI

Summary

Certified Professional Coder, skilled at medical billing, coding and office management. Excellent multi-tasker and demonstrates being a team player with a positive attitude. Displays strong knowledge, judgement and expertise in medical billing and patient care. Successful at managing multiple priorities with a positive attitude.

Overview

16
16
years of professional experience

Work History

Certified Professional Coder

Advanced Ear Nose & Throat Specialists
05.2017 - Current
  • Code in-office and outpatient procedures and diagnostics, including ENT, audiology and allergy services.
  • Review and apply patient payments to their accounts.
  • Attends and co-leads, coding and documentation education meetings with Surgeons, PA's and RCM Manager.
  • Review explanation of benefits from insurance companies to verify appropriate payment on CPT codes.
  • Complete quarterly goals for the Reimbursement Services Department to create and update any department processes.
  • Reviews patient medical record for accurate documentation and authorizations to ensure accurate coding and billing..
  • Applied payments, adjustments and denials into EPIC system.
  • Review and verify benefits and eligibility with precision.
  • Identifies errors and re-files denied or rejected claims in a timely manner.
  • Serves as a reliable resource for both clinical teams and administrative staff by offering expert advice on proper code selection based on diagnosis or treatment specifics provided in the documentation received.
  • Managed high-volume workloads effectively by prioritizing tasks according to urgency and importance while maintaining strict attention to detail.

Patient Service Representative

Advanced Ear Nose & Throat Specialists
07.2016 - 05.2017
  • Scheduled appointments for ENT, Allergy and Audiology providers.
  • Worked in the Call Center, answers telephone calls and provides each caller with superior customer service to fulfill their patient needs.
  • Worked at the Front Desk, checks patients in and out of their appointments, follows HIPPA to protect patient information, accurately collects patient copays, payments, demographic and insurance information.
  • Monitored and maintained ZOC DOC online scheduling system.
  • Scanned patient health information in to patient chart.
  • Served as a reliable source of information for patients regarding appointment scheduling, insurance coverage inquiries, and general office policies.

Patient Service Representative

Aurora Health Care Hartford Clinic
10.2014 - 07.2016
  • Scheduled appointments for both primary and specialty providers.
  • Answered 75-200 phone calls per day and directs calls appropriately.
  • Followed AIDET with each patient interaction.
  • Worked the Emergency Department work queue to follow up with patients that are seen in the ER.
  • Helped to organize the huddle board in the call center.
  • Assisted in training new caregivers in the call center.
  • Participated in the PSR / Nurse meetings to work together on creating and improving processes to better patient care.
  • Served as a reliable source of information for patients regarding appointment scheduling, insurance coverage inquiries, and general office policies.

Patient Service Representative

Columbia-St. Mary's Germantown Clinic
01.2008 - 01.2014
  • Scheduled appointments for patients averaging over 30 patients per day.
  • Answered multiline telephone and directs call appropriately answering over 75 calls per day.
  • Verified patient insurance.
  • Collected co pays and payments.
  • Entered patient insurance and registration into the computer system.
  • Entered medical coding and billing information.
  • Responsible for sending out missed appointment cards to patients.
  • Prepared the weekly bank deposit.
  • Scanned health information into patient's electronic health record.

Education

Certified Professional Coder Certification - Medical Coding

AAPC
01.2021

Medical Coding Program/Obtained Technical Certificate -

Waukesha County Technical College
Pewaukee, WI
2009

Apprenticeship - Cosmetology

Waukesha County Technical College
Waukesha, WI
1999

Skills

  • CPC Registration with AAPC
  • Medical Billing
  • Training and mentoring
  • Insurance Verification
  • HIPAA Compliance
  • Adaptability and Flexibility
  • Excellent communication
  • Continuing Education Commitment
  • Mod Meds EHR
  • Bloom Growth for optimizing team meetings and workflow
  • Procedural Coding Precision
  • ICD-10 Proficiency
  • Claims Processing Efficiency
  • CPT coding knowledge
  • Insurance Verification
  • HIPAA Compliance
  • Adaptability and Flexibility
  • Online Research
  • Microsoft Office, Word, PowerPoint, Excel and Teams
  • Windows Operating System
  • Epic
  • US Bank payment system
  • GE Centricity Patient Scheduling Program
  • Payment Posting Abilities
  • EfficentC - Clearing house for electronic payments

Additional Information

  • Participated on the Culture Advisory team at ADVENT. We focus on trust building, team health, healthy conflict, ownership and individual/team engagement. We identify and focus on culture and issues and work towards resolutions.
  • Participated in Leadership Germantown. This is a program designed to develop leaders in the community. Leadership Germantown provides quality programs that develop and enhance leadership skills, while building connections with other leaders and professionals in the community.
  • Member of AAPC

Timeline

Certified Professional Coder

Advanced Ear Nose & Throat Specialists
05.2017 - Current

Patient Service Representative

Advanced Ear Nose & Throat Specialists
07.2016 - 05.2017

Patient Service Representative

Aurora Health Care Hartford Clinic
10.2014 - 07.2016

Patient Service Representative

Columbia-St. Mary's Germantown Clinic
01.2008 - 01.2014

Certified Professional Coder Certification - Medical Coding

AAPC

Medical Coding Program/Obtained Technical Certificate -

Waukesha County Technical College

Apprenticeship - Cosmetology

Waukesha County Technical College
Constance Okla