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
2017.05 - 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
2016.07 - 2017.05
- 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
2014.10 - 2016.07
- 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
2008.01 - 2014.01
- 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, WI2009
Apprenticeship - Cosmetology
Waukesha County Technical College
Waukesha, WI1999
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
2017.05 - Current
Patient Service Representative
Advanced Ear Nose & Throat Specialists
2016.07 - 2017.05
Patient Service Representative
Aurora Health Care Hartford Clinic
2014.10 - 2016.07
Patient Service Representative
Columbia-St. Mary's Germantown Clinic
2008.01 - 2014.01
Certified Professional Coder Certification - Medical Coding
AAPC
Medical Coding Program/Obtained Technical Certificate -
Waukesha County Technical College
Apprenticeship - Cosmetology
Waukesha County Technical College
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