Dynamic Medical Coding and Billing Specialist with a proven track record at First Source Medical Billing & Coding, achieving an 80% reduction in billing errors. Proficient in ICD-10 and CPT coding, I excel in claims processing of arthroscopic surgeries and most orthopedic procedures and provide exceptional customer service, ensuring timely reimbursements and maintaining patient confidentiality. Superior results with collection of balances over two years.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Medical Coding and Billing Specialist
First Source Medical Billing & Coding - Owner
11.2020 - Current
Reduced errors in medical billing by 80% resulting in higher reimbursement and less time in appeals.
Developed a comprehensive understanding of ICD-10-CM, CPT, and HCPCS codes to ensure proper use in medical coding assignments, within Major medical, medicare, worker's compensation, and no fault practices.
Provided exceptional customer service to patients, addressing their concerns regarding insurance claims or billing issues with empathy and professionalism.
Maintained patient confidentiality by adhering to strict HIPAA regulations during all aspects of the coding and billing processes.
Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
Increased collections on previous fiscal years and closed accounts by 60% .
Assisted in maintaining smooth office operations by managing essential administrative tasks such as recordkeeping and data entry.
Resolved coding discrepancies through in-depth analysis and collaboration with physicians, ensuring appropriate reimbursement for services rendered.
Processed and tracked requests for medical records from external organizations.
Assisted in training new staff on medical record processing and filing procedures.
Achieved timely reimbursements from payers by submitting clean claims that adhere to payer-specific guidelines.
Billing and Collection Specialist
NY Ortho Sports Medicine
03.2018 - Current
Facilitated timely resolution of customer inquiries by working collaboratively with cross-functional teams, fostering a positive client experience.
Prevented revenue leakage by conducting thorough audits of account activity, ensuring proper application of credits and adjustments.
Reduced outstanding account balances by negotiating payment plans and settlements with clients.
Educated customers on available payment options, assisting them in selecting the most suitable method based on their financial situation.
Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
Contacted customers to discuss past-due accounts and negotiated payment plans.
Contacted insurance companies and submitted disputes or appeals when insurance companies made mistakes.
Processed debtor payments and updated accounts to reflect new balance.
Property Manager - Owner
NCS Services
04.2013 - 03.2018
Communicated with property owners who rented out their $1,000,000.+ properties to ensure the safety of their property and the renters.
Handled tenant complaints promptly and appropriately, calling in repairmen, and other support services.
Maintained positive AirB&B relationships, ensuring clear communication and prompt resolution of any disputes.
Turning over (cleaning) after each rental.
Conducted regular property inspections, identifying areas for improvement and proactively addressing potential safety hazards.