Highly dependable employee with a strong work ethic, eager to leverage skills and contribute to company success. Known for attention to detail and ability to work effectively in a team, consistently striving for excellence in all undertakings. Over 11 years of experience in the office field, bringing comprehensive understanding of its various aspects. Motivated by drive to succeed, ready to make a valuable impact in organization.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Medical Biller and Coder
Acadiana Vascular Center
09.2023 - Current
Correctly coded and billed medical claims for various hospital and Office charges.
Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
Reviewed patient charts to better understand health histories, diagnoses, and treatments.
Resourcefully used various coding books, procedure manuals, and on-line encoders.
Played a pivotal role in maintaining positive cash flow within the organization by ensuring timely submission of clean claims and diligent follow-ups on outstanding payments.
Expedited payment processing by promptly addressing any discrepancies or issues raised by insurance carriers.
Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
Obtain Authorizations for surgeries.
Medical Billing Supervisor
Louisiana Gastroenterology Associates
12.2013 - Current
Investigated and resolved denials and rejections within standard billing cycle timeframe
Reviewed claim denials and payer requirements for corrective action
Worked hand-in-hand with staff to obtain proper information for claims processing
Evaluates billing processes and procedures and assists management in developing revisions
Extensive knowledge with ICD-10, CPT and/or HCPCS coding systems
Coding our hospital, professional and facility claims as well as our pathology
Knowledge of working Collection accounts
Prepared and entered all refunds for processing
Posted all insurance payments: Electronic and paper
Managerial duties: Starting April 2019
Reconciled and prepared all bank deposits
Trained all new incoming office staff
Coaching staff members as needed
Coordinated and conducting weekly staff meetings
Prepared finical reports
Assisted in the hiring process
Correspond regularly with various insurance companies to resolve any billing issues and to stay up to date on any new policies.
Approved all PTO/Vacations etc
Medical Billing/Coding Specialist from Dec2013 to April2019
Medical Billing Supervisor from April2019 until present
Medical Billing Specialist
Acadiana Family Physicians
07.2012 - 12.2023
Followed up and collected on outstanding balances and receivables
Reviewed claim denials and payer requirements for corrective action
Collecting all monies owed after patient's visits
Posting all insurance payments
Coding and filing all office visit notes
Prepared all incoming payments for depositing
Education
Technical Diploma - Business Office Technology / Medical Office
Acadiana Technical College
Lafayette, LA
07.2012
High School - undefined
Cecilia Senior High School
Cecilia, LA
05.2010
Skills
Certified Medical Coder
Proficient of Excel,Word,Outlook and power point
Report preparation
Staff training
Multitasking
Strong Communication
Problem-Solving Skills
Excellent Customer Service
Excellent Team work abilities
Data entry skills
Attention to detail
Familiar with Teams and Zoom
Leadership Skills
Certification
Certification - Certifications held are CMCS and CGCS
PHCS
Timeline
Medical Biller and Coder
Acadiana Vascular Center
09.2023 - Current
Medical Billing Supervisor
Louisiana Gastroenterology Associates
12.2013 - Current
Medical Billing Specialist
Acadiana Family Physicians
07.2012 - 12.2023
High School - undefined
Cecilia Senior High School
Certification - Certifications held are CMCS and CGCS
PHCS
Technical Diploma - Business Office Technology / Medical Office
Acadiana Technical College
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