Crystal Goss

File personal an business tax returns

• Correctly coded and billed medical claims for various hospital and nursing facilities.
• 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.
• Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
• Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
• Contributed to team efficiency by maintaining organized records of patient accounts, billing statements, and payment statuses.
• 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.
• Provided support to administrative staff by ensuring proper handling of sensitive patient data according to HIPAA regulations.
• Collaborated with healthcare providers to ensure accurate documentation, leading to timely reimbursements for services rendered.
• Safeguarded practice revenue by diligently following up on outstanding account balances and initiating collection efforts when necessary.
• Streamlined billing processes by implementing efficient coding practices, resulting in reduced errors and improved revenue generation.
• Interacted with physicians and other healthcare staff to ask questions regarding patient services.
• Collaborated with other billing professionals during team meetings to exchange best practices and strategies for overcoming common challenges in the industry.
• Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
• Assisted patients with understanding their insurance coverage and financial responsibilities, fostering positive relationships and trust between the practice and its clients.
• Enhanced compliance with industry regulations by staying up-to-date on changes to medical billing and coding guidelines.
• Increased accuracy in medical claims submissions by conducting thorough reviews of patient records and insurance information.
• Optimized workflow efficiency within the office by cross-training in additional administrative tasks such as scheduling appointments or managing phone calls during peak periods.
• Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
• Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
• Assisted in the preparation of financial reports for practice management, providing insights on revenue trends and areas for improvement.
• Developed effective communication channels with insurance companies to facilitate prompt resolution of claim inquiries and disputes.
• Maintained high levels of customer satisfaction through prompt resolution of disputes related to charges on patient accounts or insurance claims.
• Ensured continuous improvement in billing processes through regular audits of medical codes and charge entries for accuracy.
• Participated in continuing education opportunities to stay current on advancements within the field of medical billing and coding, thereby elevating the overall quality of work.
• Communicated with insurance companies to research and resolved coding discrepancies.
• Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
• Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
• Monitored changes in coding regulations to provide recommendations for compliance.
• Verified signatures and checked medical charts for accuracy and completion.
• Generated reports to identify coding trends and discrepancies.
• Created and maintained up-to-date patient medical records to enable tracking history and preserve consistent information.
• Trained and mentored junior coders to support growth and development amd apply high-quality coding practices.
• Utilized electronic medical record systems to store, retrieve and process patient data.
• Scanned and uploaded medical records into electronic medical records system.
• Communicated effectively with staff, patients, and insurance companies by email and telephone.
• Followed up with medical staff regarding missing information in patient records.
• Maintained accuracy, completeness, and security for medical records and health information.
• Verified accuracy of patient information in medical records.
• Transcribed and entered patient medical information into electronic medical records systems.
• Assisted in training new staff on medical record processing and filing procedures.
• Input data into computer programs and filing systems.
• Followed exact procedures for handling transfers and other releases of medical records.
• Generated and maintained statistical data related to medical records.
• Developed and implemented new filing system for medical records to improve efficiency.
• Reviewed medical records for completeness and filed records in alphabetic and numeric order.
• Researched and resolved medical record discrepancies.
• Used classification manuals to gain additional knowledge of disease and diagnoses processes.
• Sorted and distributed incoming and outgoing medical records.
• Identified new methods to optimize medical records management.
• Assisted in preparation of medical reports for external parties.
• Processed and tracked requests for medical records from external organizations.
• Followed all company policies and procedures to deliver quality work.
• Developed strong client relationships through consistent communication and attentive service.