Summary
Overview
Work History
Education
Skills
Affiliations
Certification
References
Timeline
Generic

Crystal Weis

Summary

Billing Specialist capable of performing all aspects of medical billing, including coding, transmission, correction and resubmission. Offering 5+ years of experience in working hand-in-hand with front office to validate proper information for claims processing. Detail-oriented and helpful professional with expertise in resolving billing issues and reviewing claim denials. Driven professional with a background in medical terminology and coding. Offering task prioritization expertise in fast-paced environments.

Overview

17
17
years of professional experience
1
1
Certification

Work History

Medical Biller

Retina Associates/Retina Vitreous Associates PC
01.2014 - Current
  • Primary focus on Medicare, Cigna, Aetna, UHC, Humana, and secondaries along with Skilled Nursing and VA.
  • Daily Billing Department functions such as medical coding, claims, payment taking and reimbursement management.
  • Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
  • Using electronic charge capture to submit daily claims for payment from insurance companies.
  • Completed and submitted appeals.
  • Working daily remittance advices for timely filing of corrected claims and appeals.
  • Added modifiers, coded narrative diagnosis and verified diagnoses.
  • Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
  • Performed insurance verification, pre-certification and pre-authorization.
  • Provide administrative support to Physicians.
  • Handle incoming calls from all 6 offices and patient calls.
  • Uphold and reinforce compliance with company policies and HIPAA.
  • Participated in educational opportunities, including workshops, seminars and training classes to gain a stronger education in industry updates and federal regulations.

Patient Access Representative

Franciscan Same Day Surgery, Munster Same Day Surgery Center
08.2008 - 10.2014
  • Accessed patient information through variety of office software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.
  • Responsible for scheduling patients, insurance verification, and general reception duties.
  • Responsible for reviewing/editing transcriptions.
  • Responsible for creating, maintaining, filing and archiving patient records.
  • Obtain patient records and lab results when needed.
  • Part time coding.
  • Responsible for maintaining reception and break room areas..
  • Evaluated patient care needs, prioritized treatment and maintained patient flow.

Medical Receptionist

Franciscan Skin Cancer Care Center
01.2013 - 01.2014
  • Responsible for scheduling patients, insurance verification, and general reception duties.
  • Straightened up the waiting room so that it remained neat and organized.
  • Answered multi-line phone system and directed callers to requested personnel and departments.
  • Ensured that the phone was answered by the second ring and enthusiastically greeted all callers.
  • Took messages from patients and promptly relayed to appropriate staff.
  • Entered patient information including insurance, demographic and health history into the system to ensure that all records were up-to-date
  • Pleasantly greeted each patient and offered the desk sheet for easy sign-in.

Education

Bachelors - Business Management

Davenport University
Merrillville, iN
2001

Associates - Insurance Claims Management

Davenport University
Merrillville, iN
2008

Diploma - Medical Transcription

Davenport University
Merrillville, iN
2007

Associates - Marketing

Davenport University
Merrillville, iN
1999

Skills

  • Medical coding understanding
  • Submission of medical claims
  • Claim review
  • Billing codes
  • Insurance claims
  • Customer service
  • Account management
  • Insurance collections

Affiliations

  • American Association of Professional Coders
  • Officer in Northwest Indiana Chapter of Medical Coders

Certification

Certified Professional Coder, Apprentice

References

REFERENCES Available upon request

Timeline

Medical Biller

Retina Associates/Retina Vitreous Associates PC
01.2014 - Current

Medical Receptionist

Franciscan Skin Cancer Care Center
01.2013 - 01.2014

Patient Access Representative

Franciscan Same Day Surgery, Munster Same Day Surgery Center
08.2008 - 10.2014

Bachelors - Business Management

Davenport University

Associates - Insurance Claims Management

Davenport University

Diploma - Medical Transcription

Davenport University

Associates - Marketing

Davenport University

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