Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
Interacted with physicians and other healthcare staff to ask questions regarding patient services.
Resourcefully used various coding books, procedure manuals, and on-line encoders.
Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Medical Office Manager
Cumberland County Health Department
02.2003 - 06.2010
Assessed processes and procedures, complying with OSHA, and HIPAA regulations.
Communicated effectively with staff members, physicians, and patients, employing active listening and interpersonal skills.
Created and managed electronic patient records, encompassing data entry and administrative functions related to insurance, billing, and accounts receivable.
Provided proper scheduling of patients, ensuring timely, and effective allocation of resources and calendars.
Owner/Operator
Andrade’s Medical Billing & Consulting
10.2002 - 06.2010
Managed day-to-day business operations.
Consulted with customers to assess needs and propose optimal solutions.
Trained and motivated employees to perform daily business functions.
Established foundational processes for business operations.