Demecrious Cox
Billing Specialist
Jacksonville,FL
Summary
Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment. Medical Billing Specialist with 3 1/2 years of experience in fast-paced, multiple-client in private cardiology practice. Researched denied claims and submitted appeals. Familiar with billing, payment posting and collections.
Overview
16
16
years of professional experience
Work History
Medical Billing Specialist
First Coast Heart And Vascular
JACKSONVILLE, United States
04.2018 - Current
- 1. Handle medical records in healthcare facility and communicate between patients and insurance companies.
- 2. Collaborate with medical providers and office management to determine billing and documentation policies to ensure compliance.
- 3. Performed Insurance Verifications And Pre-Authorizations
- 4. Collected, posted, and managed patient account payments.
- 5. Prepared and submitted claims forms to insurance companies and other third-party payers.
- 6. Entered procedure and diagnosis codes and requisite patient information into billing software to streamline invoicing and account management; added modifiers, verified diagnoses, and coded narrative diagnoses.
Pricing Team Leader
Southeastern Grocers
Jacksonville, Florida
05.2005 - 05.2017
- 1. Monitor monthly competitive price checks and identify competitive moves within price zones and any trends impacting assigned categories and overall company pricing position.
- 2. Visit local competitors to collect retail information necessary to assist business units with selecting best promotional price for dependable deals and other long-term TPR's bi-monthly with category leaders, to review current store conditions and category schematics to ensure proper space allocation and labor needs.
- 3. Provide insight to identify trends related to performance of category and work with pricing and merchandising leadership team to recommend tactics to reach goals of category, and align pricing strategies to meet objectives of broader category and business strategy.
- 4. Execute base retail changes on weekly basis for assigned book of business.
- 5. Perform other job related duties as assigned.
Education
Diploma - Medical Billing And Coding
Virginia College
Jacksonville, FL 02.2018 - 04.2018
Skills
Payment Posting
Data Entry
ICD 10
Medical Terminology
Medical Billing
Customer Service
Claims Submission
Timeline
Medical Billing Specialist
First Coast Heart And Vascular
04.2018 - Current
Diploma - Medical Billing And Coding
Virginia College
02.2018 - 04.2018
Pricing Team Leader
Southeastern Grocers
05.2005 - 05.2017