Dereisha Cobb
Lehigh Acres,FL
Summary
Dedicated senior professional with several years of experience in providing superb customer service. Expert in establishing rapport by listening to customers and understanding specific needs. Manage consistent one-call resolution to offer prompt and streamlined service.
Experienced with medical coding, ensuring accurate and compliant code assignment. Utilizes attention to detail and analytical skills to resolve coding discrepancies and streamline processes. Knowledge of industry standards and regulations, providing reliable and efficient coding solutions.
Medical Records Coordinator with successful record of increasing department efficiency, reducing errors, and eliminating bottlenecks. Diligent commitment to improving and streamlining processes for maximum productivity. In-depth knowledge of HIPAA constraints and chat management protocols.
Overview
9
9
years of professional experience
Work History
Medical Billing and Coding Specialist
Gulf Shore Internal Medicine
Jupiter, FL
07.2023 - 03.2025
- Interpret medical terminology and pharmacological information to translate information into coding system.
- Review account information to confirm patient and insurance information is accurate and complete.
- Post and adjust payments from insurance
- Educate healthcare staff on coding standards and changes in coding guidelines.
- Communicate effectively and extensively with other departments
- Locate errors and promptly resend rejected claims
- Interpret medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.
HIM MEDICAL RECORDS RIO
Florida Cancer Specialist
Fort Myers, FL
01.2019 - 08.2024
- Support the resolution of HIPAA-related release issues
- Organize records and documents to complete the ROI process
- Process medical ROI requests in a timely and efficient manner
- Read and interpret medical records, forms, and authorizations
- Perform other related duties, as assigned, to ensure effective operation of the department and the Company
- Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information
- Arranged and assisted with hospital admissions
- Confirmed patient information, collected copays and verified insurance
- Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature
- Applied payments, adjustments and denials into medical manager system
- Consistently informed patients of their financial responsibilities prior to services being rendered
- Efficiently performed insurance verification and pre-certification and pre-authorization functions
- Review claims that have been denied by health insurance companies
- Resolve third party rejects by analyzing the claim, gathering information, making corrections and resubmitting
- Participated on the weekly calls to include provider concerns, eligibility file feed concerns, internal and external
- Assisted in training co-workers in claims processing methods
- Assisted members and providers in resolving inaccuracies in claims processing
Patient Services/ Medical Records/ Central Scheduling Coordinator
NCH Infectious Disease
Naples, FL
01.2016 - 03.2019
- Received and answered incoming calls in a professional manner according to office guidelines
- Processed patient registration; scheduled and rescheduled appointments and processed cancelations for office visits and clinic procedures
- Filed patients medical records and submitting insurance forms
- Obtained referrals and authorizations; Collected co-payments and processed third party insurance verifications
- I used my knowledge and understanding of medical terminology to act as a liaison between patients and insurance providers.
- Assisted patients with patient portal registration and navigation
- Scheduled and confirmed patient diagnostic appointments, surgeries, or medical consultations
- Operated office equipment, such as voice mail messaging systems, and used word processing, spreadsheet, or other software applications to prepare reports, invoices, financial statements, letters, case histories, or medical records
- Compiled and recorded medical charts, reports, or correspondence, using a typewriter or personal computer
- Received and routed messages or documents, such as laboratory results, to appropriate staff
- Interviewed patients to complete documents, case histories, or forms, such as intake or insurance forms
- Performed bookkeeping duties, such as credit or collections, preparing and sending financial statements or bills, and keeping financial records
- Scheduled tests or procedures for patients, such as lab work or x-rays, based on physician orders
- Transcribed recorded messages or practitioners' diagnoses or recommendations into patients' medical records
Education
Healthcare Associate of Science -
Rasmussen College
01.2020
Electronic Health Records, Medical Terminology
Florida Gulf Coast University
High School Diploma -
Cypress Lake High School
Fort Myers, FL01.2016
Skills
- Adaptability
- Active listening
- Data management
- Team leadership
- Time management
- Analytical thinking
- Planning
- Strong communication
- Flexible
- Organization
- Problem solving
References
Will be made available upon request.
Timeline
Medical Billing and Coding Specialist
Gulf Shore Internal Medicine
07.2023 - 03.2025
HIM MEDICAL RECORDS RIO
Florida Cancer Specialist
01.2019 - 08.2024
Patient Services/ Medical Records/ Central Scheduling Coordinator
NCH Infectious Disease
01.2016 - 03.2019
Electronic Health Records, Medical Terminology
Florida Gulf Coast University
High School Diploma -
Cypress Lake High School
Healthcare Associate of Science -
Rasmussen College