Derrica S Morgan
Snellville,GA
Summary
Healthcare Professional seeking a position that provides an opportunity to use Customer Service skills while tackling a wide variety medical coding and billing tasks. Highly adaptable, detailed oriented individual who is self-motivated and well organized. CMS 1500 claim submission/scrubbing Working knowledge of payer provider services Claim Denials/Appeals Patient account handling Dental software (DentaPro) Detail-oriented and methodical Billing Specialist offering 6 years of experience in related roles. Exceptional abilities in conducting research, problem-solving and prioritizing simultaneous tasks. Leverages resourcefulness, critical thinking skills and superior work ethic for top job performance. Successful at efficiently handling client inquiries, billing and administrative tasks. Familiar with contracts and other documents affecting billing processes. Prepares professional, polished statements and business correspondence. Quality-driven Claims Spec with proven record of excellent job performance. Manages projects at each stage with diligent and attentive approach, carefully checking details and testing assumptions. Skilled in training junior personnel in principles and practices. Well-qualified Medicaid payment Poster proficient in handling complex customer issues and promoting positive experiences. Efficiency-driven and organized with team-oriented mentality and dedication to customer satisfaction, business goals and sales excellence. Skilled in coordinating documentation and handling payments.
Overview
8
8
years of professional experience
Work History
Billing Specialist/Medicaid Insurance
Benevis
Marietta, GA
06.2017 - 05.2021
- Poster
- Post all EFTS to patients accounts and transfer appropriate balances
- Quality check of charts for accurate billing of performed services
- Meet required metrics for billing department
- Process Claims in EMR system
- Maintain Accurate record keeping
- Meet Required metrics for payment posting
- Performed Targeted collections on accounts that was 30 days past due.
Billing and Coding/Credentialing Specialist
Allied Physician Resources
Marietta, GA
09.2016 - 05.2020
- Coordinates all office activities related to credentialing
- Provides oversight of any delegated credentialing activities at direction of Practice
- Ability to resolve claims by utilizing extensive in-depth knowledge of company policies
- Accurately Review patient accounts within EMR,
- Answer telephone calls regarding patient accounts
- Ensure month-end goals are met in timely manner
- Inbound/outbound calls
- Received and evaluated applications to look for missing and inaccurate information
- Enrolled providers and Medicaid, Medicare and private insurance plans
Education
Medical Insurance -
Billing And Coding Everest College
01.2017
Skills
- ICD-10, CPT and HCPCS and CDT
- Working knowledge of medical terminology and anatomy
- Medical software applications
- Knowledge of dental terminology
- Schedule, Patient registration, billing, filing and generating claims and reports
- Microsoft Office (ie, Word, Excel)
- Records Organization and Review
- Billing Data Verification
- Claim Processing
- Medical Billing and Collections
- Outpatient Care
- Diagnostic Test Ordering
- Document Quality
Accomplishments
- Documented and resolved Claim issues which led to payment.
- Used Microsoft Excel to develop inventory tracking spreadsheets.
Timeline
Billing Specialist/Medicaid Insurance
Benevis
06.2017 - 05.2021
Billing and Coding/Credentialing Specialist
Allied Physician Resources
09.2016 - 05.2020
Medical Insurance -
Billing And Coding Everest College
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