Diane Luzius
Cleveland
Summary
Dynamic healthcare professional with extensive expertise in medical billing and coding, recognized for accurate processing of patient data and insurance claims while maintaining strict compliance with industry regulations. A strong advocate for team collaboration, consistently achieving results in fast-paced environments and adapting seamlessly to evolving needs. Proficient in medical terminology, coding systems, and electronic health records, complemented by a reliable work ethic that ensures efficiency and precision. Committed to delivering exceptional service and enhancing operational workflows within healthcare settings.
Overview
19
19
years of professional experience
Work History
Medical Biller and Coder
Sisters of Charity Health System
Cleveland, Ohio
11.2010 - Current
- Correctly coded and billed medical claims for various hospital, offices and nursing facilities.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Increased accuracy in medical claims submissions by conducting thorough reviews of patient records and insurance information.
- Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
- Collaborated with healthcare providers to ensure accurate documentation, leading to timely reimbursements for services rendered.
- Assisted patients with understanding their insurance coverage and financial responsibilities, fostering positive relationships and trust between the practice and its clients.
- Utilized electronic medical record systems to store, retrieve and process patient data.
-
Office Coordinator
North Ohio Heart Center
Cleveland, OH
01.2007 - 01.2010
- Coordinated scheduling for patient appointments and testing procedures
- Managed office communications, maintaining clear and accurate information flow among staff and patients.
- Provided backup to front desk to step in to assist with various tasks whenever employee was absent or at lunch.
- Answered and managed incoming and outgoing calls while recording accurate messages for distribution to office staff.
- Maintained strict confidentiality of sensitive information, upholding the highest level of professionalism at all times.
Education
High School Diploma -
Beaumont School
Cleveland Heights, OHSkills
- Proficient in ICD-10 classification
- Compliance with HIPAA standards
- Claims denial management
- Claims processing
- Accurate CPT coding
- Verification of insurance coverage
- Appeals resolution
Timeline
Medical Biller and Coder
Sisters of Charity Health System
11.2010 - Current
Office Coordinator
North Ohio Heart Center
01.2007 - 01.2010
High School Diploma -
Beaumont School