Diane Ward, CPC
Gastonia,North Carolina
Summary
Comprehensive knowledge of Microsoft Office Suite, Athena, NextGen, and Phreesia systems Strong organization and communication skills Vast experience working in fast-paced environments Well versed in working with different insurance companies and types
Overview
16
16
years of professional experience
Work History
Coding Reimbursement Specialist II
Tryon Medical Group
01.2023 - Current
- Researched and resolved claim denials, pre-bill edits and pre-bill errors.
- Streamlined billing processes for increased efficiency and reduced errors in claims submissions.
- Evaluated medical records thoroughly, assigning accurate ICD-10-CM codes based on clinical documentation.
- Contributed to overall team productivity, maintaining high level of accuracy in coding assignments.
- Followed up on denied and unpaid claims to resolve problems and obtain payments.
- Prevented delays and claim denials by correcting information prior to submission.
Revenue Cycle Clerk
Tryon Medical Group
07.2021 - 01.2023
- Utilized strong multitasking skills to manage multiple priorities and tasks, ensuring timely completion of each assignment.
- Interacted with customers by phone, email, or in-person to provide information.
- Reduced errors in data entry by carefully inputting information into computer systems with attention to detail.
- Improved customer satisfaction by promptly answering inquiries and providing accurate information.
- Worked on Medicare Lab denials using ICD-10 and CPT codes.
Clerical Supervisor
Tryon Medical Group-Gaston Office
11.2019 - 07.2021
- Perform all responsibilities of check in and check out, including but not limited to patient registration, appointment scheduling, and collection of copays and deductibles
- Prepare deposit/cash reconciliation
- Responsible for clinic operations in the absence of the Practice Manager, including supply ordering and staff management
- Prepare staff schedules to ensure proper coverage
- Train new front desk staff on check in/out protocols and procedures
- Provide exemplary customer service to patients.
Patient Relations Specialist
Surgical Specialists of Charlotte
08.2008 - 11.2019
- Perform all responsibilities of check in and check out, including but not limited to patient registration, appointment scheduling, and collection of copays and deductibles
- Answer all incoming calls and route accordingly
- Provide exemplary customer service to patients
- Processed incoming referrals and scheduled patients based on diagnosis
- Acquired benefits and pre-certifications from insurance companies using CPT/ICD10 codes for office procedures.
Education
A.O.S Medical Assisting -
Bryant & Stratton Business Institute
Syracuse, NYCertified Professional Coder -
AAPC
05.2022
Skills
- CPT coding knowledge
- ICD-10 Proficiency
- HIPAA compliance awareness
- Claims Processing Efficiency
- Continuous learning mindset
Timeline
Coding Reimbursement Specialist II
Tryon Medical Group
01.2023 - Current
Revenue Cycle Clerk
Tryon Medical Group
07.2021 - 01.2023
Clerical Supervisor
Tryon Medical Group-Gaston Office
11.2019 - 07.2021
Patient Relations Specialist
Surgical Specialists of Charlotte
08.2008 - 11.2019
A.O.S Medical Assisting -
Bryant & Stratton Business Institute
Certified Professional Coder -
AAPC