Medical Billing and coding experience
Ebony Lewis
Apopka,FL
Summary
Hardworking Medical biller and coder with 5 years of experience. Trained in 3M Encoder, Epic, and prior authorization software, with extensive knowledge of CPT, HCPC Level II, ICD-10CM, and ICD-10PCS coding guidelines, and proven multitasking abilities. Committed to maintaining professional relationships with clients to increase profitability and drive business results.
Overview
5
5
5
5
years of professional experience
1
1
year of post-secondary education
Work History
Medical biller and coder/Prior Authorization Specialist
Abbott
Orlando, FL
05.2023 - 08.2023
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Determined appropriateness of payers to protect the organization and minimize risk.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Observed strict procedures to protect sensitive patient information, medical records, and payment data.
- Frequently double-checked patient histories and current information
- Reviewed 40 patient cases per week and verified insurance coverage information
Medical Biller and coder/Case Manager
United BioSource Corporation
Lake Mary , FL
10.2022 - 04.2023
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Determined appropriateness of payers to protect organization and minimize risk.
- Communicated verification and authorization status updates with scheduling department to facilitate decision-making for patient admissions and insurance coverage.
- Verified client information by analyzing existing evidence on file.
- Reviewed 40 patient cases per week and verified insurance coverage information.
Reimbursement Specialist
CVS Specialty Pharmacy
Orlando, FL
03.2021 - 09.2022
- Provided primary customer support to internal and external customers in fast-paced environment.
- Assisted customers with setting COVID19 vaccination appointments, and review prior authorizations to determine approval or denials of medication or medical procedure.
- Used company troubleshooting resolution to evaluate technical problems while leveraging personal expertise to find appropriate solutions.
- Communicated with physicians to schedule appointments for the COVID19 vaccine.
- Documented customer interaction details into Genesys, and document problems, and record solutions offered.
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns
Verification of Benefits Specialist
Cigna
Orlando, FL
06.2021 - 02.2022
- Entered member interaction details in CRM, review prior authorizations in NextGen, and document problems and record solutions offered
- Assist members with referral to see specialist, thoroughly explaining details.
- Assisted customers with setting appointments, prior authorization requests, and arranging transportation for .
- Provided primary customer support to internal and external customers in fast-paced environment.
Member Service Prior Authorization Specialist
Centene
Maitland, FL
02.2018 - 03.2021
- Answered customer telephone calls promptly to avoid on-hold wait times.
- Answered constant flow of customer calls with up to 25 calls in queue per minute.
- Consulted with physicians office to resolve discrepancies and create effective solutions for members.
- Responded to customer requests for provider search, primary care provider change and health insurance information,
- Entered customer interaction details in OMNI to track requests, document problems and record solutions offered.
Education
National Certified Insurance And Coding Certificate - Medical Billing And Coding
Florida Technical College
Orlando, FL 10.2022 - 08.2023
High School Diploma -
Apopka High School
Apopka, FL05.2004
Skills
- NextGen Software
- CRM Software
- Call Volume and Quality Metrics
- Salesforce CRM
- Oracle EnterpriseOne
- NetSuite ERP
- Microsoft Exchange
- Problem Solving
- CPT Coding
- Data Entry
- Insurance Authorizations
- Availity
- Enterprise
- HBS
- SPRX
- OMNI
Timeline
Medical biller and coder/Prior Authorization Specialist
Abbott
05.2023 - 08.2023
Medical Biller and coder/Case Manager
United BioSource Corporation
10.2022 - 04.2023
National Certified Insurance And Coding Certificate - Medical Billing And Coding
Florida Technical College
10.2022 - 08.2023
Verification of Benefits Specialist
Cigna
06.2021 - 02.2022
Reimbursement Specialist
CVS Specialty Pharmacy
03.2021 - 09.2022
Member Service Prior Authorization Specialist
Centene
02.2018 - 03.2021
High School Diploma -
Apopka High School
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