Elizabeth Caraway CPC-A

Work History

Advanced Internal Medicine Care P.A

10.2018 - 02.2024

Posted and adjusted Physician billing payments from insurance companies on daily basis.
Processed insurance company denials by auditing patient files, researched CPT, HCPCS, and ICD-10 coding discrepancies for compliance and reimbursement accuracy.
Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
Communicated with insurance providers including Medicare, Medicare Advantage plans, Medicaid , Medicaid HMO's and commercial carriers to resolve denied claims and resubmitted.
Optimized revenue generation through diligent monitoring of denied claims, resubmitting corrected information when needed.
Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
Communicated effectively with staff, patients, and insurance companies by email and telephone.
Developed comprehensive understanding of ICD-10-CM, CPT, and HCPCS codes to ensure proper use in medical coding assignments.
Utilized electronic medical record systems to store, retrieve and process patient data.
Maintained patient confidentiality by adhering to strict HIPAA regulations during all aspects of coding and billing processes.
Provided exceptional customer service to patients, addressing their concerns regarding insurance claims or billing issues with empathy and professionalism.
Managed time efficiently in order to complete all tasks within deadlines.

Phillips, Salomon And Parrish P.A/Eye Express

06.2014 - 07.2016

Demonstrated knowledge and ability to assign ICD-9 CM and ICD-10 CM codes to highest specificity ensuring that diagnosis codes and documentation accurately reflect and support visit encounter.
Submitted electronic and paper claim documentation for timely filing.
Processed payments from insurance companies.
Reviewed remittance advice for various insurance carriers and completed necessary appeals needed for denials received.
Query providers as needed to ensure coding and documentation compliance.
Ability to correct denial claims with correct information and resubmit claims through clearinghouse.
Followed exact procedures for handling transfers and other releases of medical records.

Phillips, Salomon And Parrish P.A

05.2002 - 06.2014

Performed preliminary tests on 30-35 patients per day before being seen by Optometrist.
Administered visual eye tests including OCT, VEP, Retinal Photography and Visual Fields, Pachymetry, Optomap
Interviewed and recorded patient medical history, meticulously and efficiently scribed for optometrist during examination; keeping Patients charts/ electronic medical record updated with detailed notes
Ensured patients understanding of Physicians diagnosis, instructions, and treatment
Authorized drug refills and provided detailed prescription information to pharmacies.