Erica Limas
Austin,Texas
Summary
Detail-oriented Medical Office Professional with 18 years of expertise in medical terminology and office operations, specializing in EMR systems and proficient in CPT and ICD-10 coding. Demonstrated success in enhancing operational efficiency through precise billing practices and effective patient care coordination, leading to increased patient satisfaction. Strong problem-solving abilities support collaborative patient care and streamlined office workflows. Dedicated to continuous improvement in healthcare delivery, leveraging extensive industry knowledge.
Overview
20
20
years of professional experience
Work History
Medical Coder I
Austin Regional Clinic
Austin, TX
10.2023 - Current
- Compiles, abstracts and maintains patient medical records to document condition and treatment for surgeries.
- Identifies, compiles, and codes patient data, using ICD 10 and CPT classification coding systems.
- Researches and resolves problems with patient accounts in work queues.
- Assists physicians and providers on coding questions or concerns.
- Performs charge entry functions.
- Facilitates conversation and works as a liaison between CBO, Compliance, and physician to resolve documentation and billing concerns.
- Serves as a resource for other Business Office staff.
- Adheres to all company policies, including but not limited to, OSHA, HIPAA, compliance and Code of Conduct.
- Researches and resolves problems with patient accounts from site requests.
- Review charge work queue, responsible for following workflows consistent with the policies of the Compliance Plan.
- Obtains insurance eligibility and benefit details.
- Review records for completeness, accuracy and compliance with regulations.
- Works with the providers to communicate coding issues and submit adjustment journals as needed.
Senior Patient Service Coordinator
Austin Regional Clinic South OB
Austin, TX
11.2014 - 10.2023
- Oversaw the verification of insurance benefits and obtained necessary authorizations for medical procedures and medications
- Resolved escalated patient concerns, demonstrating strong interpersonal and problem solving skills
- Collaborated with healthcare providers to coordinate patient care, facilitating smooth transitions between departments and specialists
- Monitored and maintained electronic medical records, ensuring compliance with privacy regulations and accuracy of patient information
- Coordinated medication appeals, between insurance providers, appeals nurses and utilization review team
- Developed care plans for patients, including medication schedules and treatment plan
- Responsible for processing referrals for patients as ordered by the provider
- Responsible for handling the sort/distribute of Rightfax documents
- Assists other Business Office staff with front desk duties, which include but are not limited to answering phones, booking appointments, greeting patients, check-in/check-out.
- Developed and maintained scheduling procedures to ensure timely completion of projects.
Patient Service Coordinator
Austin Regional Clinic South OB
Austin, TX
02.2011 - 11.2014
- Effectively answer the telephone, schedule patient appointments to company standards by utilizing resource scheduling
- Effectively greet incoming outgoing patients immediately upon entering the office
- Collected and entered patient demographic and insurance information into the system to establish accurate and up to date records
- Obtain and verify insurance eligibility for all applicable patients
- Confirm all patients' appointments, for the following day
- Collects payments from patients, posts amounts, and balances drawer for end of day deposit
- Runs wait list report and distributes as directed.
Chiropractic Assistant
Chicoine Chiropractic
Austin, TX
11.2004 - 10.2010
- Scheduled and managed patients appointments via phone and in person
- Provided exceptional customer service to patients, addressing injuries, resolving issues, and ensuring their comfort and satisfaction
- Led patients to exam rooms, answered general questions and prepared patients for physician by explaining process
- Prepared treatment rooms for patients by cleaning surfaces and restocking supplies
- Educated patients about chiropractic care to help achieve health goals
- Implemented therapeutic modalities as directed by the provider such as electrical stimulation, ultrasound, or hot/cold therapy
- Collected forms, copied insurance cards and coordinated patient information for billing and insurance processing
- Acquainted patients with therapy procedures by explaining purpose and results of exercises
- Communicated with insurance companies to facilitate proper billing procedures and collect payments
- Operated x-ray administer diagnostic tests
- Maintained accurate and organized patient records, ensuring compliance and privacy regulations.
Education
High School Diploma -
William B Travis High School
Austin, TX08.2003
Skills
- Proficient in EMR systems
- Knowledge of ICD-10 and CPT coding
- Experience in medical terminology
- Proficient in Microsoft Word, Excel, Outlook, and Microsoft Teams
- Strong problem-solving skills to address complex issues
- Ability to analyze and interpret medical codes for accurate billing and documentation
- Detail-oriented approach to ensure accuracy in coding and record-keeping
- Excellent customer service skills, both verbal and written
- Ability to communicate medical information clearly and professionally
- Proficient in Prioritizing Tasks
- Collaboration with healthcare professionals to provide coordinated patient care
- Strong interpersonal skills to foster a positive, collaborative work environment
- Demonstrates the ability to work effectively as part of a team
Timeline
Medical Coder I
Austin Regional Clinic
10.2023 - Current
Senior Patient Service Coordinator
Austin Regional Clinic South OB
11.2014 - 10.2023
Patient Service Coordinator
Austin Regional Clinic South OB
02.2011 - 11.2014
Chiropractic Assistant
Chicoine Chiropractic
11.2004 - 10.2010
High School Diploma -
William B Travis High School
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