Frances Amos
Medical coder
Orange,VA
Summary
Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Medical Coder
Orange Family Physicians
05.2021 - Current
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Followed up with medical staff regarding missing information in patient records.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
Accounts Receivable Specialist
PRA Health Sciences
07.2016 - 05.2021
- Prepared and mailed invoices to customers, processed payments, and documented account updates.
- Followed up overdue payments and payment plans from clients to establish good cash flow.
- Monitored accounts to verify compliance with payment terms and schedules.
- Utilized Microsoft Excel, QuickBooks and Oracle software to manage invoices and payments.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
Medical Biller
UVA Health Sciences
11.2007 - 07.2016
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Posted payments and collections on regular basis.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Liaised between patients, insurance companies, and billing office.
- Delivered timely and accurate charge submissions.
Education
High School Diploma -
Orange County High School
Orange VA06.1994
Skills
- Data Entry
- Data Security Procedures
- Data Verification
- Patient Data Compilation
- CPT Code Modifiers
- Financial Assistance
- Medical Terminology
- Diagnostic Codes
- Paperwork Processing
Certification
- CPC - Certified Professional Coder
Timeline
Medical Coder
Orange Family Physicians
05.2021 - Current
Accounts Receivable Specialist
PRA Health Sciences
07.2016 - 05.2021
Medical Biller
UVA Health Sciences
11.2007 - 07.2016
High School Diploma -
Orange County High School
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