Georgia Smith
Davenport
Summary
Medical billing and coding professional with extensive experience in healthcare administration. Proven expertise in accurately processing claims, ensuring compliance with regulations, and maintaining detailed patient records. Highly collaborative team member focused on achieving results and adapting to changing needs.
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
2024
2024
years of professional experience
1
1
Certification
Work History
Medical Biller and Coder
Martin Medical
- Processed medical claims accurately using advanced billing software and coding systems.
- Reviewed and verified patient information to ensure compliance with healthcare regulations.
- Collaborated with healthcare providers to resolve billing discrepancies and improve claim submissions.
- Maintained up-to-date knowledge of medical terminology and coding guidelines for optimal accuracy.
- Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
Retail Store Lead
Guest Services Incorporation
- Supervised daily store operations to ensure efficient workflow and customer satisfaction.
- Trained new staff on product knowledge and customer service best practices.
- Managed inventory levels, ensuring stock accuracy and timely replenishment.
- Assisted in visual merchandising to enhance product displays and attract customers.
- Implemented promotional strategies to boost sales during peak periods.
- Led a team of associates, prioritizing tasks to ensure smooth daily operations and achieve sales goals.
- Implemented visual merchandising techniques to maximize sales, creating appealing displays that attracted customers.
Receptionist
Lincoln County Hospital
- Managed front desk operations, ensuring seamless patient check-in and appointment scheduling.
- Provided exceptional customer service, addressing patient inquiries and concerns promptly.
- Coordinated communication between departments, enhancing operational efficiency and workflow.
- Maintained accurate patient records in electronic health record (EHR) system for improved data retrieval.
Medical Biller and Coder
Lakeshore Clinic
- Trained new staff on billing procedures, coding practices, and software utilization for efficiency.
- Analyzed billing data to identify trends and recommend process improvements for revenue cycle management.
- Led initiatives to enhance workflow efficiency, resulting in reduced claim rejection rates.
- Mentored junior coders in best practices for accurate coding and compliance with industry standards.
- Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
Cage Cashier
Spokane Tribe Casino
12.2017 - 11.2023
- Processed cash transactions accurately and efficiently, ensuring compliance with gaming regulations.
- Managed customer inquiries, providing exceptional service and fostering a positive gaming environment.
- Monitored cash flow to prevent discrepancies, maintaining high levels of accuracy in transactions.
- Trained new staff on operational procedures and best practices for cash handling and customer service.
Education
High School Diploma -
Spokane Community College
Spokane, WA01-1990
Skills
- HIPAA compliance
- Payment posting
- Insurance verification
- ICD-10 proficiency
- CMS-1500 form completion
- Patient account management
- Medicare and medicaid billing
- Claim submission
- Medical coding expertise
- Diagnostic coding
- Procedural coding
- Revenue cycle management
- Workers' compensation billing
- UB-04 form completion
- Denial management
Accomplishments
- Achieved reduced aging accounts by 50% by working closely with insurance contacts for reimbursement of old claims for payment.
- Documented and resolved insurance denials which led to aging accounts.
Certification
- CPC - Certified Professional Coder
Languages
Spanish
Limited Working
Interests
- Kayaking
- Horseback Riding
- Outdoor Recreation
- Music
- I have a passion for photography and editing photos
Timeline
Cage Cashier
Spokane Tribe Casino
12.2017 - 11.2023
Medical Biller and Coder
Martin Medical
Retail Store Lead
Guest Services Incorporation
Receptionist
Lincoln County Hospital
Medical Biller and Coder
Lakeshore Clinic
High School Diploma -
Spokane Community College