Summary
Overview
Work History
Education
Skills
References
Certification
Timeline
Generic

Hillary Goessens CPC

Thornton

Summary

Results-driven medical billing and coding professional with extensive experience at Pinnacol Assurance. Expert in claims processing and coding accuracy, adept at resolving denials and enhancing accounts receivable management. Known for strong analytical skills and exceptional customer service, ensuring timely payments and compliance with HIPAA regulations.

Overview

22
22
years of professional experience
1
1
Certification

Work History

Processor II

Pinnacol Assurance
Denver
09.2022 - Current
  • Processed workers comp claims accurately for diverse client needs, ensuring efficiency and precision.
  • Corrected coding and data entry errors to facilitate timely payment processing.
  • Processed appeals for numerous denial reasons
  • Demonstrated strong expertise in coding and processing emergency injury and illness claims.

Medical Biller, Accounts Receivable

Diversified Radiological Service
Denver
05.2004 - 06.2006
  • Verify patient insurance eligibility and benefits for services rendered.
  • Manage accounts receivable by tracking outstanding invoices and payments.
  • Communicate with insurance companies regarding claim denials and resolutions.
  • Resolve patient inquiries related to billing statements and account balances.
  • Maintained records of all billing activities in a timely manner.
  • Processed credit card payments and other forms of payment received from patients or insurance companies.

Education

Certified Professional Coder - Medical Coding

American Academy of Professional Coders
2233 West Presidents Drive, Salt Lake City, Utah
06-2022

Associates' Degree - Medical Billing and Coding

Everest College
Thornton, CO
07-2004

Skills

  • Medical billing and coding
  • Electronic medical records (EMR)
  • Medical office experience
  • Anatomy and physiology knowledge
  • Medicare and managed care
  • Auditing and insurance verification
  • Healthcare common procedure coding system (HCPCS)
  • HIPAA compliance
  • ICD-9 and ICD-10 coding
  • Microsoft Office proficiency
  • Claims processing
  • Coding accuracy
  • Phone etiquette and customer service
  • Accounts receivable management
  • Detail orientation and analytical skills

References

References provided upon request

Certification

Certified Professional Coder

Timeline

Processor II

Pinnacol Assurance
09.2022 - Current

Medical Biller, Accounts Receivable

Diversified Radiological Service
05.2004 - 06.2006

Certified Professional Coder - Medical Coding

American Academy of Professional Coders

Associates' Degree - Medical Billing and Coding

Everest College
Hillary Goessens CPC