Holly Carroll
Cypress,CA
Summary
Hands-on professional offering a keen understanding of data confidentiality and HIPAA regulations. I’m in trained Medical Coder knowledgeable in AMA and the CMS coding rules.
Overview
1
1
year of professional experience
Work History
Medical Biller and Coder
Coast Med Solutions
Fountain Valley, CA
12.2022 - Current
- Reviewed medical records and identified diagnosis codes, procedures, services and supplies for coding.
- Verified accuracy of patient information and insurance data in billing system.
- Submitted claims to insurance companies electronically or by mail.
- Resolved denied claims by researching payer requirements and preparing appeals.
- Maintained up-to-date knowledge of coding regulations and changes in reimbursement policies.
- Analyzed patient accounts for errors, inaccuracies or discrepancies in billing documentation.
- Provided customer service support to patients regarding billing inquiries.
- Processed corrections and adjustments as needed to ensure accurate payment from third party payers.
- Maintained current CPT, HCPCS codes library as well as ICD-9, 10 CM diagnostic codes.
- Ensured timely filing of all claims within established guidelines.
- Responded promptly to requests from insurance companies regarding clarification on claim submissions.
- Identified trends in denials and worked collaboratively with clinic staff to reduce denials.
- Monitored aging accounts receivable report weekly to identify unpaid balances due.
- Filed and submitted insurance claims.
- Reviewed received payments for accuracy and applied to intended patient accounts.
Clerk Specialist
USPS
Santa, ID
- Provided customer service to clients, including answering phone calls and emails, responding to inquiries and addressing complaints.
- Processed payments for services rendered, including verifying credit card information and issuing receipts.
- Organized documents according to established filing systems.
Education
High School Diploma -
San Juaquin Valley College
Temecula, CA01.2023
Skills
- Medical Terminology
- Medical Record Security
- Data Entry
Timeline
Medical Biller and Coder
Coast Med Solutions
12.2022 - Current
Clerk Specialist
USPS
High School Diploma -
San Juaquin Valley College
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