Holly Carroll
Marina Del Rey,CA
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
1
1
year of professional experience
Work History
Medical Biller and Coder
Online Billing
11.2023 - Current
- Correctly coded and billed medical claims .
- Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
- Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
Medical Biller and Coder
Coast Med Solutions
11.2022 - 11.2023
- 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.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Played a pivotal role in maintaining positive cash flow within the organization by ensuring timely submission of clean claims and diligent follow-ups on outstanding payments.
- Expedited payment processing by promptly addressing any discrepancies or issues raised by insurance carriers.
Education
Certificate - Medical Billing And Coding
San Joquin Valley College
Temecula, CA10.2022
Skills
- HIPAA Compliance
- Payment posting
- Insurance Verification
- ICD-10 Proficiency
- CMS-1500 Form Completion
- Patient account management
Timeline
Medical Biller and Coder
Online Billing
11.2023 - Current
Medical Biller and Coder
Coast Med Solutions
11.2022 - 11.2023
Certificate - Medical Billing And Coding
San Joquin Valley College
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