Summary
Overview
Work History
Education
Skills
Timeline
Generic

Jackie Bandy

Salinas,CA

Summary

Accomplished Medical Biller and Coder with expertise in ICD-10 and insurance verification, successfully reducing claim denials at Monterey Bay Eye Center. Demonstrated strong communication skills while optimizing billing processes and enhancing reimbursement rates through meticulous coding and appeals processing. Proven ability to manage patient accounts and maintain HIPAA compliance effectively.

Highly skilled healthcare professional with strong expertise in medical billing and coding. Adept at accurately processing patient data and insurance claims while ensuring compliance with regulations. Strong focus on team collaboration and achieving results, adaptable to changing needs. Proficient in medical terminology, coding systems, and electronic health records, with reliable and efficient work ethic.

Experienced with medical billing and coding. Utilizes skills in claims processing and regulatory compliance to enhance healthcare administration. Knowledge of maintaining accurate patient records and navigating complex billing systems.

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.

Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.

Overview

25
25
years of professional experience

Work History

Medical Biller and Coder

Monterey Bay Eye Center
10.2000 - Current
  • Correctly coded and billed medical claims for 4 physicians.
  • 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.
  • Optimized workflow efficiency within the office by cross-training in additional administrative tasks such as scheduling appointments or managing phone calls during peak periods.
  • Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
  • Utilized electronic medical record systems to store, retrieve and process patient data.
  • Communicated effectively with staff, patients, and insurance companies by email and telephone.
  • Input data into computer programs and filing systems.
  • Verified accuracy of patient information in medical records.
  • Maintained accuracy, completeness, and security for medical records and health information.

Medical Biller and Coder

Alejandro Centurion MD
07.2016 - 12.2024
  • Correctly coded and billed medical claims for 1 neurologist.
  • 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.
  • Reviewed patient charts to better understand health histories, diagnoses, and treatments.
  • Expedited payment processing by promptly addressing any discrepancies or issues raised by insurance carriers.
  • Interacted with physicians and other healthcare staff to ask questions regarding patient services.
  • Increased accuracy in medical claims submissions by conducting thorough reviews of patient records and insurance information.
  • Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.

Education

Associate of Arts - Medical Billing

Heald College
Salinas, CA
09-1995

Skills

  • HIPAA compliance
  • Payment posting
  • Insurance verification
  • ICD-10 proficiency
  • CMS-1500 form completion
  • Patient account management
  • Medicare and medicaid billing
  • Claim submission
  • Diagnostic coding
  • Medical coding expertise
  • Appeals processing
  • Procedural coding
  • Commercial insurance billing
  • CPT coding
  • Medical billing procedures
  • HCPCS level II coding
  • Data entry
  • Claims processing
  • Medical terminology
  • Medical claims coding
  • Insurance claims analysis
  • Medical billing
  • Coding error resolution
  • Knowledgeable in MacPractice, Nextech, IntelleChart

Timeline

Medical Biller and Coder

Alejandro Centurion MD
07.2016 - 12.2024

Medical Biller and Coder

Monterey Bay Eye Center
10.2000 - Current

Associate of Arts - Medical Billing

Heald College
Jackie Bandy