Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
22
22
years of professional experience
Work History
Account Specialist
Northside Hospital
Atlanta, GA
02.2003 - Current
Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
Compiled and processed data for billing purposes utilizing billing software programs.
Researched discrepancies between billed charges and payments received from insurance companies or other third party payers.
Performed daily reconciliation of accounts receivable with payment postings on the computer system.
Maintained accurate records of all billing activity in accordance with departmental standards.
Reviewed account information to confirm patient and insurance information is accurate and complete.
Applied HIPAA privacy and security regulations while handling patient information.
Contacted insurance providers to verify insurance information and obtain billing authorization.
Reviewed claims for coding accuracy.
Distributed or posted financial data to appropriate accounts and prepare simple reconciliations.
Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
Checked claims coding for accuracy with ICD-10 standards.
Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
Reconciled codes against services rendered.
Education
Master of Business Administration - Business Healthcare Administrative
Strayer University-Georgia
Atlanta, GA
02.2025
Bachelor of Administrative Studies - Business Healthcare Administrative
Strayer University-Georgia
Atlanta, GA
06.2023
CERTIFICATE - MEDICAL BILLING AND CODING
Sanford-Brown College-Atlanta
Atlanta, GA
06.2008
High School Diploma - BUSINESS
SOUTHSIDE HIGH SCHOOL
Atlanta, GA
05.1988
Skills
Billing issue resolution
Claims review
Information requests
ICD-9
IDX
Billing codes
Payment posting
Patient account analysis
Account follow-up
ICD-10
CPT code modifiers
CERNER
Medics
Medical terminology expert
Procedure coding
Information inputting
Claim review
Accounts receivable management
Timeline
Account Specialist
Northside Hospital
02.2003 - Current
Master of Business Administration - Business Healthcare Administrative
Strayer University-Georgia
Bachelor of Administrative Studies - Business Healthcare Administrative