Stephanie Alvarado
South Elgin,IL
Summary
Accurate Medical coding and Billing Specialist performs all aspects of medical billing, including coding, charge entry, transmission, correction, and resubmission. Bring 21 years of experience in working hand-in-hand with the front office to validate proper information for claims processing. Detail-oriented and helpful professional with expertise in resolving billing issues and reviewing claim denials.
Overview
21
21
years of professional experience
Work History
Medical Coding and Billing Specialist
Progressive Medical Center
Addison, IL
09.2002 - Current
- Verified patient information, including medical history and insurance coverage, to ensure accuracy of coding and billing.
- Conducted audits of medical records to identify missing or incorrect documentation that could affect accurate coding and billing.
- Submitted claims electronically to insurance companies in accordance with regulations.
- Generated reports from software systems to track claim status and denials.
- Researched denied claims to determine the cause of denial and corrected errors as needed.
- Assigned appropriate codes using ICD-10-CM for diagnosis, CPT for procedures, HCPCS for supplies and modifiers as required by payers.
- Facilitated payment arrangements with patients and guarantors who were unable to make full payment at time of service.
- Provided customer service support via phone or email regarding account balances or other inquiries related to billing issues.
- Monitored regulatory updates from Medicare and Medicaid programs as well as private insurers.
- Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
- Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
- Received, organized and maintained all coding and reimbursement periodicals and updates.
- Maintained positive working relationship with fellow staff and management.
- Handled incoming calls and directed callers to appropriate department or employee.
Skills
- Payment Posting
- Medical Transcription
- Medical Terminology Expertise
- Revenue Cycle Management
- Medical Billing Software
- Claims Processing
- Organizational Abilities
- Insurance Verification
- Coding Error Resolution
- Data Verification
- Medical Terminology
- Medical Billing
- Knowledgeable in Allscripts and Athena
- Healthcare Claim Coding
Languages
Spanish
Full Professional
Timeline
Medical Coding and Billing Specialist
Progressive Medical Center
09.2002 - Current
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