Efficient billing professional with 4 years of experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Medical Billing and Collections Specialist
American Renal Association
04.2020 - Current
Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
Communicated with insurance companies to research and resolved coding discrepancies.
Communicated with insurance providers to resolve denied claims and resubmitted.
Verified insurance of patients to determine eligibility.
Generated reports and analyzed trends to maximize reimbursement and reduce claim denials.
Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
Located errors and promptly refiled rejected claims.
Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
Medical Secretary
Harvard Vanguard Medical Associates
12.2012 - 04.2020
Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Kept information confidential and followed HIPAA guidelines to maintain patient trust.
Organized paperwork such as charts and reports for office and patient needs.
Registered new patients in electronic medical records prior to appointment scheduling.
Supported office staff and operational requirements with administrative tasks.
Performed various administrative tasks by filing, copying and faxing documents.
Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
Registered and verified patient records before triage with most up-to-date information.
Answered phone calls and messages for 12-physician Internal Medicine medical facility, scheduling appointments, and handling patient inquiries.
Medical Transcriptionist
Inform Dx
07.2014 - 03.2020
Followed all HIPAA rules and regulations regarding patient confidentiality.
Recorded information using word processing, dictation and transcription software and equipment.
Maintained security and privacy of records to protect patients and providers.
Corrected grammar, spelling and syntax mistakes in medical records.
Translated medical jargon into correct terminology.
Worked cohesively with physicians and other clinical staff to complete transcriptions.
Identified and rectified inconsistencies, deficiencies and discrepancies in medical documentation.
Applied medical terminology related to provider-specific treatments and techniques.
Reviewed and edited transcripts to verify and provide accurate and complete information.
Responded to inquiries regarding transcripts to provide information and resolve issues.
Provided customer service to assist clients with questions and concerns regarding medical transcription.
Accounting Assistant
Our Lady Of Peace Hospital
11.2010 - 12.2011
Maintained clean and organized files by keeping accounts payable records up-to-date.
Maintained accurate and complete documentation to facilitate accounting and filing functions.
Streamlined bookkeeping procedures to increase efficiency and productivity.
Used accounting software to prepare weekly and monthly financial reports.
Checked general ledger entries to increase accuracy, prevent significant errors and identify adjustments.
· Process physician encounters for payment from various insurances i.e. KY Medicaid, and Self-Pay accounts Audit patient charts to ensure accuracy of each payment
Research and review KY Medicaid patient accounts for retro physician payments.
· Research physician AR for various physician offices Update and maintained hospital daily inpatient statistics file for senior management review.
· Entered figures using 10-key calculator to compute data quickly.
Medical Secretary
Harvard Vanguard Medical Associates
11.2004 - 02.2009
Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Kept information confidential and followed HIPAA guidelines to maintain patient trust.
Organized paperwork such as charts and reports for office and patient needs.
Maintained current and accurate medical records for patients.
Supported office staff and operational requirements with administrative tasks.
Enhanced office productivity by handling high volume of callers per day.
Prioritized calls through screening process and transferred calls and recorded messages for appropriate personnel.
Located, checked in, and pulled medical records for patient appointments and incomplete charts.
Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
Greeted visitors and initiated triage processes for clients to streamline patient flow.
Education
Bachelor of Science - Business Administration Healthcare Management
Colorado Technical University
Colorado Springs, CO
12.2012
Associate of Science - Medical Billing And Coding
Colorado Technical University
Colorado Springs, CO
2007
Skills
Billing Data Verification
Claims Resolution
Health Insurance
Medical Terminology
Denial Appeals Process
Collections
Customer Service
HIPAA Compliance
Claims Appeals
ICD-10 (International Classification of Disease Systems)
Coverage Determination
Reading Comprehension
Certification
CPC-A
Timeline
Medical Billing and Collections Specialist
American Renal Association
04.2020 - Current
Medical Transcriptionist
Inform Dx
07.2014 - 03.2020
Medical Secretary
Harvard Vanguard Medical Associates
12.2012 - 04.2020
Accounting Assistant
Our Lady Of Peace Hospital
11.2010 - 12.2011
Medical Secretary
Harvard Vanguard Medical Associates
11.2004 - 02.2009
Bachelor of Science - Business Administration Healthcare Management