Medical billing professional with deep expertise in managing patient billing and insurance claims. Strong background in coding, account reconciliation, and compliance with healthcare regulations. Known for collaborating effectively with teams and adapting to changing needs to achieve optimal results. Reliable and detail-focused, ensuring accurate and timely processing of financial information.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Medical Billing Specialist
Vista Healthcare
05.2022 - Current
Review medical documentation to ensure accuracy of CPT and ICD 10 codes and submit to insurance
Investigate any denied/rejected claims and correct
Communicate with 3rd party payers and patients about bills and insurance
Adhere to HIPAA regulations and coding standards to maintain accuracy and privacy
Communicated effectively and extensively with other departments to resolve claims issues.
Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
Located errors and promptly refiled rejected claims.
Identified and resolved patient billing and payment issues.
Medical Billing Specialist
Hearing and Balance Doctors
12.2020 - 05.2022
Verified accuracy of medical claims by reviewing documentation and submitted ton insurance
Worked any rejected/denied claims to ensure reimbursement was received
Stayed up to date on Provider Credentialing
Initiated any required Prior Authorizations
Mailed monthly statements
Verified insurance of patients to determine eligibility.
Animal Control Officer
City of Saint George
04.2014 - 08.2017
Collaborated with local law enforcement agencies to enforce animal control ordinances and handle dangerous or aggressive animals.
Conducted thorough investigations into cases of suspected animal cruelty or neglect, gathering evidence to support legal action when necessary.
Developed strong working relationships with veterinarians, rescue organizations, and other stakeholders within the community for improved collaboration on shared goals.
Maintained a safe environment for animals in the shelter by performing daily health checks, feeding, and cleaning duties.
Ensured proper handling of deceased animals for transport to designated disposal facilities while adhering to established protocols.
Facilitated positive outcomes in difficult situations by using conflict resolution skills when interacting with agitated or uncooperative individuals during field operations.
Captured domestic and wild animals.
Investigated and gathered information regarding animal-related complaints.
Managed accurate record-keeping systems for all impounded animals, ensuring timely updates and smooth communication with other departments.
Wrote reports of activities and maintained files of impoundments and dispositions of animals.
Master Coordination Center Officer
Department Of Homeland Security, TSA
04.2012 - 02.2014
Mentored junior staff members, helping them develop their skills and advance in their careers.
Maintained strict adherence to industry regulations, minimizing risk exposure for the organization.
Enhanced communication between team members by organizing regular meetings and fostering open dialogue.
Established effective relationships with key stakeholders both internally and externally for increased collaboration opportunities.
Coordinated operations with other emergency service groups.
Established protocols for handling sensitive information, ensuring confidentiality and compliance with legal standards.
Coordinated with multiple agencies to streamline operations, enhancing overall response times during emergencies.
Gathered, organized and input information into digital database.
Transportation Security Officer
Department of Homeland Security TSA
04.2012 - 02.2014
Enhanced passenger safety by conducting thorough security screenings and inspections of luggage, vehicles, and individuals.
Assisted passengers with special needs or disabilities during the security screening process, ensuring their comfort and dignity were maintained at all times.
Detected potential threats by utilizing advanced screening technology, such as X-ray machines and metal detectors.
Completed extensive training in emergency response protocols related to fire safety and hazardous material handling
Stayed current on evolving security protocols by participating in ongoing training programs and workshops regularly.
Attended daily briefings with supervisors to discuss issues with security screening processes.
Maintained a high level of situational awareness during peak travel times, enabling quick response to potential issues.
Promoted a positive customer service experience while enforcing strict adherence to federal regulations regarding air travel safety measures.
Used explosive detection machines and chemical swab systems to identify potential hazards.
Collaborated with team members to ensure a secure environment for all travelers and airport personnel.
Authenticated boarding passes, identification, and passports to prevent fraudulent travel.
Enhanced public understanding of security procedures through clear and effective communication.
Maintained up-to-date knowledge of TSA regulations and guidelines, ensuring compliance in all procedures.
Education
High school diploma -
Natrona County High School
Casper, WY
05.2007
Skills
Documentation Review
EMR Systems
Medical Records
CPT Coding
Medical Coding
ICD-10
Insurance Verification
Medical Billing
Medical Terminology
Anatomy Knowledge
Certification
Medical Coding Certification
December 2019 to Present
Certified in medical coding for physician office setting.
Specialize in coding for physician and non-physician providers.
Expertise in assigning CPT, ICD 10 and HCPCs codes.
Understanding of anatomy, physiology and medical terminology.
Sound knowledge of medical coding guidelines and regulations, including compliance and reimbursement.
Timeline
Medical Billing Specialist
Vista Healthcare
05.2022 - Current
Medical Billing Specialist
Hearing and Balance Doctors
12.2020 - 05.2022
Animal Control Officer
City of Saint George
04.2014 - 08.2017
Master Coordination Center Officer
Department Of Homeland Security, TSA
04.2012 - 02.2014
Transportation Security Officer
Department of Homeland Security TSA
04.2012 - 02.2014
High school diploma -
Natrona County High School
Similar Profiles
RYAN SUDWEEKSRYAN SUDWEEKS
Physician Assistant, Rheumatology at Vista HealthcarePhysician Assistant, Rheumatology at Vista Healthcare