To seek and maintain a full-time position that offers professional challenges, utilizing interpersonal skills, excellent time management, and problem-solving skills.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Medical Biller and Coder
Jefferson County Department of Health
06.2022 - Current
Preparing and submitting billing data and medical claims to insurance companies
Ensuring each patient's medical information is accurate and up-to-date
Preparing bills and invoices and document amounts due to medical procedures and services
Generate revenue by making payment arrangements, collecting accounts, and monitoring and pursuing delinquent accounts.
Collect delinquent accounts by establishing payment arrangements with patients, monitoring payments, and following up with patients when payment lapses occur.
Utilize collection agencies and small claims courts to collect accounts by evaluating and selecting collection agencies, determining the appropriateness of pursuing legal remedies and testifying in court cases, when necessary
Maintain Medicare bad-debt cost report.
Secure outstanding balance payments for the care of employees.
Correctly coded and billed medical claims for various hospital and nursing facilities.
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.
Resourcefully used various coding books, procedure manuals, and on-line encoders.
Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Contributed to team efficiency by maintaining organized records of patient accounts, billing statements, and payment statuses.
Played a pivotal role in maintaining positive cash flow within the organization by ensuring timely submission of clean claims and diligent follow-ups on outstanding payments.
Expedited payment processing by promptly addressing any discrepancies or issues raised by insurance carriers.
Provided support to administrative staff by ensuring proper handling of sensitive patient data according to HIPAA regulations.
Used classification manuals to gain additional knowledge of disease and diagnoses processes.
Verified accuracy of patient information in medical records.
Followed up with medical staff regarding missing information in patient records.
Communicated effectively with staff, patients, and insurance companies by email and telephone.
Utilized electronic medical record systems to store, retrieve and process patient data.
Communicated with insurance companies to research and resolved coding discrepancies.
Maintained high levels of customer satisfaction through prompt resolution of disputes related to charges on patient accounts or insurance claims.
Developed effective communication channels with insurance companies to facilitate prompt resolution of claim inquiries and disputes.
Assisted patients with understanding their insurance coverage and financial responsibilities, fostering positive relationships and trust between the practice and its clients.
Interacted with physicians and other healthcare staff to ask questions regarding patient services.
Dental Assistant & Administrative Assistant
Jefferson County Department of Health
10.2015 - 06.2022
Scheduled appointments, verified insurance coverage, and processed payments
Assisted the dentist in providing high-quality dental care to patients of all ages
Prepared treatment rooms and sterilized instruments according to established protocols
Provided chairside assistance for a variety of dental procedures, including fillings, extractions, and root canals
Took and developed digital X-rays, ensuring high-quality images for accurate diagnosis
Educated patients on proper oral hygiene techniques and post-operative care instructions
Managed patient records, including updating medical histories and treatment plans in the dental software system.
Cleaned and sanitized dental tools and equipment, straightened treatment rooms, and restocked supplies to prep for next patient and maintain health and safety practices.
Maintained a clean and sterile work environment to prevent cross-contamination and infection.
Sanitized trays, instruments, and surfaces for clean dental office setting and patient safety.
Provided chairside assistance during examinations, improving dentist efficiency and patient satisfaction.
Documented patient dental health information, medical history, and vital signs for future reference.
Explained treatment procedures and instructed patients on home care guidelines.
Managed inventory of dental supplies, reducing waste and optimizing resource allocation.
Recorded patients' health histories, documented current symptoms, and pulled up records from prior visits for dentists to view and evaluate.
Responded to inquiries from callers seeking information.
Maintained a clean and welcoming office environment, fostering positive impressions among clients and visitors alike.
Expedited invoice processing, ensuring accurate recording of financial transactions in the accounting system.
Ensured timely completion of projects with diligent task prioritization, delegation, and followup.
Safeguarded company information by maintaining strict confidentiality in handling sensitive documents and records.
Reduced errors in documentation by meticulously proofreading and editing written materials.
Managed filing system, entered data and completed other clerical tasks.
Created and maintained detailed administrative processes and procedures to drive efficiency and accuracy.
Continually sought methods for improving daily operations, communications with clients, recordkeeping, and data entry for increased efficiency.
Interacted with vendors, contractors and professional services personnel to receive orders, direct activities, and communicate instructions.
Sterile Technician
University of Birmingham
09.2020 - 04.2021
Collecting used and contaminated equipment, instruments, and supplies for sorting and decontamination
Manually cleaning supplies of contaminants, removing waste matter, and operating and maintaining decontamination equipment
Preparing and packing decontaminated supplies for sterilization
Monitoring and operating sterilization equipment
Examining supplies meticulously to ensure they are properly cleaned and sanitized
Testing and reporting any issues or problems with the sterilization equipment
Sterilizing, preparing, wrapping, and organizing equipment into instrument trays for use during medical procedures
Preparing and delivering all necessary equipment and instruments for surgeries, examinations, medical procedures, and medical carts
Maintaining records of sterilization procedures, sterilized items, equipment maintenance, and supplies
Controlling the inventory, reordering supplies, and checking expiration dates.
Minimized delays in surgical procedures by efficiently handling urgent requests for specific sterile tools or supplies.
Contributed to cost-saving initiatives by identifying opportunities for process improvement and resource optimization within the sterile processing department.
Reduced risk of infection by properly disposing of contaminated materials and maintaining equipment cleanliness.
Assisted in staff training on proper sterilization techniques, ensuring consistent adherence to best practices.
Ensured instrument sterility by diligently following established sterilization protocols and procedures.
Provided support during surgery preparations, ensuring timely availability of sterile equipment when needed.
Reprocessed reusable medical devices according to manufacturer recommendations, prolonging their lifespan while maintaining sterility standards.
Played a key role in reducing cross-contamination incidents by carefully separating clean and dirty instruments during processing stages.
Improved operating room efficiency by effectively managing the inventory and restocking of sterile supplies.
Demonstrated strong communication skills when coordinating with nursing and surgical staff, ensuring an accurate understanding of their sterilization needs and priorities.
Safeguarded patient health by performing biological testing on sterilizers regularly, ensuring optimal effectiveness at all times.
Maintained a clean and organized work environment, adhering to strict safety regulations and guidelines.
Followed OSHA, FDA and AAMI guidelines related to sterilization in compliance with administrative regulations.
Recorded biologicals and test results.
Inspected sterile package integrity prior to distribution.
Wrapped trays, instrument packs, and sets.
Dental Assistant & Administrative Assistant
Dr. Genesis Pittman D.M.D. Family Dentistry
10.2014 - 10.2015
Scheduled appointments, verified insurance coverage, and processed payments
Assisted the dentist in providing high-quality dental care to patients of all ages
Prepared treatment rooms and sterilized instruments according to established protocols
Provided chairside assistance for a variety of dental procedures, including fillings, extractions, and root canals
Took and developed digital X-rays, ensuring high-quality images for accurate diagnosis
Educated patients on proper oral hygiene techniques and post-operative care instructions
Managed patient records, including updating medical histories and treatment plans in the dental software system.
Maintained a clean and sterile work environment to prevent cross-contamination and infection.
Cleaned and sanitized dental tools and equipment, straightened treatment rooms, and restocked supplies to prep for next patient and maintain health and safety practices.
Sanitized trays, instruments, and surfaces for clean dental office setting and patient safety.
Handled administrative tasks such as billing, insurance claims processing, and appointment confirmation calls to support office operations efficiently.
Reduced appointment cancellations by implementing reminder calls and text messaging services, resulting in improved scheduling efficiency.
Contributed to office organization by maintaining accurate patient records and updating files regularly.
Education
Associate of Science - Medical Billing And Coding
Herzing University
04.2024
Diploma in Sterile Tech - Sterile Processing Technology
Ashford University
12.2020
Diploma in Dental Assisting - Dental Assisting
Fortis Institute
06.2013
High School Diploma -
P.D. Jackson-Olin High School
05.2011
Skills
HIPAA Compliance
Payment posting
Insurance Verification
ICD-10 Proficiency
Claim submission
Appeals processing
Medical Coding Expertise
Procedural Coding
HCPCS Level II Familiarity
Commercial Insurance Billing
Denial Management
Claims Processing
Certification
Expecting to obtain Certified Coding Specialist (CCS) by end of 2024
Timeline
Medical Biller and Coder
Jefferson County Department of Health
06.2022 - Current
Sterile Technician
University of Birmingham
09.2020 - 04.2021
Dental Assistant & Administrative Assistant
Jefferson County Department of Health
10.2015 - 06.2022
Dental Assistant & Administrative Assistant
Dr. Genesis Pittman D.M.D. Family Dentistry
10.2014 - 10.2015
Associate of Science - Medical Billing And Coding
Herzing University
Diploma in Sterile Tech - Sterile Processing Technology
Ashford University
Diploma in Dental Assisting - Dental Assisting
Fortis Institute
High School Diploma -
P.D. Jackson-Olin High School
Expecting to obtain Certified Coding Specialist (CCS) by end of 2024
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