Joyce Champlin
31 Village Green, Rhinebeck,NY
Summary
Organized Medical Biller thoroughly versed in medical coding and HIPAA requirements. Personable professional with several years of hands-on experience claiming refunds, reviewing claims, and maintaining billing reports. Accommodating and helpful team player proficient in job-related billing software.
Overview
16
16
years of professional experience
Work History
Medical Insurance Biller
Northern Dutchess Paramedics
Rhinebeck
08.2014 - 06.2024
- Reviewed and processed medical claims for accuracy, according to insurance guidelines.
- Verified patient information, such as demographics and insurance coverage, to ensure accuracy of claim submissions.
- Checked claims coding for accuracy with ICD-10 standards.
- Performed insurance verification, pre-certification, and pre-authorization.
- Monitored past due accounts and pursued collections on outstanding invoices.
- Managed all payment processing, invoicing, and collections tasks.
- Submitted claims to insurance companies.
- Answered customer questions to maintain high satisfaction levels.
Emergency Room Unit Secretary
Columbia Memorial Hospital
Hudson, NY
08.2009 - 08.2011
- Maintained patient records and charts, ensuring accuracy and completeness of information.
- Verified insurance eligibility using online systems provided by various payers.
- Performed data entry into electronic health records system accurately and timely.
- Answered telephones and directed calls to appropriate medical or administrative staff.
- Provided emotional support to patients' families during times of distress.
Personal Coordinated
The ARC of Kingston
Kingston, NY
05.2008 - 08.2011
- Reviewed individual medical records of students with special healthcare needs as needed.
- Advised faculty members on how best to support students' physical, emotional, social, intellectual, environmental, and spiritual growth.
Education
GED -
Skills
- Medical Billing
- ICD-10
- Medical Coding
- CPT Coding
- Insurance Verification
- Claims Processing
- Commercial and Private Insurance
- HIPAA Compliance Certification
- Billing and Collection Procedures
- Account follow-up
- Accounts Receivable
- Medical coding understanding
- Information inputting
- Patient Collections
- Worker's Compensation Knowledge
- Insurance claims processing
- Submission of medical claims
- Patient Billing
- Electronic Claims
- Payment posting
- ICD-10 Coding
- Billing codes
- CMS-1500 Billing Forms
References
References available upon request.
Timeline
Medical Insurance Biller
Northern Dutchess Paramedics
08.2014 - 06.2024
Emergency Room Unit Secretary
Columbia Memorial Hospital
08.2009 - 08.2011
Personal Coordinated
The ARC of Kingston
05.2008 - 08.2011
GED -
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