Julie Murray
El Dorado Hills,CA
Summary
Experienced with interpreting and applying coding guidelines and regulations. Utilizes analytical skills to ensure accuracy in coding and compliance. Knowledge of ICD-10-CM, CPT coding, and medical terminology to support effective healthcare operations.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Certified Professional Coder/Medical Biller and Credentialing Specialist
Medical Vision Technology
04.2025 - Current
- Manage full-cycle revenue cycle operations, including charge entry, claim submission, payment posting, and A/R follow-up for ophthalmology services
- Submit high-volume claims to Medicare, Medi-Cal, and commercial payers, ensuring accuracy and compliance with payer-specific requirements
- Investigate and resolve complex claim denials, including corrections, rebilling, and appeals to secure timely reimbursement
- Perform payment posting and account reconciliation, ensuring accurate financial reporting and identifying underpayments
- Work aging reports and prioritizing high-dollar and timely filing claims to maximize reimbursement
- Communicate with patients regarding balances, process payments, and assist with payment arrangements
- Apply accurate CPT, ICD-10-CM, and HCPCS coding, including appropriate modifier usage
- Support billing for ophthalmic services including intravitreal injections (67028), OCT (92134), visual fields (92083), and fundus photography (92250)
- Collaborate with providers and clinical staff to ensure accurate documentation and billing alignment
- Manage provider credentialing and enrollment, ensuring timely approvals and compliance with payer requirements
- Maintain current knowledge of Medicare regulations, payer policies, and billing best practices
- Identify workflow inefficiencies and contribute to process improvements to enhance billing accuracy and turnaround time
- (EPIC)
Revenue Cycle Supervisor
Kids Care Dental & Orthodontics
07.2021 - 03.2025
- Oversaw end-to-end revenue cycle operations in a remote environment
- Submitted initial claims ensuring timely filing compliance
- Monitored rejection and aging reports; corrected and resubmitted claims
- Managed complex insurance appeals including narratives, x-rays, and clinical documentation
- Audited account balances, payments, credits, and adjustments
- Responded to patient inquiries via phone and email
- Assisted leadership with special projects, audits, and denial trend analysis
- Collaborated closely with Oral Surgery and Surgery Center managers
- Managed orthodontic billing, provider changes, and insurance follow-ups
- Remote position (Dentrix)
Billing Representative/Patient Services
Livermore Optometry Group
04.2013 - 06.2020
- Posted insurance payments and investigated underpayments
- Recovered approximately $30,000 in unpaid claims through detailed analysis, correction, and resubmission of denied claims
- Audited claims for accuracy, coding, and authorization compliance
- Appealed denied claims and corrected coding errors
- Verified insurance eligibility and claim status with payers
- Coordinated provider credentialing for in-network participation
- Submitted paper and electronic claims within timely filing limits
- Entered and maintained accurate patient demographic data
- (Officemate)
Education
Certificate - Dental Billing Course, Medical Billing Course, Medical Coding CPC Preparation
AAPC
Diploma - Medical Insurance Billing and Coding
Heald College
Skills
- EPIC (EHR/PM Systems)
- Microsoft Excel, Word, Outlook
- Medicare, Palmetto, Tricare, Availity and several Commercial Payer Portals
Certification
- American Academy of Professional Coders (AAPC), Member in good standing
- Certified Professional Coder, (CPC)
CORE COMPETENCIES
- Revenue Cycle Management (RCM)
- A/R Follow-Up & Denial Resolution
- Charge Entry & Claims Submission
- Payment Posting & Reconciliation
- Medicare, Medi-Cal & Commercial Billing
- Ophthalmology & Retina Billing
- CPT, ICD-10-CM, HCPCS Coding
- Prior Authorizations & Insurance Verification
- High-Dollar Claim Management
- Patient Billing & Collections
- Provider Credentialing
- Process Improvement
Timeline
Certified Professional Coder/Medical Biller and Credentialing Specialist
Medical Vision Technology
04.2025 - Current
Revenue Cycle Supervisor
Kids Care Dental & Orthodontics
07.2021 - 03.2025
Billing Representative/Patient Services
Livermore Optometry Group
04.2013 - 06.2020
Diploma - Medical Insurance Billing and Coding
Heald College
Certificate - Dental Billing Course, Medical Billing Course, Medical Coding CPC Preparation
AAPC