Julie Scholler
Grand Forks,ND
Summary
Detail-oriented professional with expertise in insurance verification, ICD-10 coding, and billing authorization. Committed to enhancing patient care and streamlining claims processes.
Overview
25
25
years of professional experience
Work History
Insurance Verification and Prior Authorization
Grand Forks Clinic
Grand Forks, North Dakota
05.2023 - 06.2026
- Contacted insurance providers to verify insurance information and secure billing authorization for timely claims processing.
- Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
- Reviewed account information to ensure accuracy and completeness of patient and insurance details for efficient claims submission.
- Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
- Assisted in auditing process by verifying accuracy of submitted claim forms against physician documentation to uphold compliance and reduce errors.
- Coordinated communications between patients, billing personnel and insurance carriers.
- Monitored reimbursement from managed care networks and insurance carriers to verify consistency with contract rates.
- Answered incoming calls regarding billing inquiries from patients and and or providers in a professional manner.
Medical Assistant
Valley Bone and Joint
Grand Forks, North Dakota
02.2001 - 03.2023
- Assisted healthcare providers in patient examinations and procedures.
- Prepared and maintained examination rooms for patient visits.
- Managed patient records using electronic health record systems.
- Scheduled patient appointments and coordinated referrals to specialists.
- Educated patients on preventive care and wellness practices.
- Assisted physicians with patient care by taking vital signs, patient histories and preparing patients for examinations.
- Relayed patient messages to physicians regarding concerns, condition updates, or refill requests to ensure timely treatment.
- Scheduled appointments for patients via phone and in person.
- Cleaned and maintained medical equipment following procedures and standards.
- Participated in team meetings to enhance workflows and support better patient outcomes.
- Assisted with pre-operative preparation, including instructing patients on post-operative care plans to ensure understanding and compliance.
Education
Lakeland Medical Academy
Minneapolis, MNSkills
- Insurance verification
- Attention to detail
- Team collaboration
- Collaboration
- Training and Development
- ICD-10 coding
- Billing authorization
- Electronic health records
- Patient coordination
Timeline
Insurance Verification and Prior Authorization
Grand Forks Clinic
05.2023 - 06.2026
Medical Assistant
Valley Bone and Joint
02.2001 - 03.2023
Lakeland Medical Academy