Julie Sewall
Las Vegas,NV
Summary
Experienced with medical billing and coding. Utilizes skills in claims processing and regulatory compliance to enhance healthcare administration. Knowledge of maintaining accurate patient records and navigating complex billing systems.
Overview
18
18
years of professional experience
Work History
Medical Biller and Coder
A to Z Pain Management
02.2019 - Current
- Boosted customer satisfaction through professional handling of patient inquiries regarding billing matters and insurance coverage.
- Contributed to company growth by accurately analyzing trends in denial rates, payer mix, and other key performance indicators relevant to revenue cycle management.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- 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.
Medical Biller
Anthem Pediatrics
09.2016 - 02.2019
- Billing, invoicing, arranging payment methods, overseeing collections, accounts receivable, and proper financial statement
- Billing and collections, monitoring claims, and utilizing A/R reports
- Processing claims accurately and promptly, making sure that critical information is accurate and where it needs to be so that everything is processed correctly for patients
- Generate billing statements; process claims and adjustments and update patient information
- Helping patients with their accounts and contacting insurance companies on behalf of patients to assess problems with processing of claims and working on claims appeal
- Verify medical insurance; notify patients when they need to contact HMO insurance companies to update Primary Care Provider information.
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified accuracy of accounts payable payments, resulting in a 30% reduction in payment errors and check reissues.
Imprint Manager
Paul Oxman Publishing, Inc.
01.2007 - 01.2015
- Preparing the printing press for the upcoming job
- Operating and maintaining the printing press during and between jobs
- Make adjustments, monitor paper stock, and clear paper jams to minimize downtime
- Managed and motivated employees to be productive and engaged in work.
- Maintained a professional, organized, and safe environment for employees and patrons.
- Developed and maintained relationships with customers and suppliers through account development.
Education
Associate of Applied Science Degree - Medical Billing and Coding
Asher College
Las Vegas, NV06.2000
Skills
- Window OS / MacOS proficient
- MS Office Suite - Access, Excel, PowerPoint and Word
- Amazing Charts
- Medisoft
- HIPAA compliance
- Insurance verification
- Insurance claims
- Electronic claims
- ICD-10 proficiency
- Medicare and medicaid billing
- Claim submission
- Appeals processing
Timeline
Medical Biller and Coder
A to Z Pain Management
02.2019 - Current
Medical Biller
Anthem Pediatrics
09.2016 - 02.2019
Imprint Manager
Paul Oxman Publishing, Inc.
01.2007 - 01.2015
Associate of Applied Science Degree - Medical Billing and Coding
Asher College
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