Organized Medical Biller thoroughly versed in medical coding, billing and HIPAA requirements. Personable professional with over 25 years of hands-on experience claiming refunds, reviewing claims, billing and coding.
Overview
28
28
years of professional experience
Work History
Medical Billing Specialist- Remote
Tampa Lung Specialist, PA
TAMPA, FL
06.2023 - 08.2024
Pulmonary/Critical Care billing and coding
Verified the accuracy of claim data prior to submission to insurance carriers.
Generated monthly invoices for patients based on services provided according to established fee schedules.
Created and processed claims to third-party payers using specific coding guidelines.
Worked closely with clinical staff to ensure accurate coding practices were followed.
Adhered to HIPAA regulations when handling confidential patient information.
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Pulmonary/Critical Care billing and coding
Experience with Medicare, Medicaid, Commercial Insurance, Workers Compensation and Auto
Medical Office Manager
Tampa Lung Specialists, PA
TAMPA, FL
06.2012 - 07.2023
Created and maintained office policies and procedures to ensure smooth operations and compliance with all state regulations.
Oversaw day-to-day operations of the front desk area to ensure efficient flow of patients through check-in and checkout processes.
Assisted in resolving conflicts between staff members and addressing any issues that arose related to patient care or safety concerns.
Monitored inventory levels of supplies necessary for daily operations of the office.
Recruited qualified candidates for open positions within the practice when necessary.
Prepared weekly reports summarizing financial performance metrics, such as revenue collections, accounts receivable balances.
Medical Billing Specialist
Cernuda, Cohen, Reina, Sierra, PA
TAMPA, FL
04.1999 - 06.2012
Pulmonary Disease coding and billing,
Analyzed rejected claims and corrected errors as necessary before resubmitting them for payment.
Applied payments, adjustments, and denials into medical manager system.