Kiffany Rodgers

• Efficiently managed and notated 50+ daily claims, ensuring prompt processing for a large dermatology clinic.
• Performed insurance verification, pre-certification and pre-authorization.
• Verified the accuracy of claim data prior to submission to insurance carriers.
• Processed electronic 835's and manual payer EOBs including posting of insurance allowable, patient portions, denials, adjustments, contractual allowances, recoupment, and forward balancing.
• Drafted appeal letters as needed.
• Obtained necessary medical documentation as required by third party carriers.

• Coded diagnoses and procedures from patient medical records using ICD-10-CM and CPT-4 codes.
• Assigned appropriate codes using ICD-10-CM for diagnosis, CPT for procedures, HCPCS for supplies and modifiers as required by payers.
• Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
• Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
• Utilized coding software and tools efficiently to expedite the coding process.

• Specialties include but are not limited to Family Practice, Podiatry, Dermatology, Gynecology and Fertility, Psychiatry.
• Analyzed rejected claims and corrected errors as necessary before resubmitting them for payment.
• Worked closely with clinical staff to ensure accurate coding practices were followed.
• Completed appeals and filed and submitted claims.
• Communicated with insurance representatives to complete claims processing or resolve problem claims.

• Greeted patients upon arrival and ensured they had the necessary paperwork completed.
• Scheduled follow-up visits as needed based on physician instructions.
• Checked-in patients for scheduled appointments by verifying demographic information, updating as needed, collecting co-payments, verifying insurance coverage.
• Assisted other departments with various tasks as requested by supervisor.
• Applied HIPAA privacy and security regulations while handling patient information.
• Addressed patient inquiries and concerns, resolving issues in a timely and empathetic manner.
• Obtained informed consent and payment documentation from patients and filed in system.

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• Specialties include but not limited to Ambulatory, Anesthesia, Pain and Rehabilitation, and Podiatry.
• Entered data in EMR database to record payer, authorization requirements and coverage limitations.
• Verified patient insurance coverage, benefits, and eligibility for services across multiple insurance platforms.
• Submitted clean claims electronically via various clearinghouses or direct-to-payer connections.
• Reviewed rejections, and denials, filed appeals and posted payments.