Kristen Schumacher
Medical Coder/Biller
Perryopolis,Pennsylvania
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Anxious to obtain a position in Medical coding to expand my skills while facilitating company growth. Adept at working effectively unsupervised and quickly mastering new skills. I am CPC certified and currently seeking my CRC certification
Overview
17
17
years of professional experience
1
1
Certificate
Work History
Account Representative Sr./Medical Billing Specialist
UPMC Mon Yough Community Services
McKeesport, PA
03.2021 - Current
- Created and processed claims to third-party payers using specific coding guidelines
- Maintained timely and accurate charge submission
- Verified the accuracy of claim data prior to submission to insurance carriers.
- Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Denial Resolution
- Monitored reimbursement from managed care networks and insurance carriers to verify consistency with contract rates.
- Submitted refund requests for claims paid in error.
- Answered customer questions to maintain high satisfaction levels.
- Posted charges, payments and adjustments in EPIC software
- Communicated with insurance representatives to complete claims processing or resolve problem claims.
- Completed and submitted appeals for denied claims.
- Performed insurance verification, pre-certification and pre-authorization.
- Submitted claims to insurance companies.
- Monitored aging accounts receivable balances ensuring timely resolution of outstanding balances.
- Reviewed claims for coding accuracy.
- Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
Regional Flight Attendant
Psa Airlines
Charlotte, NC
10.2006 - 03.2021
- Took measures during unusual conditions to maximize safety of customers and crew.
- Administered first aid to passengers experiencing medical issues and helped coordinate advanced in-flight or ground support.
- Distributed complimentary items such as pillows, blankets, headphones, magazines. upon request from passengers.
- Demonstrated safety equipment and procedures to meet FAA guidelines.
- Managed refreshments cart at scheduled intervals to give passengers food and beverages.
- Greeted passengers to assist in finding seating assignments and properly stowe items in overhead or under-seat storage.
- Conducted preflight checks to assess general condition and cleanliness of aircraft.
- Demonstrated proper use of seat belts, oxygen masks and flotation devices to prepare for emergencies.
- Provided onboard customer service such as assisting with seat belt extensions, beverage and meal services, and responding to passenger inquiries.
- Reported any maintenance issues observed within the aircraft cabin to supervisors for follow up action.
- Enforced FAA and airline rules with passengers in business, economy and first class.
- Followed directives of pilots and airport personnel to complete safe, on-time departures and arrivals.
Education
Medical Coding Certificate - Medical Coding
Pittsburgh Technical College
Oakdale, PA10-2019
Skills
- Regulatory Compliance
- Account Reconciliation
- Account Management
- Teamwork and Collaboration
- Commercial and Private Insurance
- Claims Review
- Billing and Collection Procedures
- Knowledgeable in EPIC
- Submission of Medical Claims
- Medisoft
- Medical Coding Understanding
- CPT Code Modifiers
- Electronic Claims
- Payment Posting
- HIPAA Compliance
- Account Follow-Up
- CMS-1500 Billing Forms
- ICD-10 Coding
- CPT Coding
- Medicaid and Medicare Knowledge
- Medical Terminology
- Insurance Claims Processing
Certification
CPC Certified
Timeline
Account Representative Sr./Medical Billing Specialist
UPMC Mon Yough Community Services
03.2021 - Current
Regional Flight Attendant
Psa Airlines
10.2006 - 03.2021
Medical Coding Certificate - Medical Coding
Pittsburgh Technical College
References
References available upon request.
References
References available upon request.
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