Medical Billing and Coding Specialist with 25+ years providing administrative and patient support in hospital and medical office settings. Advanced knowledge of private insurance processes and codes.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Medical Coding and Billing Specialist
Columbia Asthma and Allergy
10.2019 - Current
Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
Attained up-to-date knowledge of coding requirements through continuing education courses and certification renewal.
Interacted with physicians and other healthcare staff to ask questions regarding patient services.
Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
Co-owner
Boise Elite Medical Billing
01.2012 - 01.2021
We did the billing for several different clinics in the treasure valley, from dermatology billing, Allergy billing, mental health, eye care and speech therapy billing as contract employees
Billing and Coding Specialist
Idaho Allergy
01.2015 - 10.2019
I worked as a contract employee doing all aspects of the billing and coding
Columbia Asthma and Allergy bought Idaho Allergy in 2018 and I became an employee to them
My job duties include claims editing, sending and working the AR, working with insurance companies on denials
I also handle all patient, employee phone calls, enter all payments (insurance and patient), send medical records, along with maintaining spreadsheets that apply to our Idaho office
Billing Specialist
Valley Information Systems
01.2010 - 01.2012
I worked at Valley Information Systems in billing and also training on their software (DataPulse)
Valley had clients from all over Idaho maintaining their software and any billing/coding questions they had
Manager
McMillan Medical Center
01.2005 - 01.2010
Managing a busy walk-in/family practice clinic from hiring and firing employees, credentialling new providers, billing/coding, payroll, spreadsheets, daily running a busy clinic
Education
BBA - Business Administration
AAU
Chicago, IL
03-2011
Skills
Anatomy and physiology
Medical transcription
HIPAA compliance
Claims processing
Medical billing software
Patient confidentiality
Insurance verification
Medical record review
Medical billing procedures
Continuing education
Medical office administration
Payment posting
Insurance coding (ICD-9 and CPT)
Revenue cycle management
CPT coding
Medicare insurance regulations
Statement analysis
Data entry and management
Record assessment
Medical coding and abstracting
Training and mentoring
Healthcare claim coding
Insurance claims analysis
Medical claims coding
Medical terminology
Coding error resolution
Coding appeals
Data entry
Medical billing
Certification
CPC - Certified Professional Coder
Timeline
Medical Coding and Billing Specialist
Columbia Asthma and Allergy
10.2019 - Current
Billing and Coding Specialist
Idaho Allergy
01.2015 - 10.2019
Co-owner
Boise Elite Medical Billing
01.2012 - 01.2021
Billing Specialist
Valley Information Systems
01.2010 - 01.2012
Manager
McMillan Medical Center
01.2005 - 01.2010
CPC - Certified Professional Coder
BBA - Business Administration
AAU
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