LaTasha Bouldin
San Antonio
Summary
Proven Medical Biller with a track record of enhancing reimbursement rates and reducing claim denials for Visionworks. Expert in ICD-10 coding and insurance verification, demonstrating meticulous attention to detail and robust problem-solving skills. Achieved daily quotas by efficiently processing over 75 claims, ensuring optimal revenue cycle management. Hardworking professional applies official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services. Confident Medical Coder adheres to data confidentiality and privacy rules in all workflows and promotes dynamic interpersonal skills.
Overview
25
25
years of professional experience
Work History
Medical Biller and Coder
Visionworks
09.2018 - Current
- Correctly coded and billed medical claims for various insurance companies.
- Reduced claim denials through meticulous verification of patient eligibility and coverage benefits before 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.
- Meet daily quotas of 75 or more claims a day.
- Reply to service now tickets (patient calls from call center)
Records Clerk
University Health System
10.2016 - 12.2017
- Assisted with typing, data entry, and answering incoming calls as required.
- Maintained accuracy of records by verifying accuracy of data in records.
- Generated reports from database systems to track records.
- Destroyed records in line with retention schedules to protect confidential information and comply with regulations.
Medical Biller
MCNA
01.2014 - 12.2017
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Filed and updated patient information and medical records.
Medical Biller
Dr's Limmer Dermatology Practice
06.1999 - 08.2006
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Filed and updated patient information and medical records.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Collected payments and applied to patient accounts.
- Posted payments and collections on regular basis.
Education
High School Diploma -
Goddard High School
Roswell, NM05.1995
Skills
- HIPAA Compliance
- Payment posting
- Insurance Verification
- ICD-10 Proficiency
- Patient account management
- Medicare and Medicaid Billing
- Claim submission
Timeline
Medical Biller and Coder
Visionworks
09.2018 - Current
Records Clerk
University Health System
10.2016 - 12.2017
Medical Biller
MCNA
01.2014 - 12.2017
Medical Biller
Dr's Limmer Dermatology Practice
06.1999 - 08.2006
High School Diploma -
Goddard High School
Similar Profiles
Miguel GrahamMiguel Graham
Sales Optical Supervisor at VisionworksSales Optical Supervisor at Visionworks
Oliver Grey BroughOliver Grey Brough
Optical Specialist at VisionworksOptical Specialist at Visionworks
Katherine MaloneKatherine Malone
General Manager at VisionworksGeneral Manager at Visionworks
BROOKE FERGUSONBROOKE FERGUSON
Optician at VISIONWORKSOptician at VISIONWORKS
David WinklerDavid Winkler
Maintenance Mechanic at Aisin USAMaintenance Mechanic at Aisin USA