Latonya Burge -Clark
Birmingham,AL
Summary
Disciplined individual skilled in collecting and verifying patient demographic and insurance information and preparing and maintaining medical records. Proficient in using medical terminology and classifying diagnostic procedures, treatments and medications. Dedicated to providing highest quality care to patients. Polished professional manages multiple tasks, utilizes electronic medical record systems, and provides excellent customer service to patients and staff. Adheres to medical records policies and procedures to comply with HIPAA regulations. Track record of effectively troubleshooting issues and maintaining patient confidentiality.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Medical Biller and Coder Specialist
Cicero Therapies
10.2022 - Current
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to 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.
Patient Registration Representative
Urgent Care For Children
09.2021 - 11.2023
- Verified insurance coverage to confirm patient coverage for necessary medical services.
- Gathered demographic and insurance information to register patients for medical appointments.
- Imaged and scanned patient and registration documentation into electronic patient records.
- Demonstrated adaptability in handling high-volume periods while maintaining a calm demeanor, resulting in efficient service delivery during peak hours.
Patient Registration Representative
Grandview Medical Center
04.2022 - 10.2022
- Gathered demographic and insurance information to register patients for medical appointments.
- Verified insurance coverage to confirm patient coverage for necessary medical services.
- Demonstrated adaptability in handling high-volume periods while maintaining a calm demeanor, resulting in efficient service delivery during peak hours.
- Maintained patient confidentiality by adhering to HIPAA regulations and securing sensitive information.
- Imaged and scanned patient and registration documentation into electronic patient records.
Billing Specialist
Medical Business Management
12.2020 - 09.2021
- Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
- Researched and resolved billing discrepancies to enable accurate billing.
- Provided excellent customer service, developing and maintaining client relationships.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Monitored customer accounts to identify and rectify billing issues.
Behavioral Aide
Therapeutic Specialist Of Alabama
02.2013 - 04.2021
- Provided one-on-one support for students struggling with emotional or behavioral issues during class time and school activities.
- Conducted functional behavioral assessments to identify triggers and patterns of behavior, informing intervention strategies.
- Maintained accurate records of student progress and interventions, ensuring data-driven decision making for support strategies.
- Collaborated with multidisciplinary teams to develop comprehensive treatment plans for students with behavioral challenges.
Education
Associate Degree - Medical Billing And Coding
Fortis Institute Online
Birmingham, AL06.2021
High School Diploma -
Twinsburg High School
Twinsburg, OH05.2005
Skills
- HIPAA Compliance
- Payment posting
- Insurance Verification
- ICD-10 Proficiency
- Claim submission
- Diagnostic Coding
- Medicare and Medicaid Billing
- Appeals processing
- CPT coding knowledge
- Claims Processing
- Medical Billing
- Medical Terminology
- Data Entry
Certification
- CBCS - Certified Billing and Coding Specialist
Timeline
Medical Biller and Coder Specialist
Cicero Therapies
10.2022 - Current
Patient Registration Representative
Grandview Medical Center
04.2022 - 10.2022
Patient Registration Representative
Urgent Care For Children
09.2021 - 11.2023
Billing Specialist
Medical Business Management
12.2020 - 09.2021
Behavioral Aide
Therapeutic Specialist Of Alabama
02.2013 - 04.2021
Associate Degree - Medical Billing And Coding
Fortis Institute Online
High School Diploma -
Twinsburg High School
- CBCS - Certified Billing and Coding Specialist
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