Laura Henner
St. Francis,WI
Summary
Medical Coding Specialist with extensive experience seeking to utilize skills in a professional environment. Proficient with professional medical coding, benefits, insurance and collection procedures. Quick study with excellent computer and customer service skills. Experienced in producing results in a fast-paced environment, with a strong attention to detail. Excellent written, verbal and interpersonal organizational skills. Possesses a professional demeanor, friendly personality, as well as eagerness to accept new challenges and increasing responsibilities.
Overview
20
20
years of professional experience
Work History
Claims Coding Specialist
Common Ground HealthCare Cooperative
Brookfield, WI
01.2022 - Current
- Validates information on medical claims, investigates and resolves more complex discrepancies
- Processes claims in accurate, efficient and productive manner
- Responds to provider requests for reconsiderations regarding medical documentation to ensure codes accurately reflect coding guidelines and medical necessity
- Follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory policies
- Receives medical documentation from providers regarding 22 modifier and unlisted codes for processing per coding guidelines.
Patient Accounts Representative
Milwaukee Eye Care Associates
Milwaukee, WI
01.2014 - 01.2022
- Print monthly AR report for 8 physicians to work daily
- Contact insurance regarding denials/send reconsiderations/appeals
- File insurance claims electronically/paper daily
- Submit collection referrals for doctor approval, mail final notice letters and refer patient to collection agency via online portal
- Set up and manage patient payment plans
- Post all insurance payments accurately and effectively, along with personal payment
- Run patient statements twice a month
- Answer phones providing exceptional customer service skills.
Medical Biller
Circle of Life Women’s Healthcare
Milwaukee, WI
01.2010 - 01.2012
- Scheduled appointments, registered patients and verified appointments
- Precisely completed appropriate claim forms and system entry
- Submitted electronic/paper claims for timely filing
- Thoroughly researched newly identified diagnoses and/or medical procedures to effectively code claims for accurate payment per federal and state policies
- Responded to correspondence and posted adjusted payments from insurance companies
- Printed and reviewed monthly patient aging reports and solicited overdue payments, set up appropriate payment plans with patients
- Maintained strict patient/doctor confidentiality.
Medical Biller/Payment Poster
Medical Billing Professionals/KOLB & CO.
Brookfield, WI
01.2005 - 01.2008
Medical Billing Specialist
Physicians Accounting now Fusion Anesthesia
Brookfield, WI
01.2008
- Responded to correspondence from insurance companies via telephone or mail
- Identified and resolved patient and billing issues
- Confidently and adeptly handles claims denials and/or appeals
- Evaluated patient’s financial status and established appropriate payment plans
- Examined patient’s insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered when applicable
- Complied and tracked outstanding balances owed to facilities.
Education
Skills
- Medical Coding
- Benefits
- Insurance
- Collection Procedures
- Computer Skills
- Customer Service Skills
- Attention to Detail
- Written Communication
- Verbal Communication
- Interpersonal Skills
- Organizational Skills
References
Extensive professional and personal references furnished upon request.
Timeline
Claims Coding Specialist
Common Ground HealthCare Cooperative
01.2022 - Current
Patient Accounts Representative
Milwaukee Eye Care Associates
01.2014 - 01.2022
Medical Biller
Circle of Life Women’s Healthcare
01.2010 - 01.2012
Medical Billing Specialist
Physicians Accounting now Fusion Anesthesia
01.2008
Medical Biller/Payment Poster
Medical Billing Professionals/KOLB & CO.
01.2005 - 01.2008
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