LaVonda Witcher
Newport News,VA
Summary
Knowledgeable medical office professional talented at correcting and resubmitting claims, effective time management, and problem-solving expertise. Results-driven Medical Coding and Billing Specialist with expertise in ICD-10 and CPT coding. Effective communication with insurance companies. Proven track record in maximizing revenue through effective claims denial management and collaboration with healthcare providers. Strong analytical skills and commitment to patient confidentiality to ensure accurate and timely reimbursements.
Overview
18
18
years of professional experience
Work History
Medical Coding and Billing Specialist
James River Eye Physicians
Newport News, VA
12.2011 - Current
- Prepare and submit claims to various insurance companies electronically or by paper including workman's compensation and physician hospital surgeries.
- Process claim denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Maintain patient confidentiality by adhering to HIPAA regulations.
- Collaborate with healthcare providers to obtain necessary documentation for accurate code assignment and claim submission.
- Reduce errors in medical billings, effectively by addressing any discrepancies and rectifying issues promptly by directly communicating with patients and insurance carriers.
- Maximize revenue generation by monitoring denied claims and resubmitting when required or contacting insurance companies directly.
- Set up payment plans, send patient statements when needed and various collection actions per company policy.
- Review patient charts to better understand health histories, diagnoses, and treatments.
- Process and post all incoming practice payments to include electronic payments, credit card, patient mailed personal checks and insurance checks.
- Achieve timely reimbursements from payers by submitting clean claims that adhere to payer-specific guidelines.
- Coordinate with Front Office Manager to ensure accurate data entry by front office personnel
- Follow up with medical staff regarding any missing information in patient records.
Billing Coordinator
Hampton Roads Gastroenterology
Hampton, VA
10.2007 - 12.2011
- Answered telephone and in person inquiries of billing department processes.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Insurance follow up on all unpaid claims.
- Entered all office and hospital charges for reimbursement.
- Worked with an outside collection agency on outstanding patient balances.
- Reduced billing errors through consistent review and reconciliation of account discrepancies.
- Contacted patients with past due accounts to formulate payment plans and discuss restructuring options.
- Researched and resolved billing discrepancies to enable accurate billing.
- Responded to customer concerns and questions on daily basis.
Skills
- Insurance coding (ICD-10 and CPT)
- Claims processing
- Workflow management
- Medical abbreviations
- Revenue cycle management
- Diagnostic coding
- Reimbursement processes
- Claims denial management
Timeline
Medical Coding and Billing Specialist
James River Eye Physicians
12.2011 - Current
Billing Coordinator
Hampton Roads Gastroenterology
10.2007 - 12.2011