Highly motivated and recently certified Medical Biller and Coder with a strong work ethic and a passion for continuous learning. Successfully completed Medical Billing and Coding Certification with honors, demonstrating dedication and commitment to excellence. Thrives in diverse work environments, whether collaborating with a team or working independently. Embraces challenges and finds great satisfaction in acquiring new knowledge across various industries.
Overview
16
16
years of professional experience
Work History
Medical Coding and Billing Specialist
Lakeside Heart and Vascular Center
07.2023 - Current
In this position I bill various codes including hospital consults, surgeries and testing for cardiology. I also have billed office visits (cardiology and primary), ancillary services and even trained several employees.
I also am the assistant manager of our Phone Operations Center. This entails, hiring, training and directing staff on scheduling, procedures and patient satisfaction etc.
Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Correctly coded and billed medical claims for various hospital and nursing facilities.
Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Resourcefully used various coding books, procedure manuals, and on-line encoders.
Input data into computer programs and filing systems.
Transcribed and entered patient medical information into electronic medical records systems.
Followed up with medical staff regarding missing information in patient records.
Utilized electronic medical record systems to store, retrieve and process patient data.
Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
Optimized revenue generation through diligent monitoring of denied claims, resubmitting corrected information when needed.
Collaborated with healthcare providers to obtain necessary documentation for accurate code assignment and claim submission.
Developed a comprehensive understanding of ICD-10-CM, CPT, and HCPCS codes to ensure proper use in medical coding assignments.
Served as a liaison between patients and physicians, addressing concerns or questions in a timely manner to maintain high levels of patient satisfaction.
Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
Collaborated with interdisciplinary teams to optimize patient care and streamline communication.
Medical Receptionist
True Care Urgent Care
12.2022 - 05.2023
I greeted patients on their way into the building, got them checked in while also verifying with their insurance company
Communicated with primary care facilities as well as insurance companies, pharmacies, and patients alike
Verified various insurance companies as well as taking copays, deductibles etc
Kept a clean, organized space and work environment
Performed various tasks to help PA, MA and billing staff
Supported office staff and operational requirements with administrative tasks.
Organized essential medical documents, streamlining access to vital information for healthcare providers during appointments.
Helped patients complete necessary medical forms and documentation.
Coordinated patient scheduling, check-in, check-out and payments for billing.
Kept waiting room neat and organized by stacking magazines, removing trash, and cleaning glass.
Managed multi-line phone system and pleasantly greeted patients.
Adhered to strict HIPAA guidelines to protect patient privacy.
Checked patient insurance, demographic, and health history to keep information current.
Transcribed phone messages and relayed to appropriate personnel.
Point of Sale
The Kind Connection
01.2022 - 07.2022
I assisted customers at checkout, helped them to find what they needed and gave them the best customer service
Organized merchandise and ordered new merchandise when needed
Created and implemented new techniques for inventory
Contributed to sales goals by identifying opportunities for upselling or cross-selling products at the point of sale.
Provided exceptional customer service by promptly processing transactions, accurately handling cash payments, and maintaining a clean workspace at the point of sale.
Provided exceptional customer service, addressing concerns and resolving issues at the point of sale quickly and professionally.
Streamlined order processing by quickly entering accurate information into the Point of Sale system.
Completed transactions with operation of point of sale terminals.
Ensured compliance with all relevant health and safety regulations at the point of sale, including proper handling of food items and maintaining a clean environment.
Catering Manager
Big Mikes BBQ
12.2016 - 06.2017
I worked with clients to create and implement catering events
I created and maintained work schedules for staff, and occasionally worked in the food truck
Created a staff schedule
Inventoried and maintained financial status
Worked with clients and charities to create events
Managed high-quality food preparation and presentation, ensuring consistent client satisfaction.
Successfully managed a diverse range of events including weddings, corporate functions, and special occasions, consistently exceeding client expectations.
Hired and trained both permanent and temporary staff members.
Collaborated with clients to create customized menus tailored to their specific preferences and needs.
Enhanced event satisfaction by planning and executing memorable catering experiences for clients.
Point of Sale/ Customer Service/ Freight unload/Women’s Department
Kohls
07.2008 - 08.2012
I was originally hired for Point of Sale, and through the years of service I was implemented throughout the store to do various tasks
APRN Advanced Practice Registered Nurse at Premier Heart and Vascular CenterAPRN Advanced Practice Registered Nurse at Premier Heart and Vascular Center