Objective Statement: Highly capable and detail-oriented professional seeking medical coding and billing position to utilize and enhance industry knowledge, coding experience and education in a growth-oriented company.
Overview
2
2
years of professional experience
1
1
Certification
Work History
Billing Specialist
Enspire Counseling And Wellness
Valdosta , Georgia
04.2020 - 04.2022
Identified, researched and resolved billing variances to maintain system accuracy and currency.
Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
Handled high volume of in-bound calls pertaining to reconciliation of delinquent accounts as well as patient appointment scheduling.
Performed targeted collections on past due accounts aged over 30 days.
Applied more than 300 payments per week.
Responded to customer concerns and questions on daily basis.
Processed payment via telephone and in person with focus on accuracy and efficiency.
Checked insurance and collected correct copays on daily basis.
Education
Medical Coding and Billing Certificate -
Purdue University
Skills
PROFESSIONAL MEMBERSHIPS AND ORGANIZATIONS
AHIMA
AAPC
SPECIAL SKILLS
3M Physician Coding System
Microsoft Excel
Microsoft Word
Microsoft Powerpoint
Medical Insurance
Medical Coding
Medical Billing
Patient/Customer Relations
Problem Solving
Research and Analysis
Accomplishments
Enspire Counseling and Wellness Valdosta, Georgia 02/20
Medical Billing
Medical Coding
Answering multi-line phone
Patient Filing
Arranged Appointments
Filing insurance claims
Disputing Denial letters
Querying the health professional
ONLINE PRACTICUM EXPERIENCE Skills in health information technologies, medical coding, and reimbursement methodologies were assessed through AHIMA VLabs:
Nuance Quantim - Encounter software using ICD-10, CPT, and HCPCS code sets
and reimbursement groupers
3M Coding and Reimbursement System - A decision-based encoder software using ICD-10, CPT, HCPCS code sets, reimbursement groupers, and health information reference texts
CIOX Health ROI – A Release of Information (ROI) system
ARGO – Enterprise Master Patient Index operations for Health Information Management oversight
VistA Electronic Health Record System – EHR utilized by the Veteran’s Association
Patient Records – Coding activities including diagnostic and procedural coding of over 100 actual redacted patient records
Medical Record Auditing Activities
Computer Assisted Coding Simulation – Analyze, compare and contrast accuracy
Certification
Medical Coding and Billing Certificate (MCBC) through the American Medical Certification Association 04/20
Timeline
Billing Specialist
Enspire Counseling And Wellness
04.2020 - 04.2022
Medical Coding and Billing Certificate -
Purdue University
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