Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Oncology Data Specialist
King's Daughters Medical Center
Ashland, KY
08.2021 - Current
Conducted data abstraction of cancer patient records and other medical documents to meet state and national standards.
Conducted surveillance on patients diagnosed with cancer by tracking their progress and outcomes over time.
Ensured compliance with HIPAA regulations while handling confidential patient information.
Maintained up-to-date knowledge on new standards in tumor registries as well as changes in treatment modalities.
Assigned appropriate ICD-10 codes for all diagnoses and procedures related to neoplasms.
Collaborated with physicians to obtain relevant clinical information needed for accurate coding and staging of cancer diagnoses.
Reviewed medical records to identify reportable cases of cancer and other tumors according to state, federal, and professional guidelines.
Performed administrative tasks such as maintaining databases, filing documents or preparing reports when necessary.
Interpreted pathology reports accurately in order to assign correct stage classification according to AJCC and UICC criteria.
Attended conferences or seminars on topics related to tumor registries such as coding practices, ethical considerations or best practices.
Medical Biller and Coder/Office Manager
Scioto County Cancer Center
Portsmouth, OH
01.2008 - 10.2023
Completed and submitted appeals for denied claims.
Applied HIPAA privacy and security regulations while handling patient information.
Contacted insurance providers to verify insurance information and obtain billing authorization.
Reviewed account information to confirm patient and insurance information is accurate and complete.
Communicated with insurance representatives to complete claims processing or resolve problem claims.
Submitted appeals using provider portals and phone communication.
Reviewed claims for coding accuracy.
Input details into accounts and tracked payments.
Distributed or posted financial data to appropriate accounts and prepare simple reconciliations.
Coordinated communications between patients, billing personnel and insurance carriers.
Monitored reimbursement from managed care networks and insurance carriers to verify consistency with contract rates.
Handled billing, waivers and claims for private and commercial clients.
Maintained billing software by updating rate change, cash spreadsheets and current collection reports.
Created monthly aging reports to identify delinquent accounts for review by management team.
Processed refunds requests timely and accurately according to established protocols.
Prepared detailed financial reports as requested by management team.
Provided training and support to new staff members regarding billing processes.
Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
Performed daily reconciliation of accounts receivable with payment postings on the computer system.
Ensured compliance with HIPAA guidelines when handling confidential patient information.
Answered incoming calls regarding billing inquiries from patients and and or providers in a professional manner.
Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
Submitted electronic claims to various insurance carriers.
Assisted in auditing process by verifying accuracy of submitted claim forms against documentation provided by physicians' offices.
Maintained accurate patient data in electronic health records system.
Maintained accurate records of all billing activity in accordance with departmental standards.
Performed follow up activities on unpaid claims with insurance companies or other third party payers by phone or written correspondence.
Checked claims coding for accuracy with ICD-10 standards.
Actively monitored aging accounts for timely collection efforts.
Developed payment plans for customers experiencing financial hardships.
Assessed billing statements for correct diagnostic codes and identified problems with coding.
Answered customer questions to maintain high satisfaction levels.
Managed office inventory and placed new supply orders.
Answered phone calls, responded to emails, routed mail and coordinated courier services.
Processed payroll accurately ensuring all employees were paid on time.
Managed front desk operations including greeting visitors, answering questions or directing them to appropriate personnel.
Supervised staff members, organized schedules and delegated tasks.
Held regular one-on-one meetings with employees to review performance and priorities and provide feedback.
Education
Associate of Arts - Cancer Information Management
Southwest Wisconsin Technical College
Fennimore, WI
05-2021
High School Diploma -
Clay High School
Portsmouth, OH
Skills
Data Quality Management
Spreadsheet Management
Electronic Health Records Management
Medical terminology proficiency
Organizational abilities
Medical Billing
Medical Coding
Data Entry
Documentation Review
Insurance Verification
Medical Terminology
Patient Scheduling
Referral Verification
Time management abilities
Medical Recordkeeping
Patient Data Abstracts
Preparing Treatment Rooms
Interpersonal Communication
Information Verification
Analytical Thinking
Clerical Support
Time Management
Reliability
Clinical Support
Administrative Support
Problem-Solving
Medicaid billing procedures
Epic Systems
Task Prioritization
Excellent Communication
Professional Demeanor
Office Coordination
Multitasking
Active Listening
Problem-solving aptitude
Decision-Making
Adaptability
Data Entry Software
Coding proficiency
Medical terminology knowledge
Electronic Medical Record Software
Written Communication
Teamwork and Collaboration
Effective Communication
Organizational Skills
Adaptability and Flexibility
Problem-solving abilities
Analytical Skills
Attention to Detail
Self Motivation
Certification
Certified Oncology Data Specialist- 2021
References
Barb Fitzpatrick 1118 S Tenth Street Ironton, OH 45638 Cell Phone: 740-442-1172