Seasoned medical personnel with more than 30 years of service in the medical field. Coding for outpatient procedures for multi-specialty physicians. Recently acquiring the Certified Professional Coder certificate from AAPC. Motivated worker with strong organizational and prioritization abilities. Track record of achieving exceptional results in submitting clean claims.
Overview
35
35
years of professional experience
1
1
Certificate
Work History
Patient Accounts Specialist III
Jackson Madison Co Health Dept
04.2019 - Current
Cpt & ICD10 Coding Certified
Download remits electronically performed
Work Aged accounts
Work refunds
Posted payments and processed refunds
Worked with outside entities to resolve issues with billing, claims and payments
Monitored flags and resolved urgent items with accuracy and efficiency
Prepared reports detailing billing actions, flags and other key information
Electronically submitted bills according to compliance guidelines
Utilized computer programs to create invoices, letters and other documents
Researched billing errors and discrepancies to initiate corrective action
Maintained accurate records of customer accounts, payments and payment plans
Responded to customer inquiries and provided detailed account information
Entered client details and notes into system for interdepartmental access and review
Generated and distributed monthly customer statements
Patient Accounts Specialist
UT Family Medicine Center
01.2003 - 04.2019
Posted payments and processed refunds.
Worked with outside entities to resolve issues with billing, claims and payments.
Responded to patient, family and external payer inquiries.
Reviewed chart and approved charge entry on EHR.
Submitted claims electronically.
Corrected failed claims and resubmitted.
Patient Accounts Specialist
Medical Specialty Clinic
01.1998 - 01.2003
Retrieve Medicare charges through the EMR
Review the chart notes for accuracy and correct billing
Review remits for accuracy of payment, correct denials and resubmit claims, and submit appeals
Submit claims electronically through the EDI system, retrieve remits Maintain the EDI system adding new insurance with payer id's
Review all refund request for approval
Get prior authorizations on office procedures
Communicate closely with the office compliance officer
Work closely with the insurance provider reps
Reduce aging accounts
Process monthly reports
Assist accounting balancing monies and distributing work
Work with little to no supervision to maintain and meet monthly budgets
Coded Gastroenterology, Dermatology, Pulmonology, and Cardiology
Data entry of physician's hospital charges and procedures
Reviewed, corrected and rebilled claims denied by Medicare
IT backup support and electronic claims submission.
Eye Care Assistant
Milan Eye Clinic
01.1994 - 01.1997
Greeted patients, registered new patients, checked patients out
Performed visual acuity, glaucoma screenings, assisted optometrist
Repaired glasses, assisted with selection of frames, taught contact lens usage.
Multiple Duties,
Jackson
06.1988 - 08.1993
Medical records
Phone operator
Education
Certified Professional Coder
AAPC
Online
10.2017
Automated Accounting - Accounting
McKenzie Vocational School
McKenzie, TN
09.1986
High School -
Milan High School
Milan, TN
05.1984
Skills
Professional CPT & ICD-10 coder Clerical
Computers and Electronics Judgment and Decision Making
Teacher at Jackson Madison County - Thelma Barker Elementary, Arlington, and West Jackson ElementaryTeacher at Jackson Madison County - Thelma Barker Elementary, Arlington, and West Jackson Elementary