Detail oriented Medical Billing Specialist providing 25 years of experience in handling wide variety of medical coding and billing tasks. Hardworking team player with expertize completing various clerical tasks and offering staff support. Responsible, punctual and productive professional when working with little to no supervision.
Overview
30
30
years of professional experience
Work History
Team Lead Medical Biller
Path Medical
Fort Lauderdale, FL
07.2018 - Current
Prepare, review and transmit claims using billing software, including electronic and paper claim processing
Perform corrections for patient registration information, patient demographics and insurance information
Work claims and claim denials to ensure maximum reimbursement for services provided
Evaluated accuracy of provider charges, including dates of service, procedures, level of care and diagnoses
Identified errors and re-filed denied or rejected claims quickly to prevent payment delays
Trained new employees on multiple medical billing programs and data entry software.
Verified proper ICD-10 and CPT coding on claims.
Communicated with insurance providers to resolve denied claims and resubmitted.
Delivered timely and accurate charge submissions.
Updated patient records with accurate, current insurance policy information.
Medical Coding Specialist
Sheridan/Envision
Sunrise, FL
03.2015 - 04.2018
Worked in office and remotely coding emergency room, inpatient and outpatient charts for several hospitals
Demonstrated knowledge and ability to assign ICD-10 and CPT codes to highest specificity
Consistently passed quarterly audits
Exceeded production goals daily
Work claims and claim denials to ensure maximum reimbursement for services provided
Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
Entered charges into billing system
Reviewed outpatient records and interpreted documentation to identify all diagnoses and procedures.
Communicated with insurance providers to resolve any denied claims and resubmit.
Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
Complied with all HIPAA Privacy and Security Regulations to protect patients' medical records and information.
Resourcefully used various coding books, procedure manuals and on-line encoders.
Interacted with physicians and other healthcare staff to ask questions regarding patient services.
Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
Medical Coding Specialist
Radiology Associates of Hollywood
Pembroke Pines, FL
04.1995 - 03.2015
Performed billing and coding procedures for emergency room, inpatient and outpatient services
Interacted with physicians and other healthcare staff to ask questions regarding patient services and ensure chart accuracy
Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement
Maintained accuracy, completeness and security for medical records and health information
Precisely completed appropriate claims paperwork, documentation and system entry
Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
Resourcefully used various coding books, procedure manuals and on-line encoders.
Reviewed patient charts to better understand health histories, diagnoses and treatments.
Registered Nurse II- Hematology/Oncology Clinic at UHealth Sylvester Comprehensive Cancer CenterRegistered Nurse II- Hematology/Oncology Clinic at UHealth Sylvester Comprehensive Cancer Center