LUZ MARIA WHITE
WEBB
Summary
Efficient Medical Coder proudly touting over 20+ years' experience in resolving coding errors and observing strict data security practices. Polished professional with a vast medical terminology background. Offering task prioritization expertise in fast-paced environments. Hands-on professional offering a keen understanding of data confidentiality and HIPAA regulations. Highly trained Medical Coder knowledgeable in AMA and the CMS coding rules. Dedicated employee known for punctuality, pursuing employment options where good customer service and positive attitude will make a difference. Flexible hard worker ready to learn and contribute to team success.
Medical coding and billing professional with solid background in managing healthcare claims and ensuring compliance with industry standards. Proven ability to streamline billing processes and resolve discrepancies efficiently. Effective collaborator and adaptable team member, consistently meeting organizational goals and adapting to changing demands. Skilled in ICD-10, CPT, and HCPCS coding and maintaining patient confidentiality.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Medical Coding and Billing Specialist
FLOWERS MEDICAL GROUP
04.2020 - 05.2025
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
- Submitted and accurately processed insurance claims with related medical code verifications and assessments.
- Thoroughly reviewed remittance codes from EOBS/AR's.
- Acted as liaison between business department, billers and third party payers in resolving billing and reimbursement accuracy.
- Sought clarification from physicians and other hospital personnel for answers to needed coding interpretations prior to abstracting records.
- Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
- Interpreted medical terminology and pharmacological information to translate information into coding system.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Communicated with healthcare personnel, including practitioners to promote accuracy.
- Verifying insurance and handling all insurance claims As well as processing all claims.
- Doing daily and monthly Deposits.
- Credentialing of the doctor.
- Assisting the physician With coding patients charts for filing, receptionist duties and etc.
- Resolved billing issues by applying knowledge and completing in-depth research.
- Managed billing calendar and scheduled claims for payments.
- Helped customers to bring accounts into good standing by implementing payment plans.
- Completed month-end and year-end closings, kept records audit-ready and monitored timely recording of accounting transactions.
- Maintained current and accurate cash balances for all programs, departments and projects.
- Completed and submitted appeals for denied claims.
- Reviewed claims for coding accuracy.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Handled billing, waivers and claims for private and commercial clients.
- Submitted and accurately processed insurance claims with related medical code verifications and assessments.
Claims Resolution Specialist
The VBOA
07.2024 - 11.2024
- Resolved complex claims issues through comprehensive investigation and analysis.
- Collaborated with cross-functional teams to enhance claims processing efficiency.
- Streamlined workflows, reducing turnaround time for claim resolutions significantly.
- Analyzed trends in claims data to identify areas for process improvement and risk mitigation.
- Facilitated communication between clients and insurance providers to ensure timely resolutions.
- Ensured compliance with industry regulations and company policies by staying up-to-date on relevant guidelines.
- Maintained detailed case records using specialized software programs for easy reference during future audits or reviews.
- Provided exceptional customer service throughout the resolution process, fostering client trust and loyalty.
- Contributed to team success by consistently meeting or exceeding individual performance metrics for claim resolution.
- Handled complex cases with multiple parties involved, effectively managing priorities and deadlines to ensure timely resolutions.
- Collected information about rejected claims and developed effective solutions.
- Reduced claim resolution times with thorough investigation and effective communication among involved parties.
- Followed up with customers on unresolved issues.
- Examined claims forms and other records to determine insurance coverage.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Researched claims and incident information to deliver solutions and resolve problems.
Medical Billing Manager
EYE DOCTOR'S OFFICE, INC
02.2017 - 04.2020
- Verifying all insurance and getting precertification For all test and procedures.
- Making phone calls to insurance Companies regarding the precept and all other inquiries.
- Talking to patients answering questions about deductibles, Copays and claims.
- Explained eligibility details and affordability options to patients with kindness and respect.
- Called applicants to set up appointments and explain benefits processes.
- Reviewed criteria for different aid programs to determine eligibility for various applicants.
- Contacted other medical facilities to confirm medical histories and prevent inaccurate diagnoses.
- Updated patient financial information to promote accurate record keeping.
- Helped patients complete paperwork and explained processes and procedures.
- Communicated with patients to gather intake data and verify chart information.
- Completed claims forms for different types of appointments and worked on resolutions for denials or other insurance issues.
Precertification Specialist
SOUTHERN BONE AND JOINT
02.2016 - 02.2017
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
- Scheduled patients and updated insurance, payment history and personal information.
- Processed refunds on credit balances to maintain positive account relationships.
- Applied billing adjustments to resolve discrepancies in account receivable journals.
- Added current information to accounts, including demographic, personal and payment details.
- Input data into digital system for recordkeeping.
- Accurately and concisely documented notes in patient files in adherence with HIPAA regulations.
- Researched reimbursement and appeals to quickly and effectively resolve claims.
- Contacted customers to obtain and submit payments.
- Researched claim denials, identified causes and resolved issues to promote prompt insurance payment.
- Verified insurance eligibility for patients by calling appropriate parties.
- Collected and entered claim information with great attention to detail.
- Posted charges, payments and adjustments.
- Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
- Completed appeals and filed and submitted claims.
- Posted and adjusted payments from insurance companies.
- Prepared billing statements for patients, ensuring correct diagnostic coding.
Medical Billing Specialist
DENNY VISION
06.2014 - 02.2016
- Completed and submitted appeals for denied claims.
- Reviewed claims for coding accuracy.
- Coordinated communications between patients, billing personnel and insurance carriers.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Applied HIPAA privacy and security regulations while handling patient information.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Organized information for past-due accounts and transferred to collection agency.
- Submitted and accurately processed insurance claims with related medical code verifications and assessments.
- Handled billing for full complement of practice providers.
- Maintained high accuracy rate on daily production of completed reviews.
Billing Clerk
Vestavia Pediatrics
11.2007 - 01.2014
- CHECKING PATIENTS OUT, SCHEDULE IN OFFICE AND REFERRAL APPOINTMENTS, ANSWER MULTI-LINE PHONES, MEDICAL BILLING AND CODING, COLLECTIONS, POSTING INSURANCE AND PATIENT PAYMENTS, BALANCING AT THE END OF THE DAY, AND LIGHT CLERICAL DUTIES.
- Maintained positive working relationship with fellow staff and management.
- Assisted organizational efforts by filing, entering data and answering phones.
- Worked closely with team members to deliver project requirements, develop solutions and meet deadlines.
- Juggled multiple projects and tasks to ensure high quality and timely delivery.
Checkout Operator
CENTRAL ALABAMA INTERNAL MEDICINE
02.2006 - 11.2007
- Provided excellent service and attention to customers when face-to-face or through phone conversations.
- Motivated and encouraged team members to communicate more openly and constructively with each other.
- Exceeded customer satisfaction by finding creative solutions to problems.
Receptionist/Checkout Operator
PEDIATRIC HEALTHCARE
09.2003 - 01.2006
- CHECKING PATIENTS IN, SCHEDULING APPOINTMENTS, OPERATOR DUTIES, MEDICAL CODING/BILLING AT PATIENT CHECK-OUT, LIGHT COLLECTIONS, MEDICAL RECORDS, BILLING AND MAILING INSURANCE CLAIMS, FILING, POSTING INSURANCE PAYMENTS, BALANCING AT THE END OF THE DAY AND ENTERING PATIENT PAYMENTS.
- Entered insurance, demographics and health history into patient database.
- Checked patients in and out for appointments and collected co-payments.
- Called patients to confirm scheduled appointments and obtain additional details.
- Scheduled and followed up on patient appointments, collected and processed patient payments and maintained patient files.
- Protected patients by observing strict HIPAA guidelines.
- Photocopied insurance cards, documented details and verified patient coverage for upcoming procedures or appointments.
- Answered multi-line phone system and directed callers to requested personnel and departments.
- Carried out daily tasks by professionally communicating with physicians, nursing staff, technicians and medical assistants.
- Informed patients of financial responsibilities prior to rendering services.
- Handled correspondence, managed files and performed other clerical duties for office staff.
- Conducted patient intake interviews to collect medical information and insurance details.
- Prepared and sent financial statements to support bookkeeping functions.
- Compiled physical and digital documents, charts and reports.
Education
Certification - CBCS
JEFFERSON STATE COMMUNITY COLLEGE
Birmingham, AL10.2010
High School Diploma - undefined
Bullock Memorial School
Union Springs, AL05.1998
Skills
- Documentation oversight
- Patient data identification
- Medical terminology
- Knowledgeable in Athena Net
- Data entry
- Healthcare claim coding
- Insurance billing
- Billing procedures
- Insurance Verification
- Communication
- Problem resolution
- Clerical
- Friendly, positive attitude
- ICD-10 proficiency
- Medical record review
- HIPAA compliance
- Medical terminology expertise
- Insurance coding (ICD-9 and CPT)
- Claims processing
- Medical abbreviations
- Diagnostic coding
Certification
Certified Billing and Coding Specialist (CBCS)
Activities and Honors
CBCS-NHA (NATIONAL HEALTHCARE ASSOCIATION) #4655-6195 EFF. DATE 11-30-2010 EXP. DATE 07-09-2023
Additional Information
I AM PROFICIENT IN MICROSOFT WORD, QUICKBOOKS, QUICKEN MEDISYS, PROMED AND NUMEROUS INTERNET COMPUTER PROGRAMS. I TYPE 55 WORDS PER MINUTE AS WELL AS 100 TEN KEYSTROKES PER MINUTE.
Timeline
Claims Resolution Specialist
The VBOA
07.2024 - 11.2024
Medical Coding and Billing Specialist
FLOWERS MEDICAL GROUP
04.2020 - 05.2025
Medical Billing Manager
EYE DOCTOR'S OFFICE, INC
02.2017 - 04.2020
Precertification Specialist
SOUTHERN BONE AND JOINT
02.2016 - 02.2017
Medical Billing Specialist
DENNY VISION
06.2014 - 02.2016
Billing Clerk
Vestavia Pediatrics
11.2007 - 01.2014
Checkout Operator
CENTRAL ALABAMA INTERNAL MEDICINE
02.2006 - 11.2007
Receptionist/Checkout Operator
PEDIATRIC HEALTHCARE
09.2003 - 01.2006
High School Diploma - undefined
Bullock Memorial School
Certification - CBCS
JEFFERSON STATE COMMUNITY COLLEGE
Similar Profiles
Dave SuttonDave Sutton
Director of Communications at All Flowers GroupDirector of Communications at All Flowers Group
Karis FlowersKaris Flowers
Front Office Manager at Flowers Financial GroupFront Office Manager at Flowers Financial Group
Madeleine Rose NiosiMadeleine Rose Niosi
Process Work/Warehouse Assistant (Temp Role) at Lynch Group (Flowers)Process Work/Warehouse Assistant (Temp Role) at Lynch Group (Flowers)
Nathaniel BarefieldNathaniel Barefield
CAP 2 Stocker at WalmartCAP 2 Stocker at Walmart
Seth WhatleySeth Whatley
Dozer Operator at QcellDozer Operator at Qcell