Lynn Gurtner

BILLING, CODING, COLLECTIONS

• Ensure complete review of claims and forward to correct insurance companies.
• Correctly coded and billed medical claims for various hospital and nursing facilities.
• Perform timely and accurate submission of claims.
• Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
• Interacted with physicians and other healthcare staff to ask questions regarding patient services.
• Communicated with insurance companies to research and resolved coding discrepancies.
• Handle all claims on denials, rejections, and no response workqueue and follow up, review and document accordingly.
• Audited and corrected billing and posting documents for accuracy.
• Monitored changes in coding regulations to provide recommendations for compliance.
• Contact patients for updated insurance information when necessary.
• Followed up with medical staff regarding missing information in patient records.
• Researched and resolved medical record discrepancies.
• Verified accuracy of patient information in medical records.
• Make adjustments to patient and insurance accounts.
• Recorded deposits.
• for multiple payer codes.
• Produced monthly statements to customers and assisted with related requests for information and clarification.
• Responded to customer concerns and questions on daily basis.

FRONT OFFICE/MEDICAL RECORDS

• Managed multi-line phone system and pleasantly greeted patients.
• Managed master calendar and scheduled appointments for providers based on optimal patient loads and clinician availability.
• Coordinated patient scheduling, check-in, check-out and payments for billing.
• Adhered to strict HIPAA guidelines to protect patient privacy.
• Supported office staff and operational requirements with administrative tasks.
• Maintained current and accurate medical records for patients.
• Checked patient insurance, demographic, and health history to keep information current.
• Completed patient referrals to other medical specialists.
• Provided backup to front desk to step in to assist with various tasks whenever employee was absent or at lunch.
• Completed bi-weekly payroll.

MEDICAL ASSISTANT PRN

• Registered and verified patient records before triage with most up-to-date information.
• Greeted visitors and initiated triage processes for clients to streamline patient flow.
• Obtained pre-authorization from insurance companies for medications, and testing
• Prepared patient charts by gathering and organizing medical records ahead of appointments.
• Relayed care and medication advice to patients to relieve physicians during peak hours.
• Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
• Received and routed laboratory results to correct clinical staff members.
• Perform EKG's when needed on patients during visit.

Learned ICD9 and CPT Coding before schools started teaching it.

· Verify the insurance of patients to determine eligibility. Utilizing various websites.

· Manage multiple tasks and meet time-sensitive deadlines.

· Review patient charts to understand health histories, diagnoses, and treatments.

· ICD-10, CPT and HCPCS coding.

· Review, analyze, and manage the coding of diagnostic and treatment procedures contained in outpatient medical records.

· Correctly code, post and bill medical claims for office, hospital, and nursing facilities.

· Audit and correct billing and posting documents for accuracy.

· Established and check coding procedures, monitor reports, and update internal files.

· Review billing problems, research issues, and resolved concerns.

· Communicate with insurance providers to resolve denied claims and resubmit.

· Prepared billing statements for patients thru clearing house and submit.

· Collect patient payments and apply them to accounts.

· Work with patients to develop payment plans and bring accounts current.

· Download insurance payments and apply to patient accounts.

· Manually enter mailed insurance payments to patient accounts.

· Generated accounts payable reports for management review to aid in financial and business decision making.

· Resourcefully use various coding books, procedure manuals, and on-line encoders.

· Communicate with insurance companies to research and resolve coding discrepancies.

· Utilize electronic medical record systems to store, retrieve and process patient data.

· Monitor changes in coding regulations to provide recommendations for compliance.

· Generate accounts payable reports for management review to aid in financial and business decision-making.

· Adhere to strict HIPAA guidelines to protect patient privacy.

· Maintain a professional, organized, and safe environment for employees and patients.

· Bi-weekly payroll

· Conducted performance reviews and implemented improvement plans.

· Implemented EHR system.

· Create policies and procedures.

· Respond to patient concerns and questions on daily basis.

· Check patient insurance, demographic, and health history to keep information current.

· Coordinated patient scheduling, check-in, check-out, and payments for billing.

· Complete patient referrals to other medical specialists.

· Complete prior authorization for testing from Insurance companies

· Provide clerical support by copying, faxing, scanning, and filing documents.

· Trained staff on procedures, compliance requirements, and collections techniques.

· Cross-trained existing employees to maximize team agility and performance.

• Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
• Confirmed appointments, communicated with clients, and updated client records.
• Kept reception area clean and neat to give visitors positive first impression.
• Maintained confidentiality of information regarding clients and company.
• Answered phone promptly and directed incoming calls to correct offices.
• Maintained patient records in compliance with security regulations.
• Processed medical records requests from outside providers according to facility, state, and federal law.
• Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers.
• Printed and photocopied documents to provide patients with copies of medical records.
• Supported medical staff by providing organized and accurate medical records.
• Assisted in preparation of medical records to release to other medical facilities requesting for patient history and information.
• Input data into computer programs and filing systems.
• Transcribed and edited physician reports from dictation.