Mackenzy Edwards
Coarsegold,California
Summary
Skilled Medical Billing Specialist with background in accurate coding, claims processing and managing patient accounts. Showcased proficiency in medical software systems, healthcare regulations, and insurance policies. Proven ability to streamline billing procedures leading to increased productivity and improved revenue cycle management. Known for strong problem-solving skills and commitment to maintaining confidentiality in handling sensitive patient information.
Overview
2
2
years of professional experience
Work History
Medical Billing Specialist
Valley Health Team
Fresno, CA
07.2024 - Current
- Provided customer service support to patients who had questions about their bills or payments due.
- Submitted appeals for denied claims when appropriate according to the insurance company's criteria.
- Processed credit card payments from patients in accordance with office policy.
- Monitored aging accounts receivable balances ensuring timely resolution of outstanding balances.
- Worked closely with clinical staff to ensure accurate coding practices were followed.
- Ensured HIPAA compliance by maintaining confidentiality of all patient information.
- Reviewed patient records for accuracy and completeness of information in medical billing system.
- Verified the accuracy of claim data prior to submission to insurance carriers.
- Maintained detailed records of all billing activities including denials, adjustments, and payments received.
- Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
- Use of the Nextgen billing system.
Medical Billing Specialist
Central California Faculty Medical Group
Fresno, CA
08.2022 - 06.2024
- Submitted appeals for denied claims when appropriate according to the insurance company's criteria.
- Billed both primary and secondary insurances for patient accounts.
- Completed follow-up on aging reports completed through our billing system .
- Use of multiple billing insurance sites, including but not limited Medi-Cal, Medicare Noridian, Availity, and United Health Care.
- Billed for multiple departments such as cardiology, surgical, orthopedics, nuerology, dermatology and the trauma center.
- Use of the Inpatient charge capture, bringing in hundreds of patient encounters at a time.
Education
Ceriticate - Medical Records Billing And Coding
University of Phoenix
Tempe, AZ06-2022
Skills
- Insurance Verification
- Patient Billing
- Claims Processing
- Claims review
- Billing and Collection Procedures
- Account follow-up
- Insurance Billing
Timeline
Medical Billing Specialist
Valley Health Team
07.2024 - Current
Medical Billing Specialist
Central California Faculty Medical Group
08.2022 - 06.2024
Ceriticate - Medical Records Billing And Coding
University of Phoenix
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