Mandy Teague
Covington,GA
Summary
Disciplined individual skilled in collecting and verifying patient demographic and insurance information and preparing and maintaining medical records. Proficient in using medical terminology and classifying diagnostic procedures, treatments and medications. Dedicated to providing highest quality care to patients.
Overview
24
24
years of professional experience
Work History
Customer Solutions Specialist
Piedmont HealthCare
09.2021 - Current
- Identified and reported trends in customer complaints to improve products and prevent future complaints.
- Posted and adjusted payments from insurance companies.
- Located errors and promptly refiled rejected claims.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Evaluated patients' financial status and established appropriate payment plans.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
Front Office Coordinator
Piedmont Ob/gyn
09.2017 - 09.2021
- Inventoried and ordered office supplies to maintain availability of products.
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
- Maintained current and accurate medical records for patients.
- Obtained payments from patients and scanned identification and insurance cards.
- Checked patient insurance, demographic, and health history to keep information current.
- 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.
- Fielded concerns surrounding patients and care, liaising between physician, patient, and insurance company.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Identified and resolved patient billing and payment issues.
- Pre-certified medical and radiology procedures, surgeries and deliveries
Surgery Coordinator
Piedmont Rockdale Hospital
01.2012 - 09.2017
- Educated patients about surgeries and provided treatment plan documentation.
- Resolved scheduling conflicts to maintain high-quality patient services.
- Maintained efficient surgery schedule by monitoring daily activities and resolving potential conflicts.
- Verified insurance coverage and benefits and communicated directly with patient for timely scheduling of clinic appointment and surgery procedure.
- Obtained pre-authorizations and pre-certifications ahead of scheduled surgeries.
- Counseled patient about personal financial responsibility and collaborated with billing to resolve patient accounts.
Billing Manager
Alliance Family Care
01.2010 - 01.2012
- Maintain complete billing procedures for this practice as well as the rheumatology practice
- Create and send claims, work denials and rejections from the clearinghouse, reimbursements and refunds, post payments, balance daily batches and deposits, sort mail and handle any issues, work on credentialing, teach HIPPA and OSHA training
- Help with front office as needed: check in and out, run daily reports, close and cash out with daily totals, insurance
Client Support Specialist
Medical Billing Resources
01.2008 - 01.2009
- Responsible for five separate companies to oversee the billing process
- Process claims, verify insurance, obtain prior authorization numbers and referral numbers, appeal claims, audit patient balances, run daily reports as well as handle any issues of the patient or the client
- My clients include neurologist, pulmonologist, pediatrician, family doctor and a DME company.
Office Manager
Georgia Foot and Ankle
01.2006 - 01.2008
- Coordinated special projects and managed schedules.
- Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions.
- Evaluated employee performance and conveyed constructive feedback to improve skills.
- Coached new hires on company processes while managing employees to achieve maximum production.
- Assessed processes and procedures, complying with OSHA, and HIPAA regulations.
- Handled account payments and provided information regarding outstanding balances.
Worker's Compensation Bill Auditor
Recall
01.1999 - 01.2008
- Audit and correct EDI bills for worker compensation claims
- Attend regular training seminars on medical billing
- Request and attach and supporting documentations to appeal these claims
- Correct ICD-9 and CPT codes and resubmit corrected claims
- Research accidents with medical records and appeal on behalf of the patient.
Education
CPC -
AMA
03.2021
Medical Insurance Billing And Coding
Georgia Medical Institute
Jonesboro, GA06.2006
High School Diploma -
Heritage High School
Conyers, GA1997
Skills
- Excel, Microsoft Word, Quicken, Medisoft, Power Point, Front Page, Quick Books Pro, Medical Manager, Next gen, Mysis,
- Outlook, Internet, Next Gen, Clearwave, ebridge, eclinical works, meditech, SCI, relay, navinet, availiry, Navicure, Emdeon,
- Nue MD, Amazing Charts, SCI, Meditech, Navinet, AIM, NIA, Care Core, Availity, epic, Medsolutions, E Clinical, Medicaid
- Medical Billing and Coding
- EPIC EMR
- Payment Collection
- Medical Terminology Understanding
- Departmental Cross-Coverage
- Work Well Independently
- HIPAA Compliance
- Insurance Eligibility
Timeline
Customer Solutions Specialist
Piedmont HealthCare
09.2021 - Current
Front Office Coordinator
Piedmont Ob/gyn
09.2017 - 09.2021
Surgery Coordinator
Piedmont Rockdale Hospital
01.2012 - 09.2017
Billing Manager
Alliance Family Care
01.2010 - 01.2012
Client Support Specialist
Medical Billing Resources
01.2008 - 01.2009
Office Manager
Georgia Foot and Ankle
01.2006 - 01.2008
Worker's Compensation Bill Auditor
Recall
01.1999 - 01.2008
CPC -
AMA
Medical Insurance Billing And Coding
Georgia Medical Institute
High School Diploma -
Heritage High School
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