Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

MARCENE FARLEY

Shawnee,OK

Summary

Skilled medical billing and collections professional with extensive experience at Integris Baptist Hospital, specializing in ICD-10 CM coding and efficient time management. Proven track record of enhancing compliance and driving revenue growth, supported by a solid understanding of medical terminology and a dedication to exceptional customer service.

Overview

17
17
years of professional experience
1
1
Certification

Work History

OPERATIONS SUPPORT SPECIALIST

MultiPlan
Naperville, IL
06.2022 - Current
  • Completing data entry and new case creation.
  • Manually entering claim information.
  • Obtaining information, such as claims and plan documents, from client remote systems.
  • Ensure compliance with HIPAA regulations and requirements.

SENIOR BUSINESS ASSOCIATE

Farley Trucking
Shawnee, OK
04.2020 - 06.2022
  • Filing, retrieving, business documents, and reports.
  • Perform administrative duties such as opening, sorting, and distributing incoming faxes, emails, and other correspondence.
  • Compile and analyze data for the quarterly tax process.
  • Assessed company operations for compliance with safety standards.

PATIENT ACCOUNT REPRESENTATIVE

Dean McGee Eye Institute
Oklahoma City, OK
01.2019 - 03.2020
  • Perform clerical duties such as typing appeal letters, copying medical records and mailing information to providers and members
  • Worked with outside entities to resolve issues with billing, claims and payments
  • Posted payments and processed refunds
  • Responded to patient, family and external payer inquiries
  • Reviewed and corrected claim errors to facilitate smooth processing
  • Electronically submitted bills according to compliance guidelines
  • Managed electronic medical records for all patients
  • Utilized IFA to manage and confirm patient data, such as insurance, demographic and medical history information
  • Kept accurate log of all requests for medical information and records
  • Reviewed charts and flagged incomplete or inaccurate information

MEDICAL APPEALS SPECIALIST

Health Choice an DXC Technology, HP Company
Oklahoma City, OK
09.2009 - 03.2018
  • Perform clerical duties such as typing appeal letters, copying medical records and mailing information to providers and members
  • Respond to inquiries from OSEEGIB (State), Healthsmart, Commercial insurance companies, Medicare and members
  • Ensure that all assigned appeal issues are resolved within appropriate time restraints
  • Ability to write comprehensive statements, using proper grammar and sentence structure
  • Accurately pulled patient records for appeal processes
  • Managed electronic medical records for all patients in our facility
  • Followed up with patients about medical and healthcare processes
  • Coordinated with OSEEGIB to compose appeal responses
  • Prepared insurance claim forms or related documents and reviewed for completeness

MEDICAL BILLER & COLLECTOR

Integris Baptist Hospital
Oklahoma City, OK
02.2008 - 09.2009
  • Efficiently collected payments and communicated with clients
  • Posted payments and collections on a regular basis
  • Contact Medicare, Medicaid & Commercial Insurance companies to check payment status
  • Work closely with team members to create ways to bring in revenue and find success as a group
  • Precisely evaluated and verified benefits and eligibility
  • Respond to oral and written inquiries
  • Verify Medicare, Medicaid, & Commercial Insurance information with patients
  • Submitted electronic and paper claims to insurance companies including Medicare and Medicaid to collect medical payments
  • Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy
  • Reviewed outgoing bills for eligibility and accurateness
  • Scanned and filed medical records in alphabetical order to maintain organized and up-to-date filing system

Education

Medical ICD-10 Coding -

Metro Technology Centers - Springlake
Oklahoma City, OK
01.2018

Word Processing/Receptionist -

Central Business College
Wichita, KS
01.1989

Skills

  • Medical Terminology
  • Workday
  • Collections Experience
  • Time Management
  • ICD-10 CM Coding Understanding
  • Insurance Verifying
  • Type 65WPM
  • IFA/EMR (Electronic Medical Records)
  • Microsoft Word & Office
  • Excel & Pivot Tables
  • Remote Eye & eClinicalsWorks (ECW)
  • Proof Reading & Editing
  • Letter Writing
  • Customer Service
  • Filing, Printing, Copying & Faxing
  • Data Entry
  • HIPPA Compliance
  • 3M Grouper
  • Commercial Insurance Contracts
  • Citrix & Group Management
  • Human Anatomy and Physiology
  • Medical Billing

Certification

  • Medical Terminology-OLT, 09/25/17
  • Anatomy & Physiology for Medical Coding/Billing, 01/04/18
  • Coding CPT, 04/05/18
  • Coding ICD-10-CM & ICD-10-PCS, 07/23/18

Timeline

OPERATIONS SUPPORT SPECIALIST

MultiPlan
06.2022 - Current

SENIOR BUSINESS ASSOCIATE

Farley Trucking
04.2020 - 06.2022

PATIENT ACCOUNT REPRESENTATIVE

Dean McGee Eye Institute
01.2019 - 03.2020

MEDICAL APPEALS SPECIALIST

Health Choice an DXC Technology, HP Company
09.2009 - 03.2018

MEDICAL BILLER & COLLECTOR

Integris Baptist Hospital
02.2008 - 09.2009

Medical ICD-10 Coding -

Metro Technology Centers - Springlake

Word Processing/Receptionist -

Central Business College

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MARCENE FARLEY