MARCIA SUDA
Pipestone,USA
Summary
Dynamic Patient Account Representative with a proven track record at Pipestone County Medical Center, excelling in problem-solving and meticulous attention to detail. Skilled in submitting clean claims and conducting thorough audits, ensuring accuracy and compliance. Recognized for enhancing operational efficiency and maintaining exemplary patient account management.
Overview
29
29
years of professional experience
1
1
Certification
Work History
PATIENT ACCOUNT REPRESENTATIVE
Pipestone County Medical Center
12.2022 - Current
- Posting payment and processing refunds for both self-pay and insurance accounts
- Conducting regular audits of patient accounts, identifying discrepancies and rectifying errors as needed
- Review insurance eligibility and verified coverage
- Verify physician enrollment with insurance companies
- Submitted clean claims by working with Coding team and independently seeking out correct ICD-10 and HCPCS codes and modifiers
CERTIFIED IV PHARMACY TECHNICIAN
Avera Home Infusion
01.2022 - 12.2022
- Maintained a safe work environment by adhering to strict sterile compounding procedures and following infection control protocols
CERTIFICED PHARMACY TECHNICIAN
Avera Marshall Regional Medical Center
01.2017 - 12.2021
- Prepared IV solutions, admixtures, biosimilars, and other solutions using aseptic techniques
- Maintained proper drug storage procedures, registries, and records for controlled drugs
CHIROPRACTIC ASSISTANT
Flandreau Chiropractic Clinic, PC
09.1996 - 01.2015
- Responsible for timely and accurate filing of Medicaid, Medicare, and secondary claims
- Accurately posting insurance payment to patient accounts
- Accurately selecting appropriate ICD-9 and CPT codes for insurance claims
- Creation of various office forms and reports to further utilize newly implemented practice management software
- Created and implemented HIPAA privacy policies and served as the HIPAA Compliance Officer
Education
A.S. - HEALTH INFORMATION TECHNOLOGY
Minnesota West Community & Technical College
A.A.S. - ACCOUNTING
Minnesota West Community & Technical College
Skills
- Time management
- Attention to detail
- Problem-solving
- Organization skills
- Verbal and written communication
Certification
RHIT, Registered Health Information
Timeline
PATIENT ACCOUNT REPRESENTATIVE
Pipestone County Medical Center
12.2022 - Current
CERTIFIED IV PHARMACY TECHNICIAN
Avera Home Infusion
01.2022 - 12.2022
CERTIFICED PHARMACY TECHNICIAN
Avera Marshall Regional Medical Center
01.2017 - 12.2021
CHIROPRACTIC ASSISTANT
Flandreau Chiropractic Clinic, PC
09.1996 - 01.2015
A.S. - HEALTH INFORMATION TECHNOLOGY
Minnesota West Community & Technical College
A.A.S. - ACCOUNTING
Minnesota West Community & Technical College
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