Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Marcie Brown

Granite,NC

Summary

Medical Billing and Coding Specialist with 6 years providing administrative and patient support in hospital and medical office settings. Advanced knowledge of private insurance processes and codes. Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment. Hardworking professional applies official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services. Confident Medical Coder adheres to data confidentiality and privacy rules in all workflows and promotes dynamic interpersonal skills.

Overview

10
10
years of professional experience
1
1
Certification

Work History

Certified Ambulance Coder

Cleveland County Government
03.2022 - Current

Responsible for billing for the ambulance transports for Cleveland County.

  • Maintained highest patient confidentiality in accordance with HIPAA guidelines
  • Reviewed records and coding batches for accurate reporting and adherence to standards.
  • Reviewed out-patient medical documents of diagnosis and procedures and assigned ICD-10, CPT, and HCPCS according to coding guidelines.
  • Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.

Customer Service Representative

NC Farm Bureau Mutual Insurance
01.2019 - 07.2023
  • Handled customer inquiries and suggestions courteously and professionally.
  • Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
  • Answered constant flow of customer calls with minimal wait times.
  • Answered customer telephone calls promptly to avoid on-hold wait times.
  • Updated account information to maintain customer records.
  • Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
  • Responded to customer requests for products, services, and company information.

EMS Billing Associate

Caldwell County Government
06.2013 - 12.2018
  • Submitted alternate billing for clients belonging to special demographics using Tritech software portal, reconciled EOBs or denied claims and conducted accounts receivable follow-up.
  • Assisted clients and attorneys with requests for invoice copies, ledger details and explanation of accounts receivable amounts owed.
  • Evaluated aging reports to identify members to be included in monthly outbound collection calls.
  • Partnered with billing analyst department to investigate and remedy any gross margin trend issues.
  • Reviewed full history of past due accounts and contacted client or attorney regarding collection, implementation of payment plan or pursuit of legal remedies on unpaid accounts.
  • Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
  • Processed and verified invoices to secure accuracy of billing information.
  • Generated and submitted invoices based upon established accounts receivable schedules and terms.
  • Researched and resolved billing discrepancies to enable accurate billing.
  • Provided excellent customer service, developing and maintaining client relationships.

Education

Associate of Science - Medical Billing

Caldwell Community College And Technical Institute
Hudson, NC
06.2001

Skills

  • Patient Data Management Systems
  • Medical Transcription
  • Records Review
  • Protected Health Information
  • Codification
  • Prepare Reports
  • Clerical Support
  • Records Management
  • Coverage Determination
  • Data Verification
  • Medical Billing Code Accuracy
  • Accounts Payable and Accounts Receivable
  • Document Management
  • CPT Code Modifiers
  • Reading Comprehension
  • Data Entry
  • Insurance Claims Analysis
  • Answering Questions

Certification

Certified Ambulance Coder

Notary Public

Timeline

Certified Ambulance Coder

Cleveland County Government
03.2022 - Current

Customer Service Representative

NC Farm Bureau Mutual Insurance
01.2019 - 07.2023

EMS Billing Associate

Caldwell County Government
06.2013 - 12.2018

Associate of Science - Medical Billing

Caldwell Community College And Technical Institute
Marcie Brown