Margaret Marquez
New Britain,CT
Summary
Adept, hardworking and detail orientated Medical Coding and Billing Specialist with 3 years experience and a proven track record at Advanced Physical Therapy, responsible for all billing covering 7 offices. Polished office professional who provides excellent customer service to patients and staff utilizing dynamic interpersonal skills. Demonstrates expertise in HIPAA compliance and organizational abilities, significantly improving follow up system efficiency. Always works with a positive attitude and willingness to take on added responsibilities to meet team goals.
Overview
3
3
years of professional experience
1
1
Certification
Work History
Medical Billing Specialist
Advanced Physical Therapy
09.2022 - Current
- Teamed with billing manager to oversee billing activity of 7 offices.
- Achieved A&R of < 9% monthly.
- Demonstrated active listening, interpersonal, and telephone etiquette skills when communicating with insurance companies, patients and staff.
- Collected payments and applied to patient accounts.
- Precisely evaluated and verified benefits/eligibility.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Evaluated patients' financial status and established appropriate payment plans.
- Identified and resolved patient billing and payment issues.
- Recovered over $10,000.00 in workers compensation through collaboration with attorneys.
- Posted and adjusted payments from insurance companies daily.
- Liaised between patients, insurance companies and billing office.
- Maintained "Account without Status" report of less than 40 days, through meticulous review of patient accounts, up to over 900 monthly.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Located errors and promptly refiled rejected claims.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Maintained and updated collections tracking spreadsheet to help organize payment information.
- Prepared billing correspondence and maintained database to organize billing information.
Medical Coding and Billing Specialist
U.S Career Institute
09.2021 - 06.2022
- Successfully completed medical billing course gaining expertise in revenue cycle management, claims submission basic anatomy, medical terminology and HIPAA compliance
- Gained proficiency in ICD-10CM, HCPCS and CPT coding. Achieving 94% accuracy on all exams.
- Earned Medical Billing and Coding Specialist certificate, equivalent to 1 year experience as professional coder.
- Attained up-to-date knowledge of coding requirements through continuing education courses and certification renewal
- Resourcefully used various coding books, procedure manuals, and on-line encoders
Education
Some College (No Degree) - Psychology
Liberty University
Lynchburg, VACertificate - Medical Billing And Coding
U.S Career Institute
Fort Collins, CO06.2022
Skills
- HIPAA Compliance
- Payment posting
- Revenue Cycle Management
- Medical office administration
- Medical Billing
- Workflow Management
- Coding Error Resolution
- Insurance coding (ICD-10, CPT and HCPCS)
- Proficient in Google Suite
- Proficient in Microsoft Office
- Continuing education
Certification
Currently pursuing Certified Professional Coder (CPC) + Certified Professional Biller (CPB) dual certification with the AAPC (American Academy of Professional Coders)
Timeline
Medical Billing Specialist
Advanced Physical Therapy
09.2022 - Current
Medical Coding and Billing Specialist
U.S Career Institute
09.2021 - 06.2022
Some College (No Degree) - Psychology
Liberty University
Certificate - Medical Billing And Coding
U.S Career Institute
Currently pursuing Certified Professional Coder (CPC) + Certified Professional Biller (CPB) dual certification with the AAPC (American Academy of Professional Coders)
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