Marie Levine
NUTLEY,NJ
Summary
Accomplished Medical Billing Specialist with a proven track record at On Time Ambulance, Inc, adept in HIPAA compliance and denial management. Enhanced revenue through meticulous claim submission and effective dispute resolution. Known for strong interpersonal skills and medical coding expertise, consistently achieving timely reimbursements and reducing claim denials.
Overview
15
15
years of professional experience
Work History
Medical Billing Specialist
On Time Ambulance, Inc
08.2019 - Current
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Optimized revenue generation through diligent monitoring of denied claims, resubmitting corrected information when needed.
- Collaborated with healthcare providers to obtain necessary documentation for accurate code assignment and claim submission.
- Streamlined billing processes for faster reimbursement, utilizing advanced software solutions.
- Contributed to team success by actively participating in staff meetings, offering insights into improving workflows within the department.
- Established positive relationships with insurance companies, facilitating open communication lines for efficient claim processing.
- Achieved timely reimbursements from payers by submitting clean claims that adhere to payer-specific guidelines.
- Reduced errors in medical billings, effectively addressing discrepancies and rectifying issues promptly.
- Developed a comprehensive understanding of ICD-10-CM, CPT, and HCPCS codes to ensure proper use in medical coding assignments.
- Maximized productivity through effective time management, prioritizing tasks based on urgency and importance.
- Attained up-to-date knowledge of coding requirements through continuing education courses and certification renewal.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Reduced claim denials by maintaining thorough knowledge of payer-specific requirements and guidelines.
- Expedited claim resolution with insurance companies through clear communication and prompt follow-up actions.
Medical Billing Coordinator
Morristown Wound Healing Center
03.2010 - 01.2019
- Assisted in staff training initiatives to develop a knowledgeable team capable of handling complex billing situations effectively.
- Coordinated with clinical teams to ensure proper documentation was received for accurate coding and claim submissions, reducing delays in reimbursements.
- Effectively resolved disputes regarding coverage eligibility or claim denials through professional communication with patients and insurance representatives alike.
- Increased revenue collection by diligently following up on outstanding payments and negotiating payment plans with patients when necessary.
- Developed a comprehensive understanding of medical terminology and coding systems to accurately translate services provided into billable charges on patient accounts.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Liaised between patients, insurance companies, and billing office.
Education
Ambulance Compliance
National Academy of Ambulance Compliance
ICD-10 Code Set
AAPC
Medical Coding
AAPC
Medical Insurance Billing Specialist
Essex County College
Newark, NJAdvanced Medical CPT & ICD-9 Coding
Essex County College
Newark, NJSkills
- HIPAA Compliance
- Payment posting
- Claim submission
- Insurance Verification
- CPT Knowledge
- Denial Management
- Medicare and Medicaid process
- ICD-10 Proficiency
- Medical Coding Expertise
Timeline
Medical Billing Specialist
On Time Ambulance, Inc
08.2019 - Current
Medical Billing Coordinator
Morristown Wound Healing Center
03.2010 - 01.2019
Ambulance Compliance
National Academy of Ambulance Compliance
ICD-10 Code Set
AAPC
Medical Coding
AAPC
Medical Insurance Billing Specialist
Essex County College
Advanced Medical CPT & ICD-9 Coding
Essex County College
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