Marissa Miller
Middleboro,MA.
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
22
22
years of professional experience
Work History
Medical Billing Specialist
Plymouth ENT
03.2020 - Current
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Posted and adjusted payments from insurance companies.
- Located errors and promptly refiled rejected claims.
- Precisely evaluated and verified benefits and eligibility.
- Billed for Doctors, Pa's, Allergy, Audio, Surgeries and Sleep Studies
- Trained new employees on multiple medical billing programs and data entry software.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Prepared billing correspondence and maintained database to organize billing information.
- Delivered timely and accurate charge submissions.
- Posted payments and collections on regular basis.
- Filed and updated patient information and medical records.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Posted surgical charges for practice providers.
- Attained up-to-date knowledge of coding requirements through continuing education courses.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Reviewed patient charts to better understand health histories, diagnoses and treatments.
- Utilized active listening, interpersonal and telephone etiquette skills when communicating with others.
- Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
- Resourcefully used various coding books, procedure manuals and on-line encoders.
- Accurately selected proper descriptive code when more than one anatomical location was indicated.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Used eClinicalWorks to assign procedure and diagnostic codes to patient records for billing purposes.
Medical Receptionist
Pleasant Hill Pediatrics
03.2013 - 02.2019
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Managed multi-line phone system and pleasantly greeted patients.
- Helped patients complete necessary medical forms and documentation.
- Checked patient insurance, demographic and health history to keep information current.
- Maintained current and accurate medical records for patients.
- Organized paperwork such as charts and reports for office and patient needs.
- Transcribed phone messages and relayed to appropriate personnel.
- Kept waiting room neat and organized by stacking magazines, removing trash and cleaning glass.
- Managed master calendar and scheduled appointments for providers based on optimal patient loads and clinician availability.
- Completed patient referrals to other medical specialists.
- Supported office staff and operational requirements with administrative tasks.
- Enhanced office productivity by handling high volume of callers per day.
- Responded to correspondence from insurance companies to verify patient's coverage.
- Used computerized data management systems to organize immense datasets and coordinate care details for large patient bases.
- Offered ample support to team members with creative solutions to complex challenges regarding scheduling, conflict resolution and medical care.
- Completed and filed financial documentation for accounting purposes.
Forest View Nursing at Kindred
12.2012
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
- Evaluated patients to identify and address wounds, behavioral concerns and medically relevant symptoms.
- Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
- Checked patient vitals such as temperature, blood pressure and blood sugar levels.
- Promoted good oral and personal hygiene by aiding patients with shaving, bathing and teeth brushing.
- Delivered individualized patient care by recording vital signs, documenting observations, administering treatments and evaluating patient needs.
- Oversaw and maintained patients' rooms, group living areas and nurse stations.
- Cared for clients with diagnoses such as respiratory failure, diabetes, Parkinson's disease and muscular dystrophy.
- Participated in fun group activities with patients to boost mood, improve overall memory and provide light entertainment.
- Obtained biological specimens for ordered tests and prepared for laboratory transport.
- Provided care to patients throughout lifespan with consideration of aging processes, human development stages and culture.
Medical Records Clerk
Good Samaritan Hospital and Medical Center
11.2010 - 02.2013
- Maintained patient confidence by keeping patient records information confidential.
- Processed medical records requests from outside providers according to facility, state and federal law.
- Maintained patient records in compliance with security regulations.
- Uploaded physician progress notes, history and physicals into electronic medical records.
- Reviewed charts and flagged incomplete or inaccurate information.
- Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers.
- Created new medical records and retrieved existing medical records by gathering appropriate record folders and contents and assigning and recording new record numbers.
- Gathered patient information by collecting demographic information from variety of sources.
- Delivered charts to assigned areas of hospital by following established routing procedures.
- Input data into computer programs and filing systems.
- Maintained accuracy, completeness and security for medical records and health information.
- Reviewed medical records for completeness and filed records in alphabetic and numeric order.
- Followed exact procedures for handling transfers and other releases of medical records.
- Communicated effectively with staff, patients and insurance companies by email and telephone.
- Accurately pulled patient records for upcoming appointments and procedures, typically within 8-hour period.
- Secured medical records against loss or unauthorized access.
- Processed patient admission and discharge documentation.
- Compiled electronic patient records covering conditions, treatments and diagnoses.
- Prepared and processed forms for government healthcare programs.
ICU Unit Secretary/CNA
Morton Hospital Steward
11.2007 - 10.2010
- While Employed by this company I had many responsibilities such as putting charts together for patients, transcribed orders from doctors to either the computer or on the med sheets
- Ordered different tests for the patients and faxed orders to the pharmacy
- There were many things that I had to do including passing the trays for the patients so they could eat their food.I Had to communicate with doctors and nurses along with the rest of hospital staff
- Also, I was responsible for doing patient care as needed.
- Answered telephone calls to offer office information, answer questions and direct calls to staff.
- Received, recorded and addressed incoming and outgoing communication via telephone and email.
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
- Carried out front office duties utilizing data entry skills in framework of medical database.
- Organized and maintained patient chart filing system to promote quick data finding for staff.
- Answered phone calls and messages for medical staff within the ICU as well as scheduling appointments and handling patient inquiries.
- Organized patient files and streamlined operations to improve efficiency.
- Completed administrative patient intakes with case histories, insurance information and mandated forms.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Placed new supply orders, managed inventory and restocked clerical spaces.
- Received and routed laboratory results to correct clinical staff members.
- Contacted hospitals to confirm patients medical histories and prevent inaccurate diagnoses and treatments.
- Facilitated organized record retrieval and access by maintaining filing system for both in-house and discharged residents.
- Collaborated with nurses and doctors to prepare and set up rooms with adequate supplies and equipment.
Medical Secretary /Unit Coordinator
Goddard Nursing And Rehab
02.2002 - 08.2007
- Kept information confidential and followed HIPAA guidelines to maintain patient trust.
- Organized paperwork such as charts and reports for office and patient needs.
- Enhanced office productivity by handling high volume of callers per day.
- Maintained current and accurate medical records for patients.
- Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing.
- Supported office staff and operational requirements with administrative tasks.
- Registered new patients in electronic medical records prior to appointment scheduling.
- Located, checked in and pulled medical records for patient appointments and incomplete charts.
- Used knowledge of medical terminology to transcribe patient information from written copy, electronic equipment or verbal direction.
- Prioritized calls through screening process and transferred calls and recorded messages for appropriate personnel.
- Maintained office supplies inventory by checking stock, anticipating department needs and placing and expediting orders.
- Reviewed, screened and distributed daily mail correspondence to appropriate personnel.
- Facilitated new patient prescriptions, refills, and prescription pre-authorizations.
- Entered orders and e-prescribe information and created clinical visit summaries.
Education
GED -
Bristol Community College
Fall River, MAMedical Billing And Coding -
Quincy College
Quincy, MA06.2023
No Degree - Nursing
SouthEaston Regional Vocational Technical Institute
S. Easton, Ma2014
Skills
- Bookkeeping Support
- Office Supplies and Inventory
- Front Desk Operations
- Electronic Medical Record
- Critical Thinking
- Medical Records Management
- Records Maintenance
- EMR Systems
- HIPAA Guidelines
- Call Transfers
- Patient Callbacks
- Medical Billing and Coding
- Referral Verification
- Reminder Calls
- Insurance Claims
- Telephone Etiquette
- Patient Relations
- Insurance Verification
- Co-Payment Collection
- Medical Records Verification
- CPT Coding
- Petty Cash Management
- Patient Eligibility Requirements
- Patient Health Information Access
- Referral Tracking
- CPR Certified
- Outpatient Procedures
- Scheduling Tests and Procedures
- Organization and Time Management
- Answer Telephones
- Adaptable and Flexible
- Claim Forms
- Teamwork and Collaboration
Timeline
Medical Billing Specialist
Plymouth ENT
03.2020 - Current
Medical Receptionist
Pleasant Hill Pediatrics
03.2013 - 02.2019
Forest View Nursing at Kindred
12.2012
Medical Records Clerk
Good Samaritan Hospital and Medical Center
11.2010 - 02.2013
ICU Unit Secretary/CNA
Morton Hospital Steward
11.2007 - 10.2010
Medical Secretary /Unit Coordinator
Goddard Nursing And Rehab
02.2002 - 08.2007
GED -
Bristol Community College
Medical Billing And Coding -
Quincy College
No Degree - Nursing
SouthEaston Regional Vocational Technical Institute
Similar Profiles
Ellen McInnisEllen McInnis
Special Education Teacher, Moderate Needs at Plymouth Public Schools - Plymouth South HighSpecial Education Teacher, Moderate Needs at Plymouth Public Schools - Plymouth South High
Tokuboh ShodeTokuboh Shode
Office Administrator at Centers of Advanced ENT Care, Feldman ENT DivisionOffice Administrator at Centers of Advanced ENT Care, Feldman ENT Division
Caitlyn BreenCaitlyn Breen
Emergency Communications Officer at Plymouth County Sheriff's DepartmentEmergency Communications Officer at Plymouth County Sheriff's Department
DOUGLAS WATERMANDOUGLAS WATERMAN
NA at Information Sciences Consulting, Inc.NA at Information Sciences Consulting, Inc.
Casandra KennedyCasandra Kennedy
Bracks at Haley BrackBracks at Haley Brack