Mary Cantrell
Wichita Falls,TX
Summary
Dynamic medical billing and coding professional with expertise in ICD-10 coding and HIPAA compliance, honed at Wichita Falls Cardiac Care. Proven track record in optimizing claims processing and enhancing patient satisfaction through effective communication and training. Committed to maintaining data accuracy and confidentiality while fostering collaborative relationships within healthcare teams.
Overview
2027
2027
years of professional experience
Work History
Medical Biller and Coder
Wichita Falls Cardiac Care
Wichita Falls
04.2010 - Current
- Scanned and uploaded medical records into electronic medical records system.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Input data into computer programs and filing systems.
- Utilized coding software to assign correct diagnostic and procedural codes for insurance claims.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Assisted patients with understanding their insurance coverage and financial responsibilities, fostering positive relationships and trust between the practice and its clients.
- Optimized workflow efficiency within the office by cross-training in additional administrative tasks such as scheduling appointments or managing phone calls during peak periods.
Claims Examiner
Blue Cross Blue Shield of Texas
Wichita Falls, TX
2017 - 2021
- Analyzed claims for accuracy and completeness, ensuring compliance with policy guidelines.
- Reviewed and processed medical claims using proprietary software systems.
- Collaborated with providers to resolve discrepancies in claims submissions.
- Identified trends in claim denials, recommending process improvements to enhance efficiency.
- Handled sensitive information with discretion, ensuring confidentiality of personal and financial details for claimants throughout the claims examination process.
Bed Control Clerk
United Regional Health Care
Wichita Falls, TX
07.2001 - 08.2009
- Managed patient records with high accuracy and confidentiality.
- Provided exceptional customer service, addressing inquiries and resolving issues promptly.
- Assisted in training new hires, sharing knowledge of best practices for efficient control clerk operations.
- Enhanced data accuracy by meticulously reviewing and verifying control documents for errors.
- Coordinated closely with other departments to maintain seamless communication during order processing stages.
- Coordinated patient admissions and discharges to optimize bed utilization and streamline workflow.
- Collaborated with clinical teams to ensure timely placement of patients in appropriate care settings.
- Utilized electronic health records systems to track bed availability and manage patient assignments effectively.
- Mentored junior staff on best practices in bed control processes, fostering a culture of continuous improvement.
- Assisted in emergency situations by rapidly reconfiguring unit layouts and reallocating beds as needed.
- Kept abreast of industry regulations and accreditation standards pertaining to patient placement, ensuring compliance across the organization.
- Streamlined communication between nursing staff and physicians for timely patient placement decisions.
- Enhanced patient satisfaction with the admission process through prompt and efficient bed assignment coordination.
- Collaborated with housekeeping to ensure rooms were cleaned promptly, resulting in reduced turnaround times for incoming patients.
- Maintained up-to-date knowledge of bed status, ensuring accurate information was available to medical staff at all times.
- Reduced wait times for patients by effectively prioritizing bed requests based on medical necessity and urgency.
Education
Certificate of Technical Studies - Computer Operator
Avalon Vo-Tech
Wichita Falls, TX06-1992
Skills
HIPAA compliance
Payment posting
Insurance verification
ICD-10 proficiency
CPT coding
Claims processing
Data entry
Medical terminology
Medical claims coding
Patient data compilation
Knowledgeable in software
Inpatient records coding
Training and mentoring
Medicare and medicaid billing
Medical coding expertise
Demographics information
ICD-10 coding
Patient admission documents processing
Medical recordkeeping
Timeline
Medical Biller and Coder
Wichita Falls Cardiac Care
04.2010 - Current
Bed Control Clerk
United Regional Health Care
07.2001 - 08.2009
Claims Examiner
Blue Cross Blue Shield of Texas
2017 - 2021
Certificate of Technical Studies - Computer Operator
Avalon Vo-Tech