Summary
Overview
Work History
Education
Skills
Timeline
Generic

Mary Harmon

Saginaw

Summary

Dynamic professional with extensive experience in medical billing and coding at Covenant HealthCare. Proven ability to enhance customer satisfaction through effective communication and problem resolution. Skilled in claims processing and insurance verification, while fostering teamwork and collaboration to achieve organizational goals. Adept at navigating complex billing regulations to maximize revenue potential.

Overview

25
25
years of professional experience

Work History

Covenant Central Scheduler

Covenant HealthCare
Saginaw
10.2024 - Current
  • Managed appointment setting, cancellations, and rescheduling for clients, enhancing customer satisfaction.
  • Communicated schedule changes to appropriate department personnel and other ancillary areas.
  • Responded promptly to all customer inquiries regarding availability or schedule changes.
  • Utilized MS Office and Excel to analyze data and create spreadsheets.
  • Developed effective scheduling processes to achieve production objectives.
  • Resolved customer inquiries regarding schedule changes or availability of services and products.
  • Resolved customer complaints or answered customers' questions.
  • Processed payments and updated accounts to reflect balance changes.
  • Scheduled tests, lab work or x-rays for patients based on physician orders.
  • Provided support to existing staff on various tasks and duties.
  • Assisted with training new employees on company policies and procedures.

Billing Specialist

Covenant Visiting Nurse Association
Saginaw
03.2018 - Current
  • Implemented new policies related to billing processes when required.
  • Billing/coding experience
  • Durable Medical billing
  • Maintained up to date knowledge of billing regulations and compliance requirements
  • Negotiate and appeal claims, securing rightful payments
  • Research and resolved billing discrepancies to enable accurate billing
  • Identified, researched and resolved billing variances to maintain system accuracy and currency
  • Worked with multiple departments to check proper billing information
  • Assisted colleagues in resolving complex billing issues promoting teamwork and knowledge sharing within the department.
  • Enhanced customer satisfaction with timely and accurate invoice generation
  • Maximized revenue potential by Identifying and resolving under-billed accounts
  • Insurance authorizations
  • Medical terminology
  • Medicare, Medicaid, and commercial billing
  • Identified errors in coding and corrected them accordingly.
  • Analyzed provider documentation to ensure accurate coding of diagnoses and procedures according to CMS Medicare Risk Adjustment Coding Guidelines.
  • Submitted claims electronically using appropriate coding conventions.

Billing/Coding Coordinator

Harmony Home Health And Hospice
SAGINAW
10.2021 - 12.2022
  • Coordinated with other departments to ensure projects were completed on time and within budget.
  • Reduced billing errors
  • Processed payments via telephone and in person with focus on accuracy and efficiency
  • Medicare, Medicaid and commercial billing
  • Filed and submitted claims
  • Assessed medical codes on patient for accuracy
  • Contacted insurance providers to verify insurance, obtain authorization to bill claims
  • Maintained updated knowledge of CPT and ICD-10 coding principles, government regulations, protocols and third-party billing requirements
  • Assisted with the development of coding policies and procedures.
  • Safeguarded medical records to maintain patient confidentiality.
  • Assisted with the development and implementation of new coding initiatives.
  • Coded for Med Express
  • Interpreted medical reports to apply appropriate ICD-10, CPT-4 and HCPCS codes.
  • Collaborated with healthcare providers to verify necessary documentation for coding accuracy.
  • Advised on the impact of coding decisions on reimbursement and compliance.
  • Maintained current knowledge of changes in regulatory agencies' regulations as they relate to medical records coding.
  • Assessed medical codes on patient records for accuracy.

Customer Service Representative

Morley Travel
Saginaw
10.2017 - 02.2018
  • Answered customer inquiries via phone regarding insurance benefits
  • Answered customer inquiring regarding pharmacy items
  • Obtained authorization for out if area BCBS patients
  • Provided accurate information about products and services to customers.
  • Developed positive relationships with customers through friendly interactions.
  • Maintained a high level of professionalism when dealing with difficult customers.
  • Resolved customer complaints promptly and efficiently.
  • Informed customers about billing procedures, processed payments, and provided payment option setup assistance.

Durable Medical Equipment Specialist

Binson's Medical Supply
Saginaw
03.2000 - 07.2017
  • Billed claim on 1500 forms
  • Verified accuracy of patients insurance
  • Obtained authorization
  • Scheduled appointments for fittings, adjustments or repair services for DME items.
  • Compiled reports related to sales activity, inventory levels, customer satisfaction surveys and other relevant information.
  • Reviewed purchase orders from suppliers ensuring accuracy with respect to pricing, quantity and quality standards before placing an order.
  • Maintained knowledge of ICD-10, CPT, HCPCS, and other relevant coding systems.
  • Interpreted medical terminology and pharmacological information to translate information into coding system.
  • Became part of management
  • Opened and closed store
  • Held accountable for daily currency exchange
  • Coordinated with vendors for delivery or pick-up of items ordered by customers.
  • Managed accounts receivable activities including invoicing customers, collecting payments due from customers and resolving payment disputes if any arise.
  • Monitored stock levels and reordered supplies when necessary to maintain adequate inventory levels.
  • Assisted customers in selecting appropriate durable medical equipment that best fit their needs.
  • Advised clients on proper usage, safety protocols and care instructions for DME items.
  • Instructed patients on how to safely use their durable medical equipment at home.
  • Processed orders for new or replacement DME items in a timely manner.
  • Developed relationships with key healthcare professionals in order to promote the sale of DME products.
  • Provided customer service by answering questions, responding to inquiries and resolving customer complaints related to DME products.
  • Organized and managed inventory control systems to ensure accuracy of product availability.
  • Evaluated patient's insurance coverage requirements prior to providing services or selling products.
  • Maintained accurate records of all sales transactions, inventory levels and other pertinent data.
  • Informed patients about proper use of compression stockings, nebulizers, and urinary bags and answered questions in regards to these items.
  • Trained patients on how to properly operate medical equipment.
  • Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses under durable medical guidelines.

Education

Associate of Science - Health Information Technology

Davenport University
Grand Rapids, MI
05-2015

Skills

  • Payment posting
  • Claims Processing
  • Medical coding
  • Contract Preparation
  • Medical billing and collections
  • Insurance Verification
  • Customer Engagement
  • Coding proficiency
  • Collections
  • HIPAA Compliance
  • Billing dispute resolution
  • Customer Service
  • Payment Processing
  • Mail Sorting
  • Bill payment
  • Goal Setting
  • Teamwork and Collaboration
  • Customer Contact
  • Appointment scheduling

Timeline

Covenant Central Scheduler

Covenant HealthCare
10.2024 - Current

Billing/Coding Coordinator

Harmony Home Health And Hospice
10.2021 - 12.2022

Billing Specialist

Covenant Visiting Nurse Association
03.2018 - Current

Customer Service Representative

Morley Travel
10.2017 - 02.2018

Durable Medical Equipment Specialist

Binson's Medical Supply
03.2000 - 07.2017

Associate of Science - Health Information Technology

Davenport University

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