My Objective is to use my skills and experience to support the mission and values of an organization. A Certified Professional Coder through the AAPC with 8+ years of experience ready and eager to get those claims billed out for you! Remote work experienced. I'm willing and able to learn new things! Authorized to work in the US for any employer
Overview
12
12
years of professional experience
1
1
Certification
Work History
Certified Professional Coder
Northeastern Health Systems
11.2021 - 03.2023
ProFee coder for large medical group in Oklahoma
9753, Patient collections
Eliminate as much self-pay A/R as possible
Review and follow up with delinquent accounts sending to collections when needed
Answer multi-line phone system
Meet with patients to discuss financial issues and establish payment plans with patients
Posting patient payments
Communicating with physicians regarding patient accounts
NextGen patient account system
Continuing education by attending webinars and office meetings
Maintained strict patient confidentiality following HIPPA guidelines
Ophthalmic Technician
Eye Care Associates
08.2020 - 11.2021
Applied eye medications and drops to dilate pupils in preparation for examinations.
Performed visual field testing to measure patients' peripheral vision to determine any visual field loss.
Operated ophthalmic equipment for patient eye examinations and prepared patients for examinations and surgeries.
Administered visual acuity tests to measure patient ability to see clearly at different distances and identify visual impairments.
Explained pre- and post-operative procedures to patients and carefully reviewed surgical plans.
Recorded patient history to help ophthalmologists determine diagnoses and treatment plans.
Measured intraocular pressure using Goldman and Tonopen tonometry process.
Measured and recorded visual acuity and color vision testing.
Instilled anesthetic drops and assisted in laser treatments and minor procedures.
Used Lensometer to measure and record lens power of existing prescriptive spectacles.
Conducted tonometry testing to measure pressure inside patient's eye to determine presence of glaucoma
Reimbursement Specialist
Eye Care Associates
01.2016 - 08.2020
Followed up on denied and unpaid claims to resolve problems and obtain payments.
Coordinated with insurance providers to verify customer's policy benefits in relation to claims.
Processed billing calls and answered questions from patients and third-party carriers.
Processed online and paper appeal submissions and refund requests.
Corrected, completed and processed claims for multiple payer codes.
Assisted in reconciling deposit and patient collections.
A/R work, denials and edits
Billing Specialist
Atlantic Urology Clinics
02.2015 - 12.2015
Reviewing ED notes and necessary test results to
Assign the appropriate ICD-10 diagnosis codes
Assigning appropriate CPT E/M codes
Assigning any CPT procedure codes necessary if any
Continued education through AAPC
Stay informed and up to date on any and all changes made to code books/guidelines
Microsoft office applications
Operated typing, adding, calculating, and billing machines.
Server
Overtime Sports Cafe
09.2011 - 03.2015
Collections
Identified and resolves patient billing complaints
US
Billing Specialist
Savannah Vascular and Cardiac Institute
09.2011 - 05.2012
Prepares, reviews and sends patient
Establish payment plans with patients
Follow status of delinquent accounts and prepare for collections if needed
Post payment payments
Maintain confidentiality complying with HIPPA guidelines
Answering mulit-line phone system
Ability to verify patient eligibility
Trained to assist in call center when needed, scheduling/canceling/rescheduling patient appointments
Intergy patient account system and Meridian EMR
Familiar with Navicure Clearing House
Continuing education by attending webinars and office meetings
Server
Provided great customer service to guests
Accurately took food and drink orders
Use POS operating system to send orders to kitchen and bar
Delivered food and drinks, always checking on refills or quality of food
Acted as own bank cashing out guests and providing accurate change
Billing And Coding Specialist
Omega Medical Solutions
01.2012 - 10.2013
Code office visits
Bill claims to all insurance companies including Medicare, Medicaid and many others
Posting patient and insurance payments
A/R work, denials and edits
Enter patient demographics
Answer multi-line phone system
Assist patients with any questions
Help coworkers when needed
Familiar with Cardiology, Neurology and Pulmonology coding and billing
Thoroughly researched newly identified diagnoses and/or medical procedures to expand skills and knowledge
Verified patient eligibility and claim status
Researched CPT and ICD coding discrepancies for compliance and reimbursement accuracy
Maintained strict patient confidentiality following HIPPA guidelines
Resourcefully used various coding books, procedure manuals and o- line encoders
Actively maintained current working knowledge of CPT and ICD coding principles
Government regulation
Protocols and third party insurance requirements for accuracy
Medical Billing And Coding In Medical Billing And Coding
Howard's Medical Coding In Medical billing and coding
Responded to customer concerns and questions on daily basis.
Used data entry skills to accurately document and input statements.
Education
Medical terminology
Anatomy and physiology
AAPC CPC -
Skills
ICD-10 (2 years)
ICD-9 (8 years)
CPT (8 years)
HCPCS
CPC (9years)
Physiology Knowledge
Medicare (8 years)
Insurance Verification (8 years)
Medical Insurance (8 years)
Hipaa (8 years)
Payment Processing and posting (8 years)
Charge posting (8 years)
Medical Coding
A/R work, denials and edits
EMR Systems
Medical Office Experience
Medical Collection
Medical receptionist
Medical Records
Ophthalmology Experience
Accounting
Patient Care
Anatomy Knowledge
Medical Terminology
Accounts receivable
Medical Scheduling
Google Suite
Time management
Microsoft office applications
Certification
January 2016 to November 2023 Certified Professional Coder
certified through AAPC
Timeline
Certified Professional Coder
Northeastern Health Systems
11.2021 - 03.2023
Ophthalmic Technician
Eye Care Associates
08.2020 - 11.2021
Reimbursement Specialist
Eye Care Associates
01.2016 - 08.2020
Billing Specialist
Atlantic Urology Clinics
02.2015 - 12.2015
Billing And Coding Specialist
Omega Medical Solutions
01.2012 - 10.2013
Server
Overtime Sports Cafe
09.2011 - 03.2015
Billing Specialist
Savannah Vascular and Cardiac Institute
09.2011 - 05.2012
Medical terminology
Anatomy and physiology
AAPC CPC -
Teaching Assistant at Northeastern University – Department of Information SystemsTeaching Assistant at Northeastern University – Department of Information Systems