WebPT EMR
Mary Jane Phelps
Rocky Point,NC
Summary
Knowledgeable medical professional and billing specialist with background as a treating provider with expertise as to the patient record from documenting and coding the treatment to submission of the claim. Extensive knowledge in verification of insurance, determining copays, coinsurance, obtaining authorizations to ensure payment, correcting and resubmitting claims, responding to medical necessity review from payers. Proficient in RCM management with monthly billing, daily AR management. Proficient in keeping providers updated on payer updates.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Medical Coding and Billing Specialist
Sea Coast Physical Therapy
01.2018 - Current
- Enhanced accuracy of medical coding by implementing a thorough review process and cross-checking system.
- Streamlined billing processes for faster reimbursement, utilizing advanced software solutions.
- Increased efficiency in the workplace by developing and conducting training sessions on new coding guidelines and best practices.
- Ensured compliance with regulatory requirements, diligently researching and staying up-to-date on industry standards.
- Reduced errors in medical billings, effectively addressing discrepancies and rectifying issues promptly.
- Collaborated with healthcare providers to obtain necessary documentation for accurate code assignment and claim submission.
- Optimized revenue generation through diligent monitoring of denied claims, resubmitting corrected information when needed.
- Maintained patient confidentiality by adhering to strict HIPAA regulations during all aspects of the coding and billing processes.
- Managed approximately 100 claims submissions per week with private practice outpatient PT clinic
Physical Therapist Assistant
Sea Coast Physical Therapy
06.2004 - Current
- Improved patient mobility by implementing personalized therapeutic exercise programs and manual therapy techniques.
- Assisted in reducing patient pain levels through targeted massage therapy, heat/cold treatments, and electrical stimulation.
- Enhanced patient rehabilitation outcomes by closely monitoring progress and adjusting treatment plans accordingly.
- Promoted faster recovery for post-surgical patients with tailored stretching and strengthening exercises.
- Ensured accurate documentation of all patient interventions, progress notes, and billing information in electronic medical records.
- Helped pediatric patients reach developmental milestones through age-appropriate play-based interventions promoting gross motor skill development.
- Contributed to overall clinic efficiency by assisting with equipment setup, inventory management, and patient scheduling as needed.
Education
Some College (No Degree) - Medical Coding
Cape Fear Community College
Wilmington, NCAssociate of Science - Physical Therapist Assistant
Fayetteville Technical Community College
Fayetteville, NC06.1997
Skills
- Patient Confidentiality
- Proper Coding, Claims scrubbing and submission
- ERA processing and payment posting
- Verification of insurance benefits, identifying copays, coinsurance and deductible amounts as well as visit limitations and/or authorization
- Denial management of denied claims
- Medical Record Review
- RCM management
Certification
Physical Therapist Assistant - June, 1997
CPC - December, 2018
Completed CPB coursework in 2020 through AAPC (did not sit for exam)
Software
Therabill
Timeline
Medical Coding and Billing Specialist
Sea Coast Physical Therapy
01.2018 - Current
Physical Therapist Assistant
Sea Coast Physical Therapy
06.2004 - Current
Some College (No Degree) - Medical Coding
Cape Fear Community College
Associate of Science - Physical Therapist Assistant
Fayetteville Technical Community College
Physical Therapist Assistant - June, 1997
CPC - December, 2018
Completed CPB coursework in 2020 through AAPC (did not sit for exam)
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