Melissa Lonczkowski
Coldwater,MI
Summary
Accomplished Medical Biller and Coder at C&H Family Practice & Orthopedic Care Center, adept at reducing claim denials through precise insurance verification and ICD-10 coding. Demonstrated strong communication skills while resolving discrepancies, ensuring optimal reimbursement rates and compliance with HIPAA regulations. Proven expertise in appeals processing and commercial insurance billing.
Experienced with medical billing and coding. Utilizes skills in claims processing and regulatory compliance to enhance healthcare administration. Knowledge of maintaining accurate patient records and navigating complex billing systems.
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
6
6
years of professional experience
Work History
Medical Biller and Coder
C&H Family Practice & Orthopedic Care Center
07.2019 - Current
- Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
- Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Communicated with insurance companies to research and resolved coding discrepancies.
Education
Associate of Applied Science - Medical Billing & Coding
Baker College
Coldwater, MI06-2012
Skills
- HIPAA compliance
- Payment posting
- Insurance verification
- ICD-10 proficiency
- CMS-1500 form completion
- Medicare and medicaid billing
- Claim submission
- Appeals processing
- Workers' compensation billing
- Commercial insurance billing
- Word processing software
- ICD-10 coding
Timeline
Medical Biller and Coder
C&H Family Practice & Orthopedic Care Center
07.2019 - Current
Associate of Applied Science - Medical Billing & Coding
Baker College
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