Mercedes Armerding
Weaverville,NC
Summary
I am a certified bilingual medical coder and biller also a level I, II and III Spanish interpreter. Having over twenty years of experience in the medical field and have been a certified in medical coder since 2011 also achieved the additional certifications: CPB, CPMA, and CPPM. Currently I’m an active member in the Asheville-Hendersonville Chapter of the AAPC. For the past 3 and half years I have enjoyed working at a Skilled Nursing Facility as a medical biller. I have experience with ICD9 and ICD10, as well as Medicare and Medicaid guidelines. I consider myself a friendly, outgoing person willing to learn new skills that broaden my professional knowledge. I enjoy working with people and am a team player; I am passionate about my work and take pride in high quality performance and dependability. I am confident that I would be an excellent addition to your staff.
Experienced with managing billing cycles and resolving collections disputes efficiently. Utilizes strong analytical skills to identify and rectify discrepancies. Track record of maintaining accurate financial documentation and fostering collaborative relationships with clients and team members.
Overview
27
27
years of professional experience
1
1
Certificate
Work History
Billing and Collection Specialist
Carolina Adventist and Retirement Systems
Candler, NC
06.2014 - Current
- Billing Medicare A and B, Commercial and Replacement Carriers, Long Term Insurances and Hospice.
- Sending and following up collections and decline transactions letters for all 5 facilities.
- Billing and following up on crossover claims from Medicare to commercial Insurance and Medicaid.
- Keeping AR for private pay up to day, includes calling people and remaining them of current balance.
- Send first and second collection letters to past due balances, if no response follow up with phone calls.
- Send large balances to an Attorney and follow up on a monthly basis for account status.
- Monthly A\R review with CFO.
- Discuss with patients or family members their insurance benefits.
- Running monthly credit card batches of transactions and transmit positive pay to bank for any outstanding checks, prepare and review statements for all 5 campuses.
- Sending quarterly the credit balance report to Medicare and Medicaid.
- Keep track of the Credit Balance Report.
- AR and Collections Project Coordinator.
Certified Professional Coder
North Buncombe Family Medicine
Weaverville, NC
05.2008 - 05.2014
- Medical coding.
- Patient inquiries of billing and balances.
- Accounts receivable, posting daily charges, insurance payments, and patient payments.
- Act as resource to physicians and nurses for billing and coding information.
- In-house collections, prepare patient dismissal letters.
- Insurance verification and eligibility.
- Patient appointment scheduling, including answering phones.
- Medical records, transferring patient information under HIPPA law.
- Outgoing referrals.
- Medical preauthorization’s.
- Interpreting for Hispanic community.
Accounts Receivable Administrator
CPAP Company
Asheville, NC
01.2007 - 05.2008
- Durable Medical Equipment (DME) coding.
- Customer inquiries of billing and balances.
- Medical claims appeals.
- Obtaining medical necessity letters (MNL) from physicians’ offices.
- Accounts receivable, posting daily charges, insurance payments, and patient payments.
- Submit medical documentation to insurance companies for claims substantiation.
- In-house collections.
- Insurance verification and eligibility.
Office Manager
Randall H. Chapman, MD Ophthalmologist
Novato, CA
11.2003 - 01.2007
- Patient inquiries of billing and balances.
- Case file management.
- Accounts receivable, posting daily charges, insurance payments, and patient payments.
- Insurance verification and eligibility.
- Patient appointment scheduling, including surgeries and follow-ups.
- Assist patients in peripheral vision testing.
- Medical records, transferring patient information under HIPPA law.
- Outgoing referrals.
- Interpreting for Hispanic community.
Lab Manager
Quest Diagnostics, PSC
Greenbrae, CA
08.1999 - 11.2003
- Draw and process blood samples.
- Process stool and urine specimens.
- Obtain lab orders from physicians’ offices.
- Paternity and drug testing.
- Patient services, including patient registration.
Education
Certified Professional Practice Manager -
AAPC
01.2017
Certified Professional Biller - undefined
AAPC
Certified Professional Medical Auditor - undefined
AAPC
01.2016
Level I, II and III Interpreting, Spanish-English - undefined
MAHEC
01.2013
Certified Medical Coder - undefined
AAPC
01.2011
Phlebotomy - undefined
College of Marin
Kentfield, CA01.2005
Skills
- Allscripts, E-MDS software and HT (long term billing software)
- Goal oriented
- Professionalism and ethics
- Debt recovery
- Payment negotiations
- Invoice processing
- Accounts receivable management
- Cash application
- Dispute resolution
- Credit control
- Billing software proficiency
- Collection strategies
- Credit reporting
- Active listening
- Decision-making
- Relationship building
- Goals and performance
- Call center experience
- Collections
- Account review
- Account reconciliation
- New hire training
- System maintenance
- Risk management
- Conflict resolution techniques
- Records management
- Bookkeeping
- Billing problem resolution
- Problem-solving
- Acquisition management
- Attention to detail
- Performance improvements
- Skip tracing
- Records maintenance
- Supply ordering
- Credit and collections
- Financial management
Accomplishments
- Create ways to increase revenue by implementing financial strategics.
- Achieved re negotiating medical contracts and recovered unpaid claims
- Achieved communication by introducing software Teams to our practice.
Affiliations
Currently I’m an active member in the Asheville-Hendersonville Chapter of the AAPC.
Certification
- Certified Professional Practice Manager Certification through AAPC Certification 2017
- Certified Professional Biller Certification through AAPC
- Certified Professional Medical Auditor Certification through AAPC Certification: 2016
- Level I, II and III Interpreting, Spanish-English MAHEC Graduation: 2013
- Certified Medical Coder Certification through AAPC Graduation: 2011
Languages
Spanish-English
Timeline
Billing and Collection Specialist
Carolina Adventist and Retirement Systems
06.2014 - Current
Certified Professional Coder
North Buncombe Family Medicine
05.2008 - 05.2014
Accounts Receivable Administrator
CPAP Company
01.2007 - 05.2008
Office Manager
Randall H. Chapman, MD Ophthalmologist
11.2003 - 01.2007
Lab Manager
Quest Diagnostics, PSC
08.1999 - 11.2003
Certified Professional Biller - undefined
AAPC
Certified Professional Medical Auditor - undefined
AAPC
Level I, II and III Interpreting, Spanish-English - undefined
MAHEC
Certified Medical Coder - undefined
AAPC
Phlebotomy - undefined
College of Marin
Certified Professional Practice Manager -
AAPC
References
Please find a copy of my professional resume enclosed. Thank you for your consideration, I look forward to hearing from you at your earliest convenience. References upon request.