Mercedes Armerding
Weaverville,NC
Summary
Certified bilingual medical coder and biller with over twenty years of experience in the medical field, complemented by certifications in CPB, CPMA, and CPPM. Proficient as a Level I, II, and III Spanish interpreter, enhancing communication in diverse healthcare settings. Recognized for a friendly demeanor, quick learning ability, and commitment to continuous professional development. Dedicated team player thriving in collaborative environments, consistently delivering high-quality performance and dependability.
Overview
27
27
years of professional experience
Work History
Revenue Accounting Manager
Optix Eye Care
Weaverville, NC
05.2018 - Current
- Monitored and optimized daily revenue cycle activities to enhance operational efficiency.
- Credential and re credential provider with commercial and government agencies.
- PQRS yearly reporting to Medicare
- Processed and submitted claims to various medical insurance companies. Communicated monthly statements to patients for clarity on their accounts.
- Answering phones with billing questions as well as making appointments and collecting patient payments in person or via phone
- Verifying benefits and eligibility to enhance cash flow from patients at day of visit.
- Managed insurance claims process by addressing denials and submitting supporting documentation to ensure accurate claim payments.
- Interpreting for the Hispanic community.
- Managed cross-functional teams to streamline accounts receivable processes and improve collections outcomes.
- Medical records, transferring patient information under HIPPA law.
- Facilitated access to billing and coding information for physicians and clinical team to enhance operational efficiency.
- Outgoing and incoming referrals.
- Submitting necessary medical records to insurance companies for audits.
Billing and Collection Specialist
Carolina Adventist and Retirement Systems
Candler, NC
06.2014 - 10.2023
- 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
- Run and balance daily financial reports
- Medical claims appeals
- Filing of workers compensation claims and follow-up for prompt payment
- Tricare preauthorization and referrals
Accounts Receivable Administrator
CPAP Company
Asheville, NC
01.2007 - 05.2008
Office Manager
Randall H. Chapman, MD Ophthalmologist
Novato, CA
11.2003 - 01.2007
Lab Manager
Quest Diagnostics, PSC
Greenbrae, CA
08.1999 - 11.2003
Education
Certified Professional Practice Manager -
01.2017
Certified Professional Biller - undefined
Certified Professional Medical Auditor - undefined
01.2016
Level I, II and III Interpreting, Spanish-English - undefined
MAHEC
01.2013
Certified Medical Coder - undefined
01.2011
Phlebotomy - undefined
College of Marin
Kentfield, CA01.2005
Skills
- Collections management
- Client relationship management
- Professionalism
- Goal setting
- Accounts receivable
- Cash flow management
- Financial auditing
- Teamwork and collaboration
Accomplishments
- Collaborated with team the development of software that helps co workers communicate more efficiently internally.
- Recovered over 2 million dollars of wrongly unpaid claims from insurance carriers.
- Credential and re credential providers with Medicare and other medical insurance carriers.
Languages
English
Native or Bilingual
Spanish
Native or Bilingual
Timeline
Revenue Accounting Manager
Optix Eye Care
05.2018 - Current
Billing and Collection Specialist
Carolina Adventist and Retirement Systems
06.2014 - 10.2023
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
Certified Professional Medical Auditor - undefined
Level I, II and III Interpreting, Spanish-English - undefined
MAHEC
Certified Medical Coder - undefined
Phlebotomy - undefined
College of Marin