Mercedes May
Broadalbin,NY
Summary
Reliable Medical Biller with coding and medical terminology knowledge. Polished and hardworking performer with background overseeing accounts and handling records management tasks. Team-oriented person with great decision-making skills.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Medical Billing Associate
Nathan Littauer Hospital
04.2023 - Current
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Collected payments and applied to patient accounts.
- Filed and updated patient information and medical records.
- Posted payments and collections on regular basis.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Adhered to established standards to safeguard patients' health information.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Liaised between patients, insurance companies and billing office.
- Touched over 40 accounts per day
Medical Secretary
The Center For Rheumatology
02.2019 - 03.2023
- Kept information confidential and followed HIPAA guidelines to maintain patient trust.
- Checked documentation for accuracy and validity on updated systems.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Performed all data input regarding claims and prior authorizations into system accurately.
- Tracked referral submission during facilitation of prior authorization issuance.
- Fielded 30 telephone inquiries per day on authorization details from plan members and medical staff.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
Medical Records Clerk
The Center For Rheumatology
04.2017 - 02.2019
- Established and maintained patient confidence by keeping patient records information confidential, in compliance with security regulations.
- Processed up to 50 medical records requests daily from outside providers according to facility, state and federal law.
- Uploaded physician progress notes, history and physicals into electronic medical records.
- Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers.
- Performed data input into computer programs and filing systems.
- Communicated effectively with staff, patients and insurance companies by email and telephone.
Medical Receptionist
The Center For Rheumatology
02.2015 - 04.2017
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Managed multi-line phone system, answering over 60 calls daily and pleasantly greeted patients.
- Checked patient insurance, demographic and health history to keep information current.
- Organized paperwork such as charts and reports for office and patient needs.
- Transcribed phone messages and relayed to appropriate personnel.
- Managed master calendar and scheduled appointments for providers based on optimal patient loads and clinician availability.
- Enhanced office productivity by handling high volume of callers per day.
- Supported office staff and operational requirements with administrative tasks.
Radiologic Technologist
Miner's Medical Center
09.2005 - 08.2014
- Minimized patients' exposure to radiation during x-ray imaging through application of shielding techniques and careful positioning of patients, equipment and restrictive devices.
- Facilitated positive care experience for upwards of 45 patients per day by establishing rapport and applying interpersonal skills to reduce anxiety and promote cooperation.
- Reviewed physicians' orders to determine medical imaging needs and operated radiologic equipment to capture, develop and produce diagnostic images.
- Applied and positioned equipment to take images following set parameters.
- Served as informational resource for patients and families by educating about imaging processes and addressing questions and concerns.
- Prepared and administered contrast materials, radiopharmaceuticals, anesthetic and antispasmodic drugs for imaging procedures.
- Developed and delivered training programs for students and technologists to educate on best practices for equipment operation, image processing and patient care.
- Operated x-ray and mobile imaging equipment in ER, Inpatient, OR and PacU settings.
Education
Certificate - Radiologic Technology
Conemaugh School of Radiologic Technology
Johnstown, PAHigh School Diploma -
Portage Area High School
Portage, PASkills
- Reviewing Patient Information
- Customer Service
- Critical Thinking
- Work Prioritization
- Benefits Verifications
- Insurance Claims
- ICD-10 Coding
- Electronic Health Record Software
- Billing Data Verification
- Healthcare Terminology
- Time Management
- Records Maintenance
- Obtaining Authorizations
Certification
CPC-A
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Medical Billing Associate
Nathan Littauer Hospital
04.2023 - Current
Medical Secretary
The Center For Rheumatology
02.2019 - 03.2023
Medical Records Clerk
The Center For Rheumatology
04.2017 - 02.2019
Medical Receptionist
The Center For Rheumatology
02.2015 - 04.2017
Radiologic Technologist
Miner's Medical Center
09.2005 - 08.2014
Certificate - Radiologic Technology
Conemaugh School of Radiologic Technology
High School Diploma -
Portage Area High School