Michelle Linn
Hanson,MA
Summary
With two decades of professional expertise, a seasoned payroll specialist, adept in managing intricate financial processes with precision. My proficiency extends to medical billing and coding, where I have demonstrated a comprehensive understanding of healthcare reimbursement systems. Additionally, as a medical records specialist reflect a commitment to maintaining accurate and confidential patient information. As an executive assistant, I have honed organizational and multitasking skills, supporting senior management with efficiency and professionalism. My diverse skill set positions me as a valuable asset in the intersection of finance, healthcare administration, and executive support.
Overview
24
24
years of professional experience
1
1
Certification
Work History
Medical Coder/Provider Relations/ Medical Biller/ Neuropsych Evaluation Services and Documentation Reviewer
CFPSYCH
04.2018 - Current
- Primary contact for Healthcare providers and act as Liaison between providers, health plans, and corporate
- Conduct meetings
- Service contracts
- Initiate entry or change of provider-related database information
- Establish and maintain relationships with assigned healthcare providers
- Prepare and submit billing data and medical claims to insurance companies.
- Prepare bills and invoices, and document amounts due to medical procedures and services.
- Collect, Maintain, and review referrals and pre-authorizations.
- Follow up on missed payments and resolve financial discrepancies.
- Examine patient bills for accuracy and request any missing information.
- Help patients develop patient payment plans.
- Worked on and with Advanced MD EHR and Advanced MD PM database
- Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
- Streamlined billing process for faster reimbursement by submitting accurate and timely insurance claims
- Generated reports to identify coding trends and discrepancies.
- Transcribed and entered patient medical information into electronic medical records systems.
- Expedited claim resolution with insurance companies through clear communication and prompt follow-up actions.
- Maintained high level of productivity while consistently meeting deadlines for claim submissions.
- Collaborated with physicians to obtain necessary documentation, improving claim approval rates.
Claims Finance Analyst, Benefit Provider Service Coordinator Representative II
Blue Cross Blue Shield
08.2012 - 04.2018
- Authorized and Resolved claims
- Ensured all information is processed accurately and timely
- Negotiated payments with providers and third parties
- HCPCS, ICD-9, CPT-4 coding
- Consistently met and exceeded production goals concerning volume and accuracy
- Assessed, identified, and resolved provider inquiries timely and professional manner
- Entered personal information regarding clients into Excel spreadsheets and database
- Performed and conducted Claim Analysis
- Entered, recorded, and tracked data entry claim receipts using Excel spreadsheet
- Developed strong PC and telephone skills while handling high call volume
- Recognized for high-quality performance, accountability, and teamwork
- Strong ability to handle multiple priorities to meet strict deadlines
- Performed data entry of claims into electronic claiming system
- Created reports for clients in data exchange
- Interacted with management on workload, issues, and backlog
- Implemented strong verbal and written communication
- Developed and prepared receivable targets for clients
- Coordinated meetings
- Researched and handled complex requests
- Scanned claims after payment processed
- Analyzed client files to resolve issues
Executive Assistant and Case Manager
DMR
05.2005 - 08.2012
- Facilitated shopping cards and gift certificates for clients by withdrawing funds from bank and making deposits as needed
- Scheduled meetings with clients to analyze situations and report to the state
- Notified physicians of medical status and recorded in the database
- Scheduled travel, meetings, vacations (business & personal)
- Allocated funding to clients and recorded it in the base
- Responsible for behavioral billing
- Maintained office supplies
Project Coordinator/Director
Women Support Group, Single Parent Support Group
05.2005 - 08.2009
- Offered support to women in abusive relationships, single mothers, teen mothers, and Single Parents
- Group Support Meetings and Training
- Assisted in teaching single parents and Women how to get back into the workforce
- Building Resume's
- Food, Health Care and other Support Services
- Housing Support
- Provided computer education
Administrative Assistant/Receptionist
H & R Block
01.2000 - 04.2009
- Entered personal information regarding clients into excel spreadsheets and database
- Sent letters to customers, updated contact list and performed customer service
- Maintained multiple phone lines and directed calls
- Analyzed client files to resolve issues
- Scheduled appointments for clients
- Made daily deposits at bank
- Updated files
Unit Coordinator/Administrative Assistant
Braintree Rehab Hospital
05.2004 - 12.2009
- Entered all patient data and physician remarks into the database utilizing medical terminology
- Scheduled all appointments for patients and coordinated floor schedule for employees
- Billed Mass Health, BCBS, HMO, Neighborhood Health Plan, etc
- For patients
- Performed 3rd party billing for patients with more than one insurance
- Billed Medicare & Medicaid for patients needs or supplies
- Performed medical assistant duties
- Obtained referrals from physicians
Education
Bachelor's Degree in Business in Business -
Quincy College
Quincy, MA12.2009
Associates Degree in Medical Billing in Medical Billing -
Massasoit Community College
Canton12.2006
Skills
- Accounts Payable
- Medical billing
- Transcriptionist
- Document reviewer
- Medical Records
- Finance Analyst
- Unit coordinator
- Medical assistant
- Benefit Coordinator
- Evaluation services
- Medical Terminology
- Proficiency in Microsoft Office, Word, Excel, Outlook, Powerpoint, One Note, One Drive, Paycom, ADP, Quickbooks
- Teamwork capabilities
- Anatomy knowledge
- HCPCS coding
- Diagnostic coding
- Electronic health records
- Epic Systems
- Certified Health Data Analyst (CHDA)
- ICD-10 Coding
- First Aid (First Aid)
- Patient Health Information Access
- CPR AED (CPR AED)
- Records Accuracy
- Invoice Processing
- Insurance and Coding Specialist (NCICS)
- Procedural coding
Certification
- First Aid Certification
- Medical Billing Certification
- Medical Coding Certification
- CNA
- BLS Certification
- ACLS Certification
- CPR Certification
- Certified Professional Coder
- AHIMA
Timeline
Medical Coder/Provider Relations/ Medical Biller/ Neuropsych Evaluation Services and Documentation Reviewer
CFPSYCH
04.2018 - Current
Claims Finance Analyst, Benefit Provider Service Coordinator Representative II
Blue Cross Blue Shield
08.2012 - 04.2018
Executive Assistant and Case Manager
DMR
05.2005 - 08.2012
Project Coordinator/Director
Women Support Group, Single Parent Support Group
05.2005 - 08.2009
Unit Coordinator/Administrative Assistant
Braintree Rehab Hospital
05.2004 - 12.2009
Administrative Assistant/Receptionist
H & R Block
01.2000 - 04.2009
Bachelor's Degree in Business in Business -
Quincy College
Associates Degree in Medical Billing in Medical Billing -
Massasoit Community College
- First Aid Certification
- Medical Billing Certification
- Medical Coding Certification
- CNA
- BLS Certification
- ACLS Certification
- CPR Certification
- Certified Professional Coder
- AHIMA
Similar Profiles
Morgan YoungMorgan Young
Restaurant Hostess at Longhorns SteakhouseRestaurant Hostess at Longhorns Steakhouse
Brenna HutchingsBrenna Hutchings
Water Technician at Town Of MarshfieldWater Technician at Town Of Marshfield
Christopher BulgerChristopher Bulger
Senior Logistics Officer at United States ArmySenior Logistics Officer at United States Army