Michelle Padilla
Rathdrum,ID
Summary
Organized Records Clerk with a twenty-year background in performing clerical and file management work. In-depth knowledge of all filing systems to maintain confidential files.
Overview
20
20
years of professional experience
Work History
Sr. Records & Credential Evaluator
North Idaho College
Coeur D'Alene , ID
10.2016 - Current
- Receives and processes applications and associated documentation for admission, reviews forms and applications for accuracy.
- Assisted with typing, data entry and answering incoming calls as required.
- Evaluates incoming college/university transcripts, establishes transfer equivalencies credits using a variety of electronic and physical resource materials and catalogs.
- Reviews student records and electronically generated reports to ascertain appropriate handling, archiving and storage of data.
Student Records Technician
North Idaho College
Coeur D'Alene , ID
12.2014 - 10.2018
- Scanned paper documents into ImageNow and Etrieve.
- Completed request for: major changes, address changes, name changes and consents for release.
- Ensured all transcript processes associated with the evaluation and delivery of outgoing transcripts are in accordance with privacy laws and College policies.
- Engaged in daily communications with internal partners and identified document-related issues that required interdepartmental cooperation.
- Assisted with typing, data entry and answering incoming calls as required.
Medical Coding and Billing Specialist
Lakeland Immediate Care
Rathdrum, ID
07.2013 - 12.2014
- Attained up-to-date knowledge of coding requirements through continuing education courses and certification renewal.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Scanned and filed medical records in alphabetical order to maintain organized and up-to-date filing system.
- Attained up-to-date knowledge of coding requirements through continuing education courses and certification renewal
Patient Account Representative
Healthcare Resource Group
Spokane, WA
07.2012 - 07.2013
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Posted and adjusted payments from insurance companies.
- Located errors and promptly refiled rejected claims.
- Precisely evaluated and verified benefits and eligibility.
- Worked with outside entities to resolve issues with billing, claims and payments
- Electronically submitted bills according to compliance guidelines
- Monitored flags and resolved urgent items with accuracy and efficiency
Medical Biller and Coder
Northwest Specialty Hospital
Post Falls, ID
09.2004 - 07.2012
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures
- Initiated, performed and documented quarterly coding audits for physicians
- Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement
Education
Some College (No Degree) - Medical Informatics
Hodges University
Naples, FLSome College (No Degree) - Medical Billing
Monterey Peninsula College
Monterey, CABachelor of Science - General Studies Humanities
Lewis-Clark State College
Lewiston, ID05.2021
Associate of Science - General Studies
North Idaho College
Coeur D'alene, ID05.2017
Certificate - Medical Billing And Administration
Central Coast College
Salinas, CA12.1997
Skills
- Perceptual Speed
- Problem Anticipation and Resolution
- Data Entry and Maintenance
- Efficient and Detail-Oriented
Timeline
Sr. Records & Credential Evaluator
North Idaho College
10.2016 - Current
Student Records Technician
North Idaho College
12.2014 - 10.2018
Medical Coding and Billing Specialist
Lakeland Immediate Care
07.2013 - 12.2014
Patient Account Representative
Healthcare Resource Group
07.2012 - 07.2013
Medical Biller and Coder
Northwest Specialty Hospital
09.2004 - 07.2012
Some College (No Degree) - Medical Informatics
Hodges University
Some College (No Degree) - Medical Billing
Monterey Peninsula College
Bachelor of Science - General Studies Humanities
Lewis-Clark State College
Associate of Science - General Studies
North Idaho College
Certificate - Medical Billing And Administration
Central Coast College
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