Skilled medical billing professional with 4 years of billing experience and 16 years of data entry experience. Specialize in filing accurate claims, adjusting rejected claims, and understanding insurance contracts, appeals and EOBs.
Overview
16
16
years of professional experience
Work History
Medical Billing/Coding Specialist
Comprehensive Management
01.2021 - Current
Setup new patient accounts and verified eligibility and benefits.
Prepared and submitted claim forms for facility and physician billing.
Communicated with insurance providers to resolve claim issues.
Researched CPT and ICD-10 coding discrepancies for compliance and reimbursement accuracy.
Posted and adjusted payments from insurance providers.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Prepared billing correspondence and maintained database to organize billing information.
Assisted in the setup of practice billing software.
Utilized electronic medical record systems to store, retrieve and process patient data.
Printed and reviewed monthly aging report and solicited overdue payments.
Data Entry/Billing Specialist
Advanced Medical Billing
08.2007 - 03.2021
Completed data entry tasks with accuracy and efficiency.
Reviewed and updated client correspondence files and database information to maintain accurate records.
Managed workflow scheduling, data entry, and accuracy verification for large data projects.
Managed documents by organizing forms, making photocopies, filing records, preparing correspondence, and creating reports.
Verified accuracy of data entered into system to produce error-free reports.
Communicated with supervisors and colleagues to process data quickly and resolve discrepancies.
Education
CPC-Certified Professional Coder - Medical Coding
American Academy of Professional Coders-AAPC
01.2020
CBCS-Certified Billing Coding Specialist - Medical Billing And Coding
In Training College
Lowell, IN
06.2019
Skills
Facility and Physician Billing
Payment Posting
EHR Systems: Kareo, eClinical Works, Athena, & Point-Click Care
Insurance Claims Analysis
Explanation of Benefits Analysis
Accounts Payable and Accounts Receivable
Customer Service
Verbal and Written Communication
Microsoft Word/Excel
Data Entry
Timeline
Medical Billing/Coding Specialist
Comprehensive Management
01.2021 - Current
Data Entry/Billing Specialist
Advanced Medical Billing
08.2007 - 03.2021
CPC-Certified Professional Coder - Medical Coding
American Academy of Professional Coders-AAPC
CBCS-Certified Billing Coding Specialist - Medical Billing And Coding
Advanced Practice Registered Nurse (APRN, CNP) at Comprehensive Centers for Pain ManagementAdvanced Practice Registered Nurse (APRN, CNP) at Comprehensive Centers for Pain Management