Monique Wilson
Edison
Overview
15
15
years of professional experience
Work History
Client Service Representative
Quest Diagnostics
06.2024 - Current
- Provided exceptional and customized service to top-tier clients.
- Addressed and resolved client concerns with speed and excellence.
- Handling and processing specialized toxicology results with precision.
- Managing and ordering necessary supplies for clients.
- Working hand in hand with our internal partners to ensure smooth operations.
- Directing inquiries to the appropriate departments swiftly and accurately.
- Used company software and databases to maintain records of services performed and patient conditions.
Medical Billing and Coding Specialist
WHP Wellness
01.2021 - 06.2024
- Code medical records for the complete and correct assignment of CPT, ICD, and HCPCS codes, following strict coding guidelines for internal medicine and OB/GYN encounters
- Query providers to obtain information and patient data to ensure compliant and complete patient documentation and medical records
- Validate charge accuracy by reviewing medical records and confirming dates of service, locations, services rendered, and the presence of provider signatures' in patient charts
- Manage billing processes, entering CPT codes and patient information into billing software, completing and submitting CMS 1500 forms, performing timely follow up with insurance companies, and resubmitting insurance claims when necessary
- Maintain quality accuracy rate while meeting and exceeding production goals
Operations Specialist (Contract)
AON Consume Benefit Solutions
01.2013 - 01.2015
- Review and process all evidence of insurability and supporting documentation needed to complete file or claim
- Research, collect, and process information for claims and fiduciary accounts
- Handle escalated inquiries and issues from clients or specific case related files
- Update and maintain case issues logs and spreadsheets for accuracy and to identify any emerging risk per file or case
- Complete any required verification, account maintenance, and document all contact attempts
- Assist with quality assurance calls or benefit related calls when needed
Care Coordinator/Receptionists (Contract)
St Lukes University Hospital
01.2010 - 01.2015
- Coordinate and schedule appointments, consultations, and follow-ups, optimizing the provider's calendar and patient flow
- Liaison with staff to fulfill patient requests
- Efficiently manage a high volume of incoming calls, inquiries, and appointment scheduling, ensuring accurate and timely communication
- Accurately process, record, and track payments and payment types throughout shifts, ensuring meticulous records
- Calculate payment records and reconcile them with billing posts to ensure accurate end-of-day totals in the system
- Strong organizational skills by maintaining patient records, updating electronic databases, and ensuring data accuracy and confidentiality
- Proficiently record patient payments within Excel
- Maintain meticulous patient information records, insurance details, and billing notes for efficient and organized administrative processes
Education
Certificate of Completion - CPC Exam Preparation Course
AAPC
Certificate - Medical Billing and Coding
Branford Institute
Certificate - Phlebotomy Technician
Branford Institute
Certificate - Clinical Medical Assistant
Branford Institute
Associate of Applied Science - Health Science
Middlesex County College
01.2025
Skills
- CPT
- ICD-9/10-CM
- HCPCS
- Medical Terminology
- Anatomy & Physiology
- HIPAA Policies
- Coding Guidelines
- Modifiers
- CMS 1500 Form
- Coding Payment Policies
- NCD and LCD Edits
- NCCI Edits
- Compliance
- Fraud/Waste/Abuse Resolution
- Microsoft Office Suite
- Athena
- Copia
- Dr Chronos
- EHI
- EPIC
- IMS
Affiliations
American Academy of Professional Coders (AAPC), Member in good standing, Preparing to take the exam to become a Certified Professional Coder-CPC
Timeline
Client Service Representative
Quest Diagnostics
06.2024 - Current
Medical Billing and Coding Specialist
WHP Wellness
01.2021 - 06.2024
Operations Specialist (Contract)
AON Consume Benefit Solutions
01.2013 - 01.2015
Care Coordinator/Receptionists (Contract)
St Lukes University Hospital
01.2010 - 01.2015
Certificate of Completion - CPC Exam Preparation Course
AAPC
Certificate - Medical Billing and Coding
Branford Institute
Certificate - Phlebotomy Technician
Branford Institute
Certificate - Clinical Medical Assistant
Branford Institute
Associate of Applied Science - Health Science
Middlesex County College
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