Naketrease Mackey
Pompano Beach,FL
Summary
Adept Medical Biller and Coder with a proven track record at Holy Cross Hospital, enhancing revenue cycle management through meticulous insurance verification and claim submission. Demonstrated expertise in HIPAA compliance and a knack for fostering patient trust, significantly reducing claim denials. Skilled in both collaborative and independent work environments, ensuring accurate and timely reimbursements.
Overview
15
15
years of professional experience
Work History
Medical Biller and Coder
Holy Cross Hospital - Holy Cross Hospital
2014.11 - Current
- Correctly coded and billed medical claims
- Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
- Send appeals
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Played a pivotal role in maintaining positive cash flow within the organization by ensuring timely submission of clean claims and diligent follow-ups on outstanding payments.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Provided support to administrative staff by ensuring proper handling of sensitive patient data according to HIPAA regulations.
- Expedited payment processing by promptly addressing any discrepancies or issues raised by insurance carriers.
- Contributed to team efficiency by maintaining organized records of patient accounts, billing statements, and payment statuses.
- Collaborated with healthcare providers to ensure accurate documentation, leading to timely reimbursements for services rendered.
- Assisted patients with understanding their insurance coverage and financial responsibilities, fostering positive relationships and trust between the practice and its clients.
- Increased accuracy in medical claims submissions by conducting thorough reviews of patient records and insurance information.
Medical Assistant
Dr.Arelene Haywood
2010.01 - 2014.09
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Obtained client medical history, medication information, symptoms, and allergies.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Performed medical records management, including filing, organizing and scanning documents.
- Draw blood
- Vital signs
- Schedule appointments
Education
Medical Billing Coding - Medical Billing Coding
Florida Career College
Miami, FL07.2007
High School Diploma -
Piper High School
Sunrise, FL06.2005
Skills
- HIPAA Compliance
- Payment posting
- Insurance Verification
- CMS-1500 Form Completion
- Medicare and Medicaid Billing
- Claim submission
- Appeals processing
- Revenue Cycle Management
Languages
English
Elementary
Timeline
Medical Biller and Coder
Holy Cross Hospital - Holy Cross Hospital
2014.11 - Current
Medical Assistant
Dr.Arelene Haywood
2010.01 - 2014.09
Medical Billing Coding - Medical Billing Coding
Florida Career College
High School Diploma -
Piper High School
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