Nicole Edwards
Scranton,PA
Summary
Efficient billing and coding professional with 15 years of experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive. Knowledge of CPT, ICD 10, and HCPCS for inpatient/outpatient coding
Overview
1
1
Certification
10
10
years of professional experience
Work History
Medical Billing Associate
Vision Innovation Partners
01.2023 - Current
- COPC Certified
- Assign diagnosis codes, procedures codes, and modifiers when needed to patient claims
- Process and review daily charges for my assigned providers
- Monitored and contacted patients and insurances regarding aging accounts to facilitate timely resolution
- Answered billing inquiries from patients and staff to provide clarity and support
- Managed accounts receivable, ensuring timely collection of payments and minimizing outstanding balances.
- Demonstrated strong attention to detail while managing multiple priorities within a fast-paced environment, consistently meeting deadlines without sacrificing quality.
- Assisted patients in understanding their financial responsibilities, explaining complex medical bills in an accessible manner.
Medical Coder/Biller
Northeast Eye Specialists
03.2020 - 01.2023
- Posted charges and assigned diagnosis codes, procedures codes, and modifiers when needed
- Applied patient copayments to facilitate timely payments
- Answering patient billing calls
- Handled patient billing calls to address inquiries and resolve issues
- Conducted patient registration at front desk
- Managed filling of patient prescriptions efficiently
- Preparing patient charts in the surgical center
Medical Records Clerk
Smith Healthcare Ltd
10.2019 - 03.2020
- Managed incoming phone communications
- Entered new resident demographics to ensure accurate patient identification and care coordination
- Entered diagnosis codes using ICD-10 codes to maintain compliance and support effective patient billing
- Entering monthly billing for supervisor
- Processed monthly billing for supervisor to facilitate timely revenue cycle management
Medical Billing Specialist
Intermountain Medical Group
07.2016 - 10.2019
- Knowledge and experience using ICD-10, CPT, and HCPCS
- Trained new employees on navigating computer software and billing procedures, enhancing onboarding efficiency
- Correct rejected claims
- Processed patient copayments and payments at the front desk.
- Handled patient billing calls and processed payments to ensure timely revenue collection
- Reviewed and corrected rejected claims for accurate resubmission.
- Managed filing, faxing, and scanning of patient paperwork for organization.
Education
Certificate of Technical Studies - Medical Coding And Billing
McCann School of Business & Technology
PA12-2009
High School Diploma -
Hazleton Area High School
Hazleton, PA06-2006
Skills
- CPT, ICD-10, HCPCS knowledge
- Medical records management
- Knowledge of insurance payers
- Payment posting
- Work prioritization
- Claims review
- Experience with Excel, Word, and Teams
- Interpersonal communication
- Quick learner
- Payment processing
- Accounts receivable management
- Claims analysis
Certification
COPC Certified (Certified Opthalmology Certification)
Timeline
Medical Billing Associate
Vision Innovation Partners
01.2023 - Current
Medical Coder/Biller
Northeast Eye Specialists
03.2020 - 01.2023
Medical Records Clerk
Smith Healthcare Ltd
10.2019 - 03.2020
Medical Billing Specialist
Intermountain Medical Group
07.2016 - 10.2019
Certificate of Technical Studies - Medical Coding And Billing
McCann School of Business & Technology
High School Diploma -
Hazleton Area High School