Hi, I’m
Nyoki James
Houma,LA
Summary
Efficient billing 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.
Overview
10
years of professional experience
Work History
Physicians Rehab Solution
Billing Coordinator
03.2022 - Current
Job overview
- Insurance claim preparation and submission
- Billable claim determinations, corrections, and submissions
- Account processing.Information analysis
- Authorization and diagnosis code verification
- Batch preparation for posting
- Prepare and run reports
- Oversee patient accounts
- Appeal claim denials
- Answer patient questions and advise them on their insurance coverage and benefits
- Establish repayment plans and arrangements with delinquent patients
- Contact insurance billing departments to address and correct billing errors and omissions.
Gulf Coast Orthopedics
Billing Office Manager
06.2019 - 05.2023
Job overview
- Oversees the operations of the billing department, encompassing medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management
- Serves as the practice expert and go to person for all coding and billing processes
- Analyze billing and claims for accuracy and completeness; submit claims to proper insurance entities and follow up on any issues
- Follow up on claims using various systems, i.e
- Practice management and clearinghouse
- Prepares and analyzes accounts receivable reports, and weekly and monthly financial reports in concert with the Practice Administrator and Business Manager
- Keep up to date with carrier rule changes and distribute the information within the practice
- Understands and remains updated with current coding and billing regulations and compliance requirements
- Supervises billing office personnel, which includes work allocation, training, and being available for staff needs; motivates employees to achieve peak productivity and performance.
Houma Digestive Health Specialists
Medical Office Manager
03.2016 - 05.2019
Job overview
- Responsible for the operations and administration side of a medical office
- Ensures office is running smoothly by supervising office staff, hires, terminates, and trains employees, and oversees the billing portion of the office.Hire, terminate, and train staff in a medical office
- Supervise secretaries, receptionists, and medical billers and coders
- Oversee billing, coding, and collections
- Schedule appointments
- Maintain medical records
- Make deposits
- Reconcile account information
- Pay medical office bills
- Arrange cleaning staff
- Arrange for emergency maintenance visits for building
- Order medical and office supplies
- Submit claims to insurance
- Process company's response to claims
- Submit billing statements to patients
- Delegate responsibilities
- Assess employee performance
- Perform data entry and processing
- Develop and implement office policies and procedures
- Formulate objectives and processes
- Generate inventory records
- Provide educational material for patients.
Gulf Coast Surgical Center
Admit Clerk/ Medical Insurance and Precertification Coordinator
10.2013 - 03.2016
Job overview
- Answer phones, collect cash, check ,or credit card payments
- Made sure that the correct information on each patient was obtained such as medical insurance, phone numbers and addresses
- I prepared all charts for upcoming procedures
- I also verified insurance eligibility and scheduled appointments.Verified benefits and eligibility for outpatient surgery
- Obtained authorization for outpatient surgery
- Directly in contact with worker's comp companies and Attorney offices to make sure services for surgery are covered.
Education
Terrebonne High School
High school diploma from General Curriculum
Penn Foster
Associate's from Healthcare Management
Bryman College
Diploma from Medical Insurance Billing and Coding
Skills
- Audit Support
- Document Microfilming
- Accounts Receivable Expertise
- Due Diligence
- Account Management
- Data Analysis
- Medical Billing and Coding
- Diagnostic Codes
- CPT Code Modifiers
- Physician Interaction
- Billing Codes
- Time Management
- Surgical Procedures
- Customer Service
- Data Entry
- Medical Information Collection
- Critical Thinking
- Legal Standards
- Collection Calls
- Claims Reviewing
- Reviewing Patient Information
- Statement Billings
- Client Inquiries
- Medicare and Medicaid Processes
- Revenue Operations
- Records Maintenance
- Insurance Claims
- Workers' Compensation Knowledge
- Medical Terminology
- Insurance Company Procedures Understanding
- Obtaining Authorizations
- Training and Development
- Medical Billing
- Invoice Processing
- Accounts Receivable Management
- Payments Posting
- Electronic Health Record Software
- Medical Claims Submission
- Work Prioritization
- HIPAA Compliance
- Benefits Verifications
- ICD-10 Coding
Additional Information
- Willing to relocate to: Louisiana - -, Authorized to work in the US for any employer
Timeline
Billing Coordinator
Physicians Rehab Solution
03.2022 - Current
Billing Office Manager
Gulf Coast Orthopedics
06.2019 - 05.2023
Medical Office Manager
Houma Digestive Health Specialists
03.2016 - 05.2019
Admit Clerk/ Medical Insurance and Precertification Coordinator
Gulf Coast Surgical Center
10.2013 - 03.2016
Terrebonne High School
High school diploma from General Curriculum
Penn Foster
Associate's from Healthcare Management
Bryman College
Diploma from Medical Insurance Billing and Coding
Similar Profiles
Estelle Simpson-HelmEstelle Simpson-Helm
PT and OT Therapy Billing Specialist II at Physicians Rehab SolutionPT and OT Therapy Billing Specialist II at Physicians Rehab Solution
Misti ToneyMisti Toney
AR Specialist II at Physicians Rehab Solution-Bowling Green, KYAR Specialist II at Physicians Rehab Solution-Bowling Green, KY
Hayley DycheHayley Dyche
HR Generalist at PHYSICIANS REHAB SOLUTIONHR Generalist at PHYSICIANS REHAB SOLUTION