Patricia Coefer
Township of Hamilton,USA
Summary
30 Plus years of medical billing for multi-specialty physician groups.
Overview
27
27
years of professional experience
1
1
Certification
Work History
Medical Billing Specialist
MBMS, LLC
Township of Hamilton, NJ
02.2019 - Current
- Radiology Billing Specialist -NY PROVIDER,GA PROVIDER,MEPROVIDERS
- Responsible for accounts receivables
- Working with coding and insurance policies to ensure proper coding of charges per policies for maximum reimbursement.
- Waystar claim rejection management
- Workers comp and no fault claim management.
- Out of network claim submission, follow up. and negotiation.
- Provider enrollment and credentialing issues to be resolved.
- Chartswap system processing for attorney requests that are hippa compliant
- Authorizing and performing adjustments on accounts according to Medicare CCI edits.
- Account management on accounts not billed in accordance with LCD or NCD guidelines,
- Management of account receivables for all payers,i.e HMP,PPO, Medicare, Medicaid, Anthem, Out of Network, Workers Comp, and Auto.
- Suspended account error corrections to ensure proper billing and claims to be released clean.
- Identify payer trends and clarify, correct, set rules in place for teams to prevent errors.
- insurance follow up, corrected claims. appeals, and payer phone calls.
- Patient collections management on accounts that have been paid, patient had financial assistance, or bankruptcy.
Sr Physician Billing representative
Princeton Healthcare System
Lawrenceville, NJ
08.2015 - 02.2019
- Responsible for billing for four large primary care practices and their inpatient visits. Charge entry of office charges in office surgeries as well as visits in the skilled nursing facility. Posting of insurance as well as patient payments. Correction of claim rejections via Web Md and Emdeon. Insurance denial, patient disputes, provider credentialing issues, aged receivables. Training of all staff for the new EPIC emr system, researching policies to ensure proper billing of procedure per payor. Providing coverage for multiple employees during absence including manager. Physician contact in regards to billing errors and insurance rules for billing.
Billing Specialist
Capitol Health- CBO
08.2009 - 06.2013
- Plastic Surgery, Surgeons, and Primary Care
- Responsibilities:
- Posted insurance and patients payments to the appropriate account for multiple accounts.
- Posted daily encounters for individual patients for multiple practices.
- Utilized Aprima EMR and IDX software.
- Provided Aprima software training of employees.
- Provided a monthly aging report for specialty practices and primary care practices.
- Processed Claim rejection reports.
- Processed Insurance appeals and rejections.
- Researched Policy for insurances.
- Assisted all offices in correct CPT and ICD-9 selection.
- Assisted in insurance negotiations for non-par providers.
- Balanced multiple accounts for end of the month.
- Balanced daily deposits for multiple practices.
- Worked with Patient via the phone to resolve billing issues.
3rd party rep
Princeton Medical Group
02.2007 - 02.2009
- Oncology group
- Responsibilities:
- Maintained insurance A/R's
- Coordinated payments with insurance company and processed appeals
- Posted Medicare Eras
- Prepared documentation for Medicare audits, Cert requests and appeals
- Pre-certified chemotherapy drugs from insurance agency prior to administration
- Researched insurance policies and corrected billing of new FDA approved drugs
- Retrieved global payments from the nursing facilities where Medicare patients were admitted
- Charged entry of chemo tickets and delivery tickets
- Posted insurance and private payments to patient's account
- Processed global billing and split billing for patients
- Responsible for troubleshooting difficult billing issues
- Provided training for new employees and oversaw their work
3rd party rep
Princeton Medical Group
Princeton, NJ
09.2005 - 02.2007
- OBGYN group
Billing Specialist
Sports Physical Therapy Group
Princeton, NJ
05.2000 - 12.2001
- Responsibilities:
- Maintained Insurance A/R's
- Posted Medicare Eras
- Submitted claims
- Followed up with insurance company
- Collected patient co-pay
- Pre-certified eligibility
- Posted insurance and patient payments
Account Manager
Cornerstone Medical Management
Princeton, NJ
04.1999 - 05.2000
- Responsibilities:
- Oversaw a team of Account reps
- Approved vacation time and scheduled overtime
- Provided write-ups while coordinating with management
- Oversaw ten Physician accounts
- Managed insurance A/R's
- Charged entry
- Posted Payments
- Handled customer inquiries
Education
High school -
GED -
Hamilton Highschool /north
HJamilton NJSkills
- Medical coding
- CPT Coding
- Supervising experience
- ICD-9
- Account management
- Workers' Compensation
- Medical Records
- Medical claim denial management
- Revenue cycle management
- Medical Office Experience
- Complete understanding of the revenue cycle, proficient in claim appeal process and guidelines of payors, end of month closing
- Software Troubleshooting
- EMR Systems
- Administrative experience
- Medical terminology
- ICD-10
- Medical Billing
- Medical Insurance
- Medical billing
- Epic
- Medical Coding
- Attention to detail
- Mentoring
- Medical claims submission
- Previous management experience
- Insurance Verification
Certification
driver's license
Timeline
Medical Billing Specialist
MBMS, LLC
02.2019 - Current
Sr Physician Billing representative
Princeton Healthcare System
08.2015 - 02.2019
Billing Specialist
Capitol Health- CBO
08.2009 - 06.2013
3rd party rep
Princeton Medical Group
02.2007 - 02.2009
3rd party rep
Princeton Medical Group
09.2005 - 02.2007
Billing Specialist
Sports Physical Therapy Group
05.2000 - 12.2001
Account Manager
Cornerstone Medical Management
04.1999 - 05.2000
High school -
GED -
Hamilton Highschool /north
Additional Information
- Authorized to work in the US for any employer
- Currently have 20 plus years in medical billing. Looking for a management position in the field. I feel I could be a great value to your company