Highly skilled Healthcare Professional with over 15 years experience providing administrative and patient support in hospital and medical office settings.
Overview
10
10
years of professional experience
Work History
Medical Biller and Coder
RWJ Barnabas Health Medical Group
08.2009 - 07.2017
Advanced knowledge of maintaining accurate patient records and complex billing systems.
Proven ability to ensure compliance with Healthcare Regulations.
Knowledge of correcting, resubmitting claims. Preparing charts and reviewing records, identifying proper diagnosis codes for billing. Managing medical information to obtain prior authorization from insurances.
Worked closely with Physicians, Hospital Personnel to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurances.
Efficient in management and account receivable and revenue collections.
Ensured tracking from various insurances, including: Medicare, Medicaid, private payers. Follow-up outstanding claims.
Intern
Accurate Professional Biller
04.2007 - 01.2009
Supported staff members in their daily tasks, reducing workload burden and allowing for increased focus on higher-priority assignments.
Gained valuable experience working within a specific industry, applying learned concepts directly into relevant work situations.
Sorted and organized files, spreadsheets, and reports.
Gained hands-on experience in various software programs, increasing proficiency and expanding technical skill set.
Education
Secretarial, Data Entry
Crown Business Institute
Queens, NY
09.1975
GED - Academic Studied
West Haven High School
West Haven, CT
06.1975
Skills
Stocking shelves
Stock rotation
Pallet jack operation
Product restocking
HIPAA compliance
Payment posting
Insurance verification
Medical coding expertise
ICD-10 proficiency
CMS-1500 form completion
Revenue cycle management
CPT coding
Data entry
Timeline
Medical Biller and Coder
RWJ Barnabas Health Medical Group
08.2009 - 07.2017
Intern
Accurate Professional Biller
04.2007 - 01.2009
Secretarial, Data Entry
Crown Business Institute
GED - Academic Studied
West Haven High School
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