PAULA BATTLES
GREENSBORO,ALABAMA
Summary
Medical Coder and Medical Biller with over 20 years of expertise in resolving billing discrepancies and claim denials, leveraging analytical skills to enhance billing accuracy and payment turnaround. I am proficient in medical terminology, coding, and healthcare IT, contributing to streamlined claims processing and improved revenue recovery. I am committed to fostering effective communication with healthcare providers to minimize coding errors and optimize financial accuracy. I also have over 20 years of obtaining authorizations for radiology, chemotherapy and radiation treatments.
Overview
17
17
years of professional experience
Work History
REMOTE MEDICAL CODER AND MEDICAL BILLER
Cardiology Consultants
05.2022 - Current
- Resolves billing discrepancies, work claim denials and help improve payment turnaround.
- Collaborated with medical staff to ensure compliance with coding standards and regulations.
- Utilized analytical skills to identify trends in billing data, leading to process improvements.
- Analyzed patient records and billing data to ensure accurate coding, contributing to substantial improvements in billing accuracy.
- Reviewed and corrected coding discrepancies to help enhance overall financial accuracy.
- Implemented streamlined processes for claims submission, achieving noticeable gains in processing times and reducing payment delays.
- Collaborated with healthcare providers to clarify documentation, fostering effective communication and reducing coding errors.
- Developed a tracking system for denied claims, enabling proactive resolution strategies and improving revenue recovery.
REMOTE CODING ANALYSIS
Pagosa Springs Medical Center
01.2022 - 05.2022
- Analyzed medical records remotely, enhancing coding accuracy and compliance.
- Improved data integrity and reduced errors through meticulous record review.
- Collaborated with healthcare teams to streamline coding processes.
- Utilized analytical skills to identify and resolve coding discrepancies.
- Contributed to improved billing efficiency and patient record management.
- Performed comprehensive coding audits to ensure compliance, leading to marked improvements in billing accuracy.
- Maintained precise documentation for patient records, reducing discrepancies and ensuring data integrity.
PRE-AUTHORIZATION SPECIALIST
Medsouth
09.2020 - 12.2020
- Responsible for obtaining all authorizations for PET Scans
- Call and provide all clinical information to the insurance providers when necessary to get the PET Scan approved
- Make appropriate changes to diagnosis when necessary
- Coordinated with healthcare providers to clarify documentation, fostering seamless communication and efficient claim processing.
PHARMACY TECHNICIAN
Family Pharmacy of Northport
07.2018 - 07.2019
- Assisted in dispensing medications, ensuring accuracy and compliance with prescriptions.
- Streamlined inventory management, reducing discrepancies and enhancing stock control.
- Collaborated with pharmacists to improve patient counseling and medication safety.
- Utilized pharmacy software to maintain patient records, enhancing data accuracy.
- Resolved customer inquiries, boosting satisfaction and fostering trust in services.
REMOTE MEDICAL CODER AND MEDICAL BILLER
Allergro Clinic
07.2018 - 08.2019
- Analyzed medical records for billing accuracy, enhancing claim approval rates.
- Ensured compliance with coding standards, reducing errors in patient billing.
- Collaborated with healthcare providers to resolve billing discrepancies efficiently.
- Utilized coding expertise to optimize reimbursement processes, achieving cost savings.
- Streamlined billing operations, leading to improved financial outcomes.
MEDICAL INSURANCE SPECIALIST
Manderson Cancer Center
12.2007 - 06.2017
- Processed insurance claims efficiently, ensuring timely reimbursements and reducing payment delays for patient care services.
- Analyzed policy details to verify coverage, preventing claim denials and enhancing patient satisfaction with accurate information.
- Coordinated with healthcare providers to resolve billing discrepancies, fostering strong relationships and streamlined operations.
- Maintained comprehensive records of insurance transactions, ensuring compliance and accurate financial reporting.
- Guided patients through complex insurance processes, demonstrating empathy and building trust to enhance service experience.
- Streamlined claim processing workflows, achieving marked gains in reimbursement efficiency and reducing administrative overhead.
- Obtained and entered all chemotherapy and radiation therapy authorizations
- Obtained all VA authorizations
- Monthly statistical report
- Weekly report for physicians on their late charges
PET SCAN COORDINATOR
The Radiology Clinic
06.2022 - 01.2025
- Obtained all clinical documentation to support the scan.
- Educated patients about the process of the scan
- Maintained patient privacy and confidentiality
- Scheduled all patients appointments
- Obtained all authorizations for the scan
Education
UNDERGRADUATED MEDICAL RECORDS - undefined
University of Phoenix-Arizona
Tempe, Arizona11.2018
CODING CERTIFICATION - undefined
AHIMA
Skills
- Medical Terminology (Experienced)
- Medical Coding (Experienced)
- Data Entry
- Insurance Verification (Expert)
- Appeals (Experienced)
- Claims Processing (Experienced)
- Medical Billing (Experienced)
- Healthcare IT (Expert)
Timeline
PET SCAN COORDINATOR
The Radiology Clinic
06.2022 - 01.2025
REMOTE MEDICAL CODER AND MEDICAL BILLER
Cardiology Consultants
05.2022 - Current
REMOTE CODING ANALYSIS
Pagosa Springs Medical Center
01.2022 - 05.2022
PRE-AUTHORIZATION SPECIALIST
Medsouth
09.2020 - 12.2020
PHARMACY TECHNICIAN
Family Pharmacy of Northport
07.2018 - 07.2019
REMOTE MEDICAL CODER AND MEDICAL BILLER
Allergro Clinic
07.2018 - 08.2019
MEDICAL INSURANCE SPECIALIST
Manderson Cancer Center
12.2007 - 06.2017
UNDERGRADUATED MEDICAL RECORDS - undefined
University of Phoenix-Arizona
CODING CERTIFICATION - undefined
AHIMA
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