Seasoned Insurance Coordinator/Medical Coding specialist from Parkhill Clinic for Women, adept in medical billing and coding, and providing exceptional customer service. Excelled in insurance verification, utilizing ICD-10 and CPT coding to enhance accuracy and efficiency. Demonstrated ability to clarify complex insurance policies, significantly improving patient understanding and satisfaction.
Overview
22
22
years of professional experience
Work History
Insurance Coordinator/Medical Coding
Parkhill Clinic for Women
West Fork, AR
09.2011 - Current
Validated insurance and advised patients of benefits and coverage.
Monitored changes in insurance policies and communicated relevant updates to staff and patients.
Explained complex insurance terms and policies to patients, providing clarity and support.
Performed customer service duties such as answering inquiries, providing information and resolving customer complaints.
Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
Verified patients' insurance eligibility and benefits prior to appointments and procedures.
Coded diagnoses and procedures from patient medical records using ICD-10-CM and CPT-4 codes.
Verified proper coding, sequencing of diagnoses, and accuracy of procedures.
Childcare Provider
Next Best Thing Childcare
West Fork, AR
06.2005 - 09.2011
Guided children through engaging and productive activities to foster fun learning environment.
Observed and monitored children's play activities.
Engaged in creative play activities that promoted language development, physical activity and problem solving skills.
Cared for children of various ages and assisted with feeding, dressing and daily activities.
Kept records of daily observations and information about activities, meals served and medications administered.
Ensured compliance with applicable laws and regulations related to business operations.
Maintained and reconciled general ledger accounts.
Billing Clerk
Creekside Center for Women
Johnson, AR
08.2003 - 06.2005
Investigated and responded to customer inquiries related to billing issues.
Reviewed customer files to make sure all documentation was complete and accurate.
Processed and sent invoices, adjustments, and credit memos to customers.
Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
Processed payments from customers in accordance with company policies and procedures.
Monitored past due accounts and pursued collections on outstanding invoices.
Answered customer invoice questions and resolved issues discovered during invoicing and collection process.
Corresponded with customers regarding their accounts, making adjustments when necessary.