Rachelle Ahrens
Georgetown,TX
Summary
With over 15 years of experience in the medical field across various specialties, I possess a wealth of knowledge in front and back-office operations. Recently completing AAPC's CPC certificate course, I have added to my credentials as a Medical Assistant. Currently seeking a remote position that offers growth opportunities and allows me to utilize my expertise as a certified medical coder.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Certified Medical Coder
Advanced Pain Care
2023.09 - 2024.08
- Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
- Reviewed final office visit to identify appropriate diagnoses.
- Sequence the diagnoses and procedures using coding guidelines
- Verified, coded and added modifiers to diagnoses.
- Verify accuracy and submit clean claims to insurance using EMR
- 100% accuracy per monthly audits
- Verified signatures and checked medical charts for accuracy and completion.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Followed up with medical staff regarding missing information in patient records.
Insurance Coordinator
Austin Radiological Association
2022.02 - 2024.03
- Identify CPT/ICD 10 codes for diagnostic and interventional radiology procedures
- Obtain authorizations through appropriate payer website (Aim, Availity, Evicore, UHC)
- Verify patient benefits & eligibility
- Knowledge of multiple software programs (Citrix, Epic, Medinformatix)
- Validate all authorizations for accuracy prior to radiology exam
- Contact patient directly to reschedule exam if authorization not obtained
- Follow up on all pending authorizations with appropriate entity
- Answer incoming calls from offices, referring physicians and patients regarding authorization status
- Provide exam preparation to patients
- Maintain and exceed weekly department productivity goals.
Office Manager
Hear Now
2016.06 - 2017.01
- Obtain insurance verification and authorization
- Collect copays and unmet deductibles
- Reconcile daily payments
- Submit claims to insurance both electronically and manually
- File denials
- Enter charges
- Identify medical codes per procedure
- Data entry of demographics, payor, prescribing physician, ICD-10 and CPT
- Order, track and inventory DME supplies
- Obtain care credit authorizations and payment plans
- Minor hearing aid repair.
Administrative Assistant
Newport Beach Hearing Aid
2009.06 - 2015.09
- Perform insurance verification and eligibility
- Obtain authorizations(GNP, PPO and workers compensation)
- Schedule surgery, discuss pre-operative instructions
- Data entry of demographics, payor and ICD-10 and CPT codes
- Manage multiple schedules
- Reconcile daily payments and send out patient statements
- Obtain care credit authorizations, set up payment plans and calculate patient responsibility
- Prescription refills
- Bank deposits
- Order, track and inventory DME supplies
- Minor hearing aid repair
- Coordinate doctor's personal calendar.
Education
Medical Assistant Diploma -
Newbridge College
Santa Ana, CACertified Professional Coder Course -
AAPC
10.2021
Skills
- Detail oriented
- Strong analytical skills
- Excellent oral and written communication 50 wpm
- Proficient with EclinicalWorks, Medinformatix and Athena
- Medical terminology
Certification
AAPC Certified Medical Coder
Phlebotomy
EKG
Injections
Timeline
Certified Medical Coder
Advanced Pain Care
2023.09 - 2024.08
Insurance Coordinator
Austin Radiological Association
2022.02 - 2024.03
Office Manager
Hear Now
2016.06 - 2017.01
Administrative Assistant
Newport Beach Hearing Aid
2009.06 - 2015.09
Medical Assistant Diploma -
Newbridge College
Certified Professional Coder Course -
AAPC
AAPC Certified Medical Coder
Phlebotomy
EKG
Injections
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