To obtain a position within an Organization where I can utilize my 35 years of experience and expertise in the healthcare field to assist in the success of the organization.
Register patients ensuring that the patient account is complete and accurate every time.
Provide compassionate care to patients during registration, ensuring their needs are met promptly.
Adhere to policies set by Federal and State guidelines for healthcare to insure privacy of information for each patient record.
Assigning bed to inpatient admission; transferring inpatient cases to new bed assignment when notified by nursing unit.
PFS Rep. 4 is responsible for timely and accurate editing, submission, and/or follow-up of assigned claims.
Able to process claims for multiple payer types (Commercial, Managed Care, Blue Cross, Medicare, Medicaid, etc.).
Review CPT, HCPCS, Modifiers & ICD 10 CM coding for accurate coding rules and guidelines.
Assure all assigned claims meet clearinghouse and/or payer processing criteria.
Assure appropriate follow-up on assigned work lists.
All work meets departmental productivity and quality review standards.
Provide Team Supervisor or Manager with issues and potential resolutions regarding problems with the claims process.
Assure appropriate and timely documentation of all account activity.
PROFESSIONAL EXPERTISE/TECHNICAL KNOWLEDGE
35 years of healthcare and customer service experience
Medical Billing/Processing
Clinical Data Analysis/Extraction
Medical Office Management
Care Regulation/JACHO Guidelines
Budget Maintenance
Patient Relationship Building
Encoder Software/3M 360 Encompass
Anatomy and Physiology
Medical Terminology
MS-DRG/HCPCS
MS Office Suite
EPIC/Super User
ICD-10 Coding Proficiency
Certified Professional Coder (CPC) Certification - 2021
Certified Coding Associate (CCA) Certification - 2020
Registered Health Information Technician (RHIT) Certification - 2017