Summary
Overview
Work History
Education
Skills
Timeline
Generic

Regina Blum

Experienced Medical Coder Biller Offering Over 22 Years Of Healthcare Experience. Highly Accurate And Efficient With Strong Time Management Skills And Reliable, Hardworking Nature.
Whitesboro

Summary

Dynamic medical professional with extensive experience at MVHS, excelling in medical coding and billing. Proven track record in enhancing patient services through effective scheduling and insurance pre-certifications. Strong problem-solving skills and a commitment to HIPAA compliance ensure high-quality care and operational efficiency. Recognized for boosting coding accuracy and maintaining exceptional customer satisfaction.

Overview

22
22
years of professional experience

Work History

Medical Surgery Scheduler

MVHS
10.2023 - Current
  • Coordinated with multiple departments to ensure smooth operation on surgery day
  • Acted as a liaison between patients, insurance carriers, and the surgical team to secure necessary authorizations for timely procedures.
  • Resolved scheduling conflicts to maintain high-quality patient services.
  • Handled urgent requests effectively, prioritizing cases requiring immediate attention while also balancing routine surgery demands appropriately.
  • Arranged pre-operative and post-operative appointments for surgical patients.
  • Boosted efficiency of surgery preparation tasks, ensuring all necessary documentation was completed and filed.
  • Obtained pre-authorizations and pre-certifications ahead of scheduled surgeries.

Medical Coder II

MVHS
10.2023 - 07.2024
  • Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
  • Maintained a high level of productivity while consistently meeting deadlines for claim submissions.
  • Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient and inpatient medical records.
  • Reviewed outpatient and inpatient medical records and interpreted documentation to identify diagnoses and procedures.

Medical Biller and Coder

Dr. William Graber
08.2006 - 10.2023
  • Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient and inpatient medical records.
  • Resourcefully used various coding books, procedure manuals, and on-line encoders.
  • Maintained high levels of customer satisfaction through prompt resolution of disputes related to charges on patient accounts or insurance claims.
  • Safeguarded practice revenue by diligently following up on outstanding account balances and initiating collection efforts when necessary.
  • Played a pivotal role in maintaining positive cash flow within the organization by ensuring timely submission of clean claims and diligent follow-ups on outstanding payments.
  • Assisted patients with understanding their insurance coverage and financial responsibilities, fostering positive relationships and trust between the practice and its clients.
  • Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission and received authorizations for surgery in a timely manner.
  • Communicated with insurance companies to research and resolved coding discrepancies.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carries.
  • Orchestrated payment posting of insurance and patient payments, accounts receivables and collections.
  • Trained new employees on multiple medical billing programs and data entry software.


Clinical Coordinator

Med-Care Administrators
10.2004 - 06.2006
  • Enhanced patient care by efficiently scheduling and coordinating clinical appointments.
  • Collaborated with insurance companies to confirm coverage information when necessary, reducing potential delays in treatment plans.
  • Optimized clinic workflow by proactively identifying potential scheduling conflicts or issues.
  • Supported patient needs by promptly addressing inquiries about appointment bookings or schedule changes.
  • Confirmed appointments one day prior to minimize missed appointments and maximize clinic utilization.
  • Followed up with patients to reschedule missed appointments.
  • Managed multiple schedules and prioritized tasks to meet demands of fast-paced work environment.

Telephone Operator

MVHS
05.2003 - 10.2004
  • Collaborated with team members to ensure seamless coordination of customer service efforts across all channels of communication.
  • Promoted company values by delivering exceptional customer service in every interaction with both internal and external clients.
  • Maintained accurate records of calls placed and received.
  • Managed and scheduled appointments for providers based on optimal patient loads and clinician availability.
  • Checked patient insurance, demographic and health history to keep information current.

Education

High School Diploma -

Whitesboro High School
Whitesboro, NY

Medical Coding

Oneida-Herkimer-Madison BOCES
New Hartford, NY

Business Communication

Mohawk Valley Community College
Utica, NY

Medical Coding

Utica School of Commerce
Utica, NY

Skills

Team-Oriented and Cooperative

Professionalism

HIPAA compliance

Customer service

Problem-solving

Time management

Proactive and Self motivation

Insurance pre-certifications

Medical Billing

Medical Coding ICD-10/CPT

Payment Processing

Collections

Timeline

Medical Surgery Scheduler

MVHS
10.2023 - Current

Medical Coder II

MVHS
10.2023 - 07.2024

Medical Biller and Coder

Dr. William Graber
08.2006 - 10.2023

Clinical Coordinator

Med-Care Administrators
10.2004 - 06.2006

Telephone Operator

MVHS
05.2003 - 10.2004

High School Diploma -

Whitesboro High School

Medical Coding

Oneida-Herkimer-Madison BOCES

Business Communication

Mohawk Valley Community College

Medical Coding

Utica School of Commerce

Similar Profiles

CREATE PROFILE
Regina BlumExperienced Medical Coder Biller Offering Over 22 Years Of Healthcare Experience. Highly Accurate And Efficient With Strong Time Management Skills And Reliable, Hardworking Nature.
Built at Zety.com