Renita Hobbs
Macon,GA
Summary
Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment. Disciplined individual skilled in collecting and verifying patient demographic and insurance information and preparing and maintaining medical records. Proficient in using medical terminology and classifying diagnostic procedures, treatments and medications. Dedicated to providing highest quality care to patients.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Medical Biller and Coder
EVMS
06.2018 - Current
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Verified accuracy of patient information in medical records.
- Input data into computer programs and filing systems.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Scanned and uploaded medical records into electronic medical records system.
- Correctly coded and billed medical claims Maintained accuracy, completeness, and security for medical records and health information.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Followed exact procedures for handling transfers and other releases of medical records.
- Wrote clear and detailed medical documentation to ensure accurate followup to denials.
- Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
- Followed up with medical staff regarding missing information in patient records.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
- Generated reports to identify coding trends and discrepancies.
ER Registration/Account Representative
Southampton Memorial Hospital
09.2013 - 04.2018
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Performed various administrative tasks by filing, copying and faxing documents.
- Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
- Obtained payments from patients and scanned identification and insurance cards.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Prepared and processed patient referrals and transfer requests.
- Registered and verified patient records before triage with most up-to-date information.
- Assisted with medical coding and billing tasks.
- Conducted patient intake interviews, recording and documenting relevant information.
- Utilized audits and controls to accurately manage cash.
- Assigned patients to rooms once admitted.
Review Coordinator/ Disposition
LifeNet Health
08.2008 - 04.2013
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Input data into computer programs and filing systems.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Maintained accuracy, completeness, and security for medical records and health information.
- Sorted and distributed incoming and outgoing medical records.
- Evaluated labs and test to ensure tissue was appropriate for transplant.
- Verified donor information
- Communicated with other donation agencies for proper transfer of tissue.
Insurance Account Specialist
Chkd - The King's Daughters
03.2003 - 08.2008
- Acquired insurance authorizations for procedures and test ordered
- Gathered individual patient benefits and informed patients of copays and payments.
- Scheduled test and accurately entered proper diagnosis and procedure codes to ensure correct billing
- Reviewed diagnosis and procedural terminology for consistency.
- Completed patient registration and obtained referrals when needed.
Education
Associate of Science - Health Management And Clinical Assistance
Colorado Technical University
Colorado Springs, CO05.2024
Certification - Certified Outpatient Coder
AAPC
12.2023
No Degree - Medical Transcription
Darton State College
Albany, GA06.2003
Skills
- Medical Billing and Collections
- 3M Encoder
- ICD-10 Requirements
- Medical Claims Coding
- Coding Error Resolution
- ICD-10 (International Classification of Disease Systems)
- Charting and Clinical Documentation
- CPT Code Modifiers
- EMR Systems-EPIC/ ONCO /Allscripts/Athena
- Software Applications Billing- Centricity/IDX
- Coding Appeals
- Reviewing Patient Information
- Diagnostic Codes
- DRG Assignment
- Data Entry
- Patient Admission Documents Processing
- Maintain Patient Confidentiality
- Coverage Determination
- Medical Terminology
- Insurance Claims Analysis
Certification
- CCS - Certified Coding Specialist
Timeline
Medical Biller and Coder
EVMS
06.2018 - Current
ER Registration/Account Representative
Southampton Memorial Hospital
09.2013 - 04.2018
Review Coordinator/ Disposition
LifeNet Health
08.2008 - 04.2013
Insurance Account Specialist
Chkd - The King's Daughters
03.2003 - 08.2008
Associate of Science - Health Management And Clinical Assistance
Colorado Technical University
Certification - Certified Outpatient Coder
AAPC
No Degree - Medical Transcription
Darton State College
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