Ronald Missinne Jr
Warren,MI
Summary
Dynamic Medical Billing Specialist and Coder with extensive experience at Cornerstone Pediatrics, adept at resolving denied claims and ensuring timely submissions. Proficient in ICD-10 coding and HIPAA compliance, I foster strong relationships with healthcare providers while enhancing patient satisfaction through effective communication and support. Committed to maintaining high coding standards and optimizing billing processes. Knowledge of insurance guidelines and healthcare regulations, consistently delivering precise billing operations.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Medical Billing Specialist and Coder
Cornerstone Pediatrics
07.2019 - Current
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Located errors and promptly refiled rejected claims.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
- Maintained high coding standards by adhering to industry best practices and staying current with emerging technologies.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Certified Clinical Medical Assistant (PCT)
Ascension St. John Hospital
02.2016 - 05.2019
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Utilized electronic health records software proficiently to input data accurately, facilitating smooth transitions between healthcare providers during patient handoffs.
- Collected and documented patient medical information such as blood pressure and weight.
- Called and faxed pharmacies to submit prescriptions and refills.
- Assisted physicians in providing quality care through thorough documentation of medical histories and physical examination results.
- Improved patient flow within the clinic by effectively managing appointment scheduling and timely rooming of patients.
- Maintained confidentiality of patient information by adhering to HIPAA guidelines at all times during recordkeeping and communications.
- Continually updated medical knowledge through participation in professional development opportunities, staying current on industry trends and advancements in clinical practice.
Education
Certificate of Technical Studies - Certified Professional Coder
AAPC
Salt Lake City, UT03-2023
Certificate of Technical Studies - Certified Clinical Medical Assistant
National HealthCareer Association
Leawood, KS12-2018
No Degree - Nursing
Davenport University
Grand Rapids, MI01-2018
Skills
- HIPAA compliance
- Payment posting
- Claim submission
- Insurance verification
- CPT knowledge
- ICD-10 proficiency
- AthenaHealth software applications proficiency
- Medical billing
- ICD-10 coding
- Medicare and medicaid process
- Commercial and private insurance
Certification
- Certified Professional Coder, AAPC - 2023
- Certified Clinical Medical Assistant - B5E4W8L7, NHA - 2018
Timeline
Medical Billing Specialist and Coder
Cornerstone Pediatrics
07.2019 - Current
Certified Clinical Medical Assistant (PCT)
Ascension St. John Hospital
02.2016 - 05.2019
Certificate of Technical Studies - Certified Professional Coder
AAPC
Certificate of Technical Studies - Certified Clinical Medical Assistant
National HealthCareer Association
No Degree - Nursing
Davenport University
Similar Profiles
Jayecara GrayJayecara Gray
LPN at Cornerstone PediatricsLPN at Cornerstone Pediatrics
Mollie RiceMollie Rice
Medical Assistant at Cornerstone PediatricsMedical Assistant at Cornerstone Pediatrics
CHARLOTTE KHAN, MDCHARLOTTE KHAN, MD
General Pediatrician at Cornerstone PediatricsGeneral Pediatrician at Cornerstone Pediatrics
Matthew StewartMatthew Stewart
Director of Operations at BartecUSADirector of Operations at BartecUSA
Farzana FaruqueFarzana Faruque
Paraprofessional at Van Dyke Public SchoolsParaprofessional at Van Dyke Public Schools