Roxanne R. Page
Yucca Valley,CA
Summary
I am a dedicated medical coder looking to transition to a Coding Quality Assurance Analyst for Vituity. Just as I received support and education from various analysts, I would like to provide that same assistance to medical coders to ensure their success. My commitment to continuous growth and development in my chosen field will ensure my success as your Coding Quality Assurance Analyst.
Overview
24
24
years of professional experience
Work History
Senior Medical Coder
Vituity
Modesto, California
06.2024 - Current
- Reviewed medical records to identify diagnoses, procedures and services rendered for accurate coding.
- Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
- Maintained high accuracy rate on daily production of completed reviews.
- Verified proper coding, sequencing of diagnoses, and accuracy of procedures.
Revenue Cycle Representative
Acclara Solutions
10.2022 - 06.2024
- Adhered to all federal, state, and local billing requirements; complied with HIPAA and all organizational revenue cycle billing policies and procedures.
- Maintained patient demographics and insurance information; updated information at the time of service if needed.
- Verified eligibility when new insurance is collected from patients.
- Confirmed that the correct insurance is billed; initiates billing processes.
- Researched patient accounts to ensure all applicable insurance benefits have been utilized.
- Review patient statements, EOBs, and balances, and identify unapplied adjustments.
- Engaged with payers to ensure proper adjudication of claims; works with patients to ensure balances are collected and applied appropriately
- Calculates payer allowable vs. actual payment and takes follow-up action when needed.
- Trained new associates.
Licensed Insurance Agent
Symmetry Financial Group
10.2021 - 06.2024
- Educated clients on insurance policies and qualification requirements.
- Tailored insurance policies to ensure the specific needs of the client are met.
- Provided financial assistance counseling for clients when needed.
Insurance Secretary
Bella Vita
03.2019 - 01.2021
- Ensured accuracy of patient demographics, financial accounts, and electronic health records
- Conducted insurance verifications and collected co-pays
- Evaluated insurance payments for accuracy
- Maintained appointment schedule
Remote Customer Support Agent (Volunteer)
JWCS
04.2013 - 03.2020
- Coordinated materials, volunteers, and physical locations for worldwide disaster relief, maintenance, and renovation initiatives
Insurance Secretary
Alan S. Lee, DDS
06.2005 - 04.2013
- Ensured timely submission of electronic claims and supporting documentation when needed
- Investigated delinquent accounts and unpaid claims to ensure accurate reimbursement for services rendered
- Performed insurance verification, benefits, and pre-authorizations
- Educated patients on treatment plans and relevant insurance benefits; collected patient balances
- Maintained patient accounts including posting payments and adjustments
Receptionist
Modesto Dental Group
04.2004 - 06.2005
- Maintained business, administration, and financial records for the office
- Verified and posted account transactions
- Managed the front desk and all associated responsibilities
Surgical Assistant / Insurance Secretary
Brookside Oral Surgery
11.2001 - 04.2004
- Restructured the insurance verification process resulting in a 25% increase in collections
- Ensured accurate claims submission, adjudication, and collection of patient balances
- Coordinated with payers to resolve unpaid claims
Education
CERTIFIED PROFESSIONAL CODER EXAM TRAINING COURSE -
Absolute Medical Coding Institute
CA11-2025
CALIFORNIA ORAL AND MAXILLOFACIAL SURGICAL ASSISTANT -
California Association of Oral & Maxillofacial Surgeons
12.2003
Skills
- Current Procedural Terminolgy (CPT)
- International Classification of Diseases (ICD 10)
- Critical thinking & analyitcal skills
- Effective written & verbal communication
- EMRs: Optum & Quickcharge
- Meets production & quality assessment standards
Timeline
Senior Medical Coder
Vituity
06.2024 - Current
Revenue Cycle Representative
Acclara Solutions
10.2022 - 06.2024
Licensed Insurance Agent
Symmetry Financial Group
10.2021 - 06.2024
Insurance Secretary
Bella Vita
03.2019 - 01.2021
Remote Customer Support Agent (Volunteer)
JWCS
04.2013 - 03.2020
Insurance Secretary
Alan S. Lee, DDS
06.2005 - 04.2013
Receptionist
Modesto Dental Group
04.2004 - 06.2005
Surgical Assistant / Insurance Secretary
Brookside Oral Surgery
11.2001 - 04.2004
CERTIFIED PROFESSIONAL CODER EXAM TRAINING COURSE -
Absolute Medical Coding Institute
CALIFORNIA ORAL AND MAXILLOFACIAL SURGICAL ASSISTANT -
California Association of Oral & Maxillofacial Surgeons