Sarah Boyle
Jersey City,USA
Summary
Medical Billing and Coding Specialist with extensive experience at Harborside Sport and Spine, proficient in claims resolution and compliance assurance. Expertise in CPT and ICD-10 coding, with strong capabilities in patient communication and insurance verification. Focused on optimizing revenue cycle management and enhancing patient engagement through accurate processes.
Overview
10
10
years of professional experience
Work History
Medical Billing/Coding Specialist
Harborside Sport and Spine
Jersey City, NJ
09.2020 - Current
- Input accurate ICD-10 PCS and CPT codes into EHR system.
- Processed billing for over 80 patients daily through clearinghouse.
- Communicated with insurance companies to resolve claim issues and file denials.
- Managed DME billing and coding processes efficiently.
- Entered patient and insurance payments into EHR each day.
- Utilized Microsoft Word, PowerPoint, and Excel for documentation and reporting.
- Collected and verified patient insurance information to ensure benefit eligibility.
- Transcribed third-party authorizations and submitted for patient treatment approval.
Billing Administrator/Office Manager
NorthStar Health Systems
Bayonne, NJ
01.2016 - 01.2020
- Collected and verified patient insurance information with accuracy.
- Created new cases in EHR using correct ICD-10 PCS and CPT codes.
- Processed billing through the clearinghouse efficiently.
- Maintained facility compliance with State Audit requirements.
- Facilitated clear communication with patients.
Education
Medical billing and coding certificate - ICD-10-PCS/CM Coding, Pathophysiology/Pharmacology, Health Information Management, 3M Coding & Reimbursement, CPT, HCPC, Medical Terminology
DeVry University
Naperville, IL08.2024
Skills
- Electronic health records management
- CPT and ICD-10 coding
- Insurance verification and claims resolution
- Compliance auditing and legal adherence
- Medical billing and payment posting
- Patient communication and engagement
- Revenue cycle management strategies
- Data entry accuracy and problem solving
- Third-party payer guidelines expertise
- HIPAA compliance and regulations knowledge
- Health information systems proficiency
- Durable medical equipment knowledge
- Healthcare common procedure coding
- Claims processing and clearinghouse expertise
- Release of information compliance
References
References upon request
Timeline
Medical Billing/Coding Specialist
Harborside Sport and Spine
09.2020 - Current
Billing Administrator/Office Manager
NorthStar Health Systems
01.2016 - 01.2020
Medical billing and coding certificate - ICD-10-PCS/CM Coding, Pathophysiology/Pharmacology, Health Information Management, 3M Coding & Reimbursement, CPT, HCPC, Medical Terminology
DeVry University