Sarah Hoekstra
Cedar Springs,MI
Summary
Medical coding and billing professional with solid background in managing healthcare claims and ensuring compliance with industry standards. Proven ability to streamline billing processes and resolve discrepancies efficiently. Effective collaborator and adaptable team member, consistently meeting organizational goals and adapting to changing demands. Skilled in ICD-10, CPT, and HCPCS coding and maintaining patient confidentiality.
Overview
12
12
years of professional experience
Work History
Medical Coding and Billing Specialist
Alliance Healthcare Solutions
02.2024 - 10.2024
- Developed a comprehensive understanding of ICD-10-CM, CPT, and HCPCS codes to ensure proper use in medical coding assignments.
- Provided exceptional customer service to patients, addressing their concerns regarding insurance claims or billing issues with empathy and professionalism.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Maintained patient confidentiality by adhering to strict HIPAA regulations during all aspects of the coding and billing processes.
- Reduced errors in medical billings, effectively addressing discrepancies and rectifying issues promptly.
- Achieved timely reimbursements from payers by submitting clean claims that adhere to payer-specific guidelines.
- Assisted in maintaining smooth office operations by managing essential administrative tasks such as recordkeeping and data entry.
- Resolved coding discrepancies through in-depth analysis and collaboration with physicians, ensuring appropriate reimbursement for services rendered.
- Optimized revenue generation through diligent monitoring of denied claims, resubmitting corrected information when needed.
- Utilized electronic medical record systems to store, retrieve and process patient data.
Medical Coder and Billing Specialist
Jupiter Family Medicine
09.2023 - 02.2024
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
- Reduced claim denials by maintaining thorough knowledge of payer-specific requirements and guidelines.
- Expedited claim resolution with insurance companies through clear communication and prompt follow-up actions.
- Verified signatures and checked medical charts for accuracy and completion.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Input data into computer programs and filing systems.
Licensed In-Home Daycare Provider
Self Employed
09.2020 - 09.2023
- Promoted social skills among children by facilitating group activities and encouraging cooperative play.
- Assisted in the growth of motor skills through hands-on activities such as painting, drawing, and outdoor play.
- Increased parent satisfaction through regular communication about their children''s progress, needs, and daily activities.
- Managed administrative tasks including record-keeping, billing, scheduling, and reporting to maintain an efficient daycare operation.
- Continuously updated professional knowledge by attending workshops, training sessions, and conferences related to early childhood education and care .
- Maintained a safe and nurturing environment by adhering to health and safety guidelines, ensuring the well-being of each child.
Medical Coding and Billing Specialist
Alliance Healthcare Solutions
01.2016 - 09.2020
- Developed a comprehensive understanding of ICD-10-CM, CPT, and HCPCS codes to ensure proper use in medical coding assignments.
- Provided exceptional customer service to patients, addressing their concerns regarding insurance claims or billing issues with empathy and professionalism.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Maintained patient confidentiality by adhering to strict HIPAA regulations during all aspects of the coding and billing processes.
- Monitored trends in medical billing denials, implementing corrective actions to prevent future occurrences of similar issues.
- Maximized productivity through effective time management, prioritizing tasks based on urgency and importance.
Medical Billing Specialist
The Center for Physical Rehabilitation
06.2012 - 12.2015
- 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.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Precisely evaluated and verified benefits and eligibility.
- Generated monthly billing and posting reports for management review.
Education
High School Diploma -
Home-Schooled
05-2005
Skills
- ICD-10 proficiency
- Medical record review
- HIPAA compliance
- Medical terminology expertise
- Revenue cycle management
- Payment posting
- Medical office administration
- Insurance verification
- Data entry
- Attention to detail
- Electronic health record applications
- Customer service
Timeline
Medical Coding and Billing Specialist
Alliance Healthcare Solutions
02.2024 - 10.2024
Medical Coder and Billing Specialist
Jupiter Family Medicine
09.2023 - 02.2024
Licensed In-Home Daycare Provider
Self Employed
09.2020 - 09.2023
Medical Coding and Billing Specialist
Alliance Healthcare Solutions
01.2016 - 09.2020
Medical Billing Specialist
The Center for Physical Rehabilitation
06.2012 - 12.2015
High School Diploma -
Home-Schooled
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