Sarah E Simpson, CCS-P, CCS
Havertown,PA
Summary
An innovative problem solver with excellent critical thinking, data entry, written and oral communication skills, extensive knowledge of medical terminology, receptive to receiving feedback at the work place, and a clear communicator with positive and upbeat personality.
Overview
5
5
years of professional experience
1
1
Certification
Work History
INSURANCE VERIFICATION SPECIALIST
CROZER HEALTH
09.2022 - 06.2023
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Assisted patients with understanding personalized insurance coverage and benefits.
- Preregister patients for surgery by entering their demographic information, i.e. name, age, address, date of birth, insurance information, etc. in Cerner applications.
- Call the patients doctor to request prior authorizations and referral requests as needed per insurance, prior to the patient's surgery.
- Call patients to inform them of their financial responsibility, owed at the time of surgery date.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Updated patient records with accurate, current insurance policy information.
CERTIFIED MEDICAL RECORDS SPECIALIST
CLOUDMED
06.2018 - 06.2022
- Access to various hospital systems as a vendor to review patient medical records assisting to recover missing revenue, ranging from $5,000 to 100,000, from Medicare.
- Abstract supporting documentation for accurate application of Medicare condition codes from the medical record.
- Researching and communicating with post-acute care facilities to verify accurate discharge status information.
- Maintain patient confidentiality and HIPAA compliance.
- Maintain daily productivity to assure proper turnaround times as outlined by department.
- Participate in team meetings, functions, and volunteer opportunities.
- Promote team recognition via internal programs for acknowledgement of peer's hard work and dedication.
- Organize and prioritize multiple deadlines and job duties including and outside the above- mentioned duties.
- Participate in volunteer groups within the company’s Culture Committee, specifically the parent group. Duties include helping with a PowerPoint presentation every few months to explain to team members who we are and what we do. Offer ideas for discussion and emotional support among team members who are parents in the Microsoft team's chat.
Education
ASSOCIATE DEGREE - Medical Coding And Billing
DELAWARE COUNTY COMMUNITY COLLEGE
Media, PA05.2018
BACHELOR'S DEGREE - Animation
THE UNIVERSITY OF THE ARTS
Philadelphia, PA06.2003
Skills
- ICD-10-CM and ICD-10-PCS
- ICD-10- HCPCS Level II and CPT-4
- Medical Insurance
- Medical Terminology
- Multiple Electronic Medical Records Experience- EPIC, Cerner, Meditech
- HIPPA Compliance
- Pre-authorization and Insurance Verification
- Medical Records
- Data Entry Software
- Adaptable and Flexible
Certification
CCS-P-Certified Coding Specialist Physician Based.
CCS- Certified Coding Specialist
Timeline
INSURANCE VERIFICATION SPECIALIST
CROZER HEALTH
09.2022 - 06.2023
CERTIFIED MEDICAL RECORDS SPECIALIST
CLOUDMED
06.2018 - 06.2022
ASSOCIATE DEGREE - Medical Coding And Billing
DELAWARE COUNTY COMMUNITY COLLEGE
BACHELOR'S DEGREE - Animation
THE UNIVERSITY OF THE ARTS
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