Schancy Armstrong
Orlando,FL
Summary
Experienced Billing Specialist with over 5 years of expertise in organizing and managing payment transactions and claim reconciliation. Possessing medical coding certification, highly skilled in accurately processing and documenting all financial transactions. Thrives in team environments, prepared to bring leadership and drive success as a Professional Medical Coder, continuously expanding knowledge and perfecting skills.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Billing Specialist
Center for Digestive Health
10.2022 - Current
- Review and code E/M encounters for new and established patients with digestive complications based on MDM guidelines
- Review and code Endoscopy/Colonoscopy operative reports and Anesthesia services, according to CMS policies and payers guidelines
- Review and Enter Physicians' Inpatient consultations and Subsequent visits
- Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes to Outpatient Procedures.
- Ensure services rendered are billed following Medicare policy and individual insurance claim submission policy to receive appropriate reimbursements per the fee schedule are returned
Collection Team Leader
Home Physicians Group
11.2021 - 07.2022
- Facilitated resolution of denials by engaging with key payer entities to obtain essential documentation promptly.
- Recorded payments to maintain claim payment accuracy.
- Investigated claim denials to identify underlying issues.
- Supported team members in resolving complex denials.
- Collaborated with Manager to initiate billing processes, identify claim denial trends, and address global denial issues.
- Reviewed and reconciled EOBs, ERAs, and financial transactions efficiently.
Medicaid Billing Specialist
Consulate Health Care
02.2021 - 11.2021
- Conducted investigations into claim denials related to SNF Room and Board through FLMMIS.
- Rectified discrepancies causing denials, ensuring successful reprocessing.
- Acquired necessary authorization for payment reassessment.
- Ensured accurate monthly updates of residence insurance details to mitigate claim denials.
- Investigated outstanding account balances before account adjustments
- Maintained a 95% return on payment for monthly bill outs
- Organized Medical Records for resolving unpaid claims disputes.
Billing Specialist Team Lead
Orlando Behavioral Health
05.2019 - 02.2021
- Managed distribution and submission of medical claims, ensuring accuracy for a staff of 15 providers.
- Ensured accurate payments were processed as per contract terms through effective communication.
- Identified inaccuracies and efficiently re-submitted declined claims.
- Streamlined onboarding processes by guiding new hires through diverse billing software systems.
- Managed financial transactions involving insurance payments.
- Analyzed monthly Aging reports to identify overdue payments.
- Processed authorization requests for insurance approval.
- Rectified errors in billing operations.
Education
Associate of Arts - General Studies
Florida State College at Jacksonville
Jacksonville, FL01.2014
Skills
- Ability to multi-task and troubleshoot issues
- Revenue and HCPCS coding
- Adheres to HIPAA rules and regulations
- EHR trained
- CPC Certified
- Flexible
- Dependable
- Accounts Receivable
- ICD-10 trained
- Attention to detail
- Claim denial Management
- Payment processing
Certification
CPC-A, AAPC
Timeline
Billing Specialist
Center for Digestive Health
10.2022 - Current
Collection Team Leader
Home Physicians Group
11.2021 - 07.2022
Medicaid Billing Specialist
Consulate Health Care
02.2021 - 11.2021
Billing Specialist Team Lead
Orlando Behavioral Health
05.2019 - 02.2021
Associate of Arts - General Studies
Florida State College at Jacksonville
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