Proven Charge Entry Specialist with a track record of enhancing revenue cycle management and reducing errors in charge capture at Midwest Physician Anesthesia Services. Experienced in medical coding and HIPAA compliance, demonstrating meticulous attention to detail and a strong ability to improve efficiency. Skilled in insurance verification and claims processing, committed to delivering precise and timely results.
Overview
24
24
years of professional experience
Work History
Charge Entry Specialist
Midwest Physician Anesthesia Services
04.2013 - Current
Managed high-volume workload while maintaining exceptional attention to detail for precise data input into the medical billing system.
Ensured compliance with billing guidelines by staying current on relevant regulations, policies, and procedures.
Improved charge entry accuracy by diligently reviewing and verifying patient demographic information.
Increased efficiency by identifying and addressing discrepancies in coding and charge entries promptly.
Enhanced revenue cycle management through timely and accurate charge entry for medical procedures and services.
Reduced errors in charge capture by maintaining up-to-date knowledge of CPT, ICD-10, and HCPCS codes.
Verified insurance eligibility and information to update database.
Expedited payment collection by submitting clean claims for reimbursement from insurance companies and patients promptly.
Captured and entered professional charges.
Maintained strict adherence to HIPAA regulations, protecting patient privacy and ensuring the confidentiality of sensitive information .
Medical Receptionist/ Clinical IT
Mary Rutan Hospital
03.2006 - 02.2013
Coordinated patient scheduling, check-in, check-out and payments for billing.
Checked patient insurance, demographic, and health history to keep information current.
Assisted with medical coding and billing tasks.
Assisted healthcare providers with administrative tasks, enabling them to focus on quality patient care.
Coordinated specialist referrals for patients requiring additional care, facilitating efficient transfer of medical records as needed.
Implemented and trained 5 physician offices on Electronic Medical Record System, Nextgen
Medical Assistant
Marysville Pediatrics
01.2000 - 03.2006
Sanitized, restocked, and organized exam rooms and medical equipment.
Obtained patient medical history, medication information, symptoms, and allergies.
Performed lab quality assurance protocol to prepare for COLA inspections.
Performed medical records management, including filing, organizing and scanning documents.
Enhanced clinic efficiency by assisting physicians with routine procedures and diagnostic tests.
Verified patient insurance coverage and collected required co-payments.
Assisted in the development of clinic policies and procedures to ensure compliance with industry standards and regulations.
Prepared lab specimens for diagnostic evaluation.
Oriented and trained new staff on proper procedures and policies.
Education
High School Diploma -
Marysville High School
Marysville, OH
01.1989
Skills
HIPAA Compliance
Healthcare Industry Knowledge
Accurate data entry
Claims Processing
Insurance Verification
Charge Capture Proficiency
Medical Coding Experience
Timeline
Charge Entry Specialist
Midwest Physician Anesthesia Services
04.2013 - Current
Medical Receptionist/ Clinical IT
Mary Rutan Hospital
03.2006 - 02.2013
Medical Assistant
Marysville Pediatrics
01.2000 - 03.2006
High School Diploma -
Marysville High School
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