With over 30 years of experience in the medical industry, I am a highly self-motivated individual with an eagerness to learn. I welcome challenges and work well under pressure. Throughout my experience in the medical industry, I have demonstrated the strong ability to work diligently, independently, and efficiently. I have a passion for resolving discrepancies through attention to detail and creative problem-solving. I am organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Work History
Coding Specialist 1, Billing, Denial Specialist
Mercy Health Partners/Ensemble Health Partners
Cincinnati, OH.
10.2009 - 01.2024
Reconciliation of office charges across various organizations for hundreds of Physicians
Oversees the division of coding denials for Ohio
Research coding disputes and take corrective action in order to process the claims
Screening of patient registration to ensure patient information is accurate
Entering of Charges for various Skilled Nursing Facilities, Cardiology charges entering the charges.
Assist in the training and development of new team members.
Assisted with day-to-day operations, working efficiently and productively with all team members.
Passionate about learning and committed to continual improvement.
Identified issues, analyzed information and provided solutions to problems.
Organized and detail-oriented with a strong work ethic.
Demonstrated respect, friendliness and willingness to help wherever needed.
Resolved problems, improved operations and provided exceptional service.
Front and Back office, Medicaid Billing
Tri County ENT
Cincinnati, OH
06.2005 - 10.2009
Coordination of diabetes education, immunizations, and laboratory testing
Front Desk Assistant - answering phones, scheduling customer appointments, medical supply and inventory management
Customer liaison between multiple entities in order to ensure the patients’ needs are met.
Demonstrated respect, friendliness and willingness to help wherever needed.
Organized and detail-oriented with a strong work ethic.
Worked effectively in fast-paced environments.
Assisted with day-to-day operations, working efficiently and productively with all team members.
Education
Registered Medical Assistant Certification Program -
Institute of Medical and Dental Technology
01.1992 - 05.1992
Diploma - General Studies
Reading Community High School
Reading, OH
09.1971 - 05.1984
Skills
Billing Specialist Level 1
Coding
Customer Communications
Registered Medical Assistant
Financial Reconciliation
Understanding of medical terms
Insurance coverage verification
Data integrity
Prior authorization processing
Proficient in [Software]
Insurance industry experience
Appeals
Account management
CRCR
Availty
RevLink
SSI Clearinghouse
Timeline
Coding Specialist 1, Billing, Denial Specialist
Mercy Health Partners/Ensemble Health Partners
10.2009 - 01.2024
Front and Back office, Medicaid Billing
Tri County ENT
06.2005 - 10.2009
Registered Medical Assistant Certification Program -
Spec Patient Access/ Financial Counselor at Ensemble Health Partners/ Bon Secours Mercy HealthSpec Patient Access/ Financial Counselor at Ensemble Health Partners/ Bon Secours Mercy Health
Specialized Mentor And Revenue Cycle Trainer at Ensemble Health Partners-OU Health /Ardent HealthSpecialized Mentor And Revenue Cycle Trainer at Ensemble Health Partners-OU Health /Ardent Health