SHEILA ROBINSON
FORT MYERS,United States
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
21
21
years of professional experience
Work History
Coding and Reimbursement Specialist
Oasis Claim Management
Fort Myers, FL
05.2022 - Current
- Verified patient information, including medical history and insurance coverage, to ensure accuracy of coding and billing.
- Conducted audits of medical records to identify missing or incorrect documentation that could affect accurate coding and billing.
- Submitted claims electronically to insurance companies in accordance with regulations.
- Generated reports from software systems to track claim status and denials.
- Researched denied claims to determine the cause of denial and corrected errors as needed.
- Analyzed trends in denials in order to recommend process improvements which would reduce the number of denials received.
- Assigned appropriate codes using ICD-10-CM for diagnosis, CPT for procedures, HCPCS for supplies and modifiers as required by payers.
- Facilitated payment arrangements with patients and guarantors who were unable to make full payment at time of service.
- Provided customer service support via phone or email regarding account balances or other inquiries related to billing issues.
Medical Assistant/Billing
Vascular & General Surgical Specialists
Fort Myers, FL
09.2003 - 05.2022
- Assisted physicians with patient care by taking vital signs, patient histories and preparing patients for examinations.
- Provided assistance to medical staff in performing minor surgical procedures.
- Prepared laboratory specimens for analysis and organized lab results for review by the physician.
- Maintained accurate medical records through filing, charting, transcription and data entry into electronic health record system.
- Answered phones, scheduled appointments and managed patient flow while greeting visitors in a professional manner.
- Educated patients on healthcare topics such as nutrition and disease prevention methods.
- Ordered medical supplies, maintained inventory logs and restocked exam rooms when needed.
- Organized patient charts before each day's clinic sessions began.
- Assisted with pre-operative preparation of patients including providing instruction about post-operative care plans.
- Ensured that all instruments used during exams were cleaned properly after each use according to established protocols.
- Kept examination rooms clean, stocked with necessary supplies and prepared for incoming patients.
- Registered new patients into practice management software program accurately entering demographic information.
- Transcribed medical dictation from physicians, including patient histories, physical examinations and discharge summaries.
- Reviewed transcribed documents for accuracy and completeness in accordance with established procedures.
- Assisted in training new transcriptionists regarding departmental policies and procedures.
- Performed administrative duties such as filing, faxing, data entry. as necessary.
- Responded promptly to customer inquiries related to medical records and documentation issues.
- Maintained confidentiality of patient information according to HIPAA regulations.
Education
Associate of Science - Medical Assistant/Coding/Billing
SW FL College
Fort Myers06-2003
Skills
- HIPAA Compliance
- Revenue Cycle Management
- Anatomy and physiology
- Claims Processing
- Payment posting
- Insurance Verification
- Clinical Documentation
- Medical Terminology
- Workflow Management
- Patient data identification
- Healthcare claim coding
- Coding Error Resolution
- Document Management
References
References available upon request.
Timeline
Coding and Reimbursement Specialist
Oasis Claim Management
05.2022 - Current
Medical Assistant/Billing
Vascular & General Surgical Specialists
09.2003 - 05.2022
Associate of Science - Medical Assistant/Coding/Billing
SW FL College
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