Skylar Chadwick
Ashford
Summary
Medical billing professional with extensive experience in managing patient billing processes and ensuring timely claim submissions. Known for strong collaboration within teams and delivering reliable outcomes. Possesses deep knowledge of coding standards and insurance guidelines.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Medical Billing Manager
Fairview Clinic
03.2022 - Current
- I am currently the manager of billing at Fairview Clinic
- I have to ensure I am using the current CMS guidelines, as this office processes many Medicare and Medicare advantage plans
- This is a busy internal medicine clinic that also provides sub-specialties such as cardiology, endocrinology, infectious diseases, wound care, and in house labs
- As the manager, I am required to process claims efficiently daily by using ICD-10 and CPT coding guidelines
- I am also required to review claims that have been initially denied by insurance, and make any necessary corrections and appeals to process the claim
- Our current EMR is through Athena
- I process and post patient payments, electronic fund transaction remittances, and secondary insurance payments that are mailed to the clinic
- With new patients, I create a patient chart through Athena, verifying the information I have is correct, and add the patients correct insurance information and any relevant referrals that are required by insurance
- I have to understand and practice patient privacy and confidentiality with HIPAA
- Due to being some patients primary care providers, I also submit many online referrals for patients with blue cross blue shield policies to see any outside specialist
Patient Access Specialist
Southeast Health Medical Center
07.2021 - 03.2022
- I answered phones and hel
- To perform this job proficiently, I understood medical terminology, and what the office needed to help diagnose or treat the patient
- I took the patients information (any address changes, phone numbers, emergency contacts, insurance information) and add that to the patient’s chart in an efficient manner
- While taking the office’s order, I also added any authorizations sent by the insurance to approve the test
- Maintained patient confidentiality by adhering to HIPAA guidelines and hospital policies.
- Provided exceptional customer service, addressing patient concerns promptly and professionally.
Cashier
Jack's Drugs
03.2019 - 10.2021
- Working there has helped expose me to the medical field and the prerequisites I need to have to better understand medical terminology and the use of different medications
- I was required to use my knowledge of HIPAA by using patient confidentiality and privacy.
- It requires diligence in making sure the right patient gets the right prescriptions
- I answered phones, helped patients find anything over-the-counter medication they needed, and answered any questions they might have had while checking them out
- I also had to help new patients get set up into our system by adding their insurance information, allergies, date of birth, address, and phone number
- Greeted customers entering store and responded promptly to customer needs.
Education
Medical Coding and Billing -
WALLACE COMMUNITY COLLEGE
Midland City, AL11.2021
High School Diploma -
WICKSBURG HIGH SCHOOL
05.2017
Skills
- HIPAA compliance
- EMR experience through Athena & EPIC
- Patient confidentiality practices
- Claims processing proficiency
- Effective communication
- CPT, ICD-10, & HCPCS coding
- Medicare regulations
- Analytical thinking capacity
Certification
CPC Certification, 11/01/21
Timeline
Medical Billing Manager
Fairview Clinic
03.2022 - Current
Patient Access Specialist
Southeast Health Medical Center
07.2021 - 03.2022
Cashier
Jack's Drugs
03.2019 - 10.2021
High School Diploma -
WICKSBURG HIGH SCHOOL
Medical Coding and Billing -
WALLACE COMMUNITY COLLEGE
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