Efficient Medical Coder with sound knowledge of billing systems for collecting, posting and managing account payments. Submitting claims and following up with insurance companies. Partners and communicates with internal and external teams to align billing objectives.
Overview
19
19
years of professional experience
Work History
Travel CNA
Travel CNA
Vancouver, WA
04.2021 - Current
Maintained clean and well-organized environment for client happiness and safety.
Dressed, groomed and fed patients with limited physical abilities to support basic needs.
Helped clients stay happy and healthy by providing mental and emotional support.
Improved patient outlook and daily living through compassionate care.
Helped transition patient between bed, wheelchair and automobile to provide safe mobility support.
Ran errands for clients and drove to appointments to maintain wellness and support daily living needs.
Tracked and reported clients' progress based on observations and conversations.
Greeted patients and families with enthusiastic, compassionate attitude to establish long-term professional relationships.
Developed strong and trusting rapport with patients to facilitate smooth, quality care.
Medical Billing Specialist
Reliance Medical Clinics
Richland, WA
03.2022 - 07.2022
Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
Posted and adjusted payments from insurance companies.
Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
Reviewed and verified benefits and eligibility with speed and precision.
Applied payments, adjustments and denials into medical manager system.
Prepared billing statements for patients, ensuring correct diagnostic coding.
Collaborated closely with other departments to resolve claims issues.
Entered procedure codes, diagnosis codes and patient information.
Contacted insurance providers to verify insurance information and obtain billing authorization.
Medical Coding and Billing Specialist
Optimos Ind Pvt Ltd
Pune, Maharashtra India
10.2012 - 11.2013
Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Thoroughly reviewed remittance codes from EOBS/AR's.
Medical Billing Specialist
AG Hospital
Nagercoil, Tamil Nadu India
07.2014 - 10.2020
Review patients' insurance coverage, including deductibles and copayments.
Submit insurance claims accurately and in a timely manner.
Follow up with insurance companies on unpaid or denied claims.
Post payments from insurance companies and patients into the billing system.
Identify and correct billing errors or discrepancies.
Communicate with patients regarding their billing statements and payment options.
Verify patients' eligibility and benefits with insurance providers.
Ensure compliance with coding and billing regulations and guidelines.
Collaborate with internal teams to resolve billing issues and improve processes.
Maintain confidentiality of patient information and billing records.
Billing Specialist
Oceans Connect Ind Pvt Ltd Pune
Pune, Maharashtra India
05.2005 - 05.2006
Calculated billing charges, prepared and submitted claims to insurance companies.
Resolved discrepancies between customers' remittances and invoices received.