Medical Biller and Coder
Dr. Michael Metzman
Silverdale, WA
01.2024 - Current
- Verified accuracy of patient information and insurance data in billing system.
- Reviewed medical records and identified diagnosis codes, procedures, services and supplies for coding.
- Submitted claims to insurance companies electronically or by mail.
- Resolved denied claims by researching payer requirements and preparing appeals.
- Reconciled accounts receivable to ensure accuracy of payments received.
- Maintained up-to-date knowledge of coding regulations and changes in reimbursement policies.
- Performed daily audits on all bills submitted for accuracy and completeness.
- Analyzed patient accounts for errors, inaccuracies or discrepancies in billing documentation.
- Assisted with the development of departmental policies related to charge capture processes and coding practices.
- Provided customer service support to patients regarding billing inquiries.
- Developed an understanding of how various insurance plans process claims for reimbursement.
- Worked closely with physicians to obtain additional clinical information when needed for accurate coding assignments.
- Prepared financial statements that summarize account activity over a period of time.
- Ensured timely filing of all claims within established guidelines.
- Responded promptly to requests from insurance companies regarding clarification on claim submissions.
- Supervised staff members, organized schedules and delegated tasks.
- Ordered supplies and equipment to maintain adequate inventory levels.
- Answered phone calls, responded to emails, routed mail and coordinated courier services.
- Processed payroll accurately ensuring all employees were paid on time.
- Managed front desk operations including greeting visitors, answering questions or directing them to appropriate personnel.
- Provided training to new hires on office policies and procedures.
- Managed office inventory and placed new supply orders.
- Administered payroll and maintained proper documentation of employee personnel.
- Remained calm and professional in stressful circumstances and effectively diffused tense situations.
