Susan Pehm
Poplar Grove,Illinois
Summary
Experienced medical biller/coder with over 15 years of experience in clinical settings. Extensive coding and medical terminology knowledge. Seeking to take the next career step with a highly respected healthcare organization dedicated to producing positive patient outcomes and delivering exceptional customer service.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Medical Biller / Coder
Northern Illinois Foot & Ankle
02.2014 - Current
- Assign appropriate diagnosis codes using CPT, ICD-10 and HCPCS codes to daily encounters
- Process surgical, and clinical charges in a timely manner
- Review and process claim rejections for accuracy as well as insurance and coding compliance
- Perform collection activities, such as working aged accounts, AR reports to ensure timely filing
- Accurately posts insurance payments received in the mail or through ERA
Chiropractic Assistant /Administrative Office Assistant
Center for Progressive Natural Health
Crystal Lake, IL
07.2019 - 12.2023
- Manage the schedules and calendars of the patients and the doctors on staff along with communicating patient arrivals or delays
- Obtain personal, medical, and insurance information from patients, and refer patients for appointments with secondary care providers
- Use EMR software to manage patient records and files, post payments to patient accounts; reinforce and uphold patient confidentiality as required by HIPAA and the clinic
- Manage office and medical supply inventories; receive deliveries and organize supplies in stockrooms and exam rooms.
Medical Insurance Specialist / Chiropractic
Chiropractic First of Rockford
03.2014 - 12.2018
- Facilitated daily administrative functions, including customer service, patient scheduling, filing and maintaining records, policy/contract renewals, answering calls, providing information, taking messages, and scheduling appointments, and inventory management
- Collected patient copayments and recorded payment transactions; obtained third-party payer authorization for services provided and communicated outstanding balances to insurance companies and patients
- Monitor claims to ensure they are settled equitably for both the client and the insurer
- Resolve customer complaints or answer customers' questions regarding claims, policies, and procedures, compile and prepare reports, templates, correspondence, or other information required by insurance or governmental agencies.
Education
Associate of Applied Science - Medical
Rock Valley College
Rockford, ILSome College (No Degree) - Emergency Medical Technician
Waubonsee Community College
Sugar Grove, ILHigh School Diploma -
St. Charles High School
Saint Charles, IL01-1989
Skills
- Proficiency in EMR Software Nextgen, Genesis, Lytec, & Modmed
- Billing and Collection Procedures
- Optimizing claim workflows
- Managing Patient Accounts Receivable/Payable
- Managing Physician / Patient / Employee schedules
- Administrative skills
- Medical Records Management
- Office Administration / Inventory Management
- Strong organizational and time-management skills
- Exceptional Customer Service communication
- Modifier usage per NCD/LCD guidelines
- Extensive Knowledge of Medical Terminology, Anatomy & Physiology
- Account Reconciliation / Collection Procedures
- Commercial and Private Insurance / Work Comp
- Claims Processing
- ICD-10 Coding
Certification
- Executive Office Professional Certificate Program
- Emergency Medical Technician - Basic
- Microsoft Word, Excel Certification
Volunteergroups
- Team volunteer for Wheelchair Rugby
- Certified Therapy Dog Handler
References
Available upon request
Timeline
Chiropractic Assistant /Administrative Office Assistant
Center for Progressive Natural Health
07.2019 - 12.2023
Medical Insurance Specialist / Chiropractic
Chiropractic First of Rockford
03.2014 - 12.2018
Medical Biller / Coder
Northern Illinois Foot & Ankle
02.2014 - Current
Associate of Applied Science - Medical
Rock Valley College
Some College (No Degree) - Emergency Medical Technician
Waubonsee Community College
High School Diploma -
St. Charles High School
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