Susan Durfee
Las Vegas,NV
Summary
Reliable and eager Medical Billing and Coding Specialist with credentialing experience and handling a wide variety of medical coding and billing tasks with a positive attitude. Sophisticated and hard working with excellent attention to detail and multitasking skills.
Overview
3
3
years of professional experience
Work History
AR Follow Up Representative
Med-Metrix
07.2022 - Current
- Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
- Increased overall efficiency of the billing department by regularly auditing internal procedures and suggesting improvements.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Collaborated closely with the coding, authorization and verifications teams to ensure proper documentation and demographics were obtained for accurate billing purposes.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Located errors and promptly refiled rejected claims.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Maintained and exceeded production goal required by management.
- Precisely evaluated and verified benefits and eligibility.
- Liaised between patients, insurance companies, and billing office.
Medical Billing Specialist
Las Vegas Clinic
07.2021 - 07.2022
- Reduced errors in medical billings, effectively addressing discrepancies and rectifying issues promptly.
- Cross-trained existing employees to maximize team agility and performance.
- Reconciled accounts receivable to general ledger, as well as made Front Desk Receptionists ledger for day of and following days for patient balances.
- Documented all daily collections and delinquent account activities and ran patient payment plans as needed.
- Promptly and efficiently completed reports for 30, 60, 90 and 120 day aging for Accounts Receivable.
- Credentialed and contracted Family Medicine Doctor with local carriers, Medicare and Medicaid and maintained CAQH account for entire practice,
- Monitored trends in medical billing denials, implementing corrective actions to prevent future occurrences of similar issues.
Education
Certified Billing And Coding Specialist - Medical Billing And Coding
Northwest Career And Technical Academy
Las Vegas, NV09.2021
High School Diploma -
Adult Education
Las Vegas, NV06.2012
Skills
- Critical Thinking
- Medical Record Review
- Decision Making
- Attention to Detail
- Medical Billing Software
- Medical Terminology Expertise
- Remote Office Availability
- MS Office
- Proficiency in Athena, Advanced MD, Practice Fusion, Medstream
Accomplishments
- Completed 180 hours of hand on experience for externship.
- Received Kids Chance pf America Scholarship to attend Medical Billing and Coding Program at Northwest Career College.
Timeline
AR Follow Up Representative
Med-Metrix
07.2022 - Current
Medical Billing Specialist
Las Vegas Clinic
07.2021 - 07.2022
Certified Billing And Coding Specialist - Medical Billing And Coding
Northwest Career And Technical Academy
High School Diploma -
Adult Education
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