Results driven professional with over 10 years in the medical field with multiple areas of specialty. Knowledgeable and have a robust background of taking care of patients.
Overview
11
11
years of professional experience
Work History
Senior Scheduler
Kootenai Health
04.2024 - Current
Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Managed cancellations or no-shows efficiently, proactively filling open slots with patients from waitlists or urgent care needs.
Followed up with patients to reschedule missed appointments.
Ensured compliance with HIPAA regulations while handling sensitive patient information during all aspects of appointment scheduling processes.
Verified insurance coverage and eligibility for medical services prior to scheduling appointments to prevent billing issues.
Assisted in the training of new schedulers, sharing knowledge and best practices for efficient schedule management processes.
Coordinated with other departments to facilitate seamless operation and excellent patient care.
Maintained accurate patient records for proper tracking of patient history and treatment.
Medical Biller and Coder
Beacon Clinic
08.2022 - 04.2024
Correctly coded and billed medical claims for various hospital and nursing facilities.
Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
Reviewed patient charts to better understand health histories, diagnoses, and treatments.
Resourcefully used various coding books, procedure manuals, and on-line encoders.
Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Medical Billing Specialist
MyMed Supplies
07.2018 - 08.2022
Communicated with insurance providers to resolve denied claims and resubmitted.
Posted and adjusted payments from insurance companies.
Communicated effectively and extensively with other departments to resolve claims issues.
Located errors and promptly refiled rejected claims.
Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
Identified and resolved patient billing and payment issues.
Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
Pharmacy Technician
Rite Aid
10.2013 - 07.2018
Answered incoming phone calls and addressed questions from customers and healthcare providers.
Stocked, labeled, and inventoried medication to keep accurate records.
Enhanced pharmacy workflow by assisting pharmacists with medication dispensing, labeling, and packaging.
Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
Promoted patient confidentiality by adhering to HIPAA regulations when handling personal information during transactions.
Counted and labeled prescriptions with correct item and quantity.
Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.
Education
Certificate of Technical Studies - Medical Billing And Coding
Carrington College
Spokane Valley, WA
06-2018
High School Diploma -
University High School
Spokane Valley, WA
06-2011
Skills
Teamwork orientation
Customer service
Insurance verification/billing
ICD-10 proficiency
QA experience
Confidentiality and HIPAA
Workflow optimization
Timeline
Senior Scheduler
Kootenai Health
04.2024 - Current
Medical Biller and Coder
Beacon Clinic
08.2022 - 04.2024
Medical Billing Specialist
MyMed Supplies
07.2018 - 08.2022
Pharmacy Technician
Rite Aid
10.2013 - 07.2018
Certificate of Technical Studies - Medical Billing And Coding