Billing and coding professional with experience across claim review, payment reconciliation, and medical record coding support. Applies ICD-10-CM, CPT, HCPCS Level II, and HIPAA standards to identify errors, resolve nonpayment issues, and maintain clean, accurate account records.
Overview
15
15
years of professional experience
Work History
Medical Billing Specialist/Follow Up/Billing Coordinator
Milwaukee County Behavioral Health Division
01.2019 - Current
Review the EOB and T19 remittances to verify correct payments received
Adjust payments if they were applied incorrectly by the system or insurer
Followed up on rejection claims requiring additional information for processing, facilitating resolutions
Corrected claims by identifying missing fields and errors Identify and correct missing fields or possible errors within the claim
Checked accounts daily for follow up, files, and EOBs needing posting, ensuring timely updates
Post payments daily, weekly and monthly
Work with Follow Up team to fix any posting errors
Ran reports to verify accurate posting of ERAs, maintaining data integrity
Medical coder and HCC Risk Adjustment Coder, AAPC Externship
Healthcare Inspired, LLC
06.2025 - 09.2025
Coded orthopedic, plastic surgery, pain management, and ENT records for accurate billing and compliance.
Determined E/M levels from patient encounters and documentation to ensure appropriate reimbursement.
Medical Records Assistant
Anew Home Healthcare Services
Milwaukee, WI
07.2018 - 01.2019
Managed operations of 3 healthcare companies, ensuring integrity and completeness of medical records in compliance with federal and state regulations
Verified patient insurance coverage to ensure eligibility for services.
Processed and renewed prior authorizations, facilitating timely access to patient services
Handled release of information requests, adhering to policy and maintaining confidentiality
Cash Poster/Billing Specialist
Milwaukee Center for Independence
Milwaukee, WI
04.2016 - 06.2017
Posted, reconciled, and applied cash receipts promptly to maintain cash flow
Submitted billing claims to funding sources, ensuring accurate revenue recognition in accounting
Evaluated accounts receivable balances, facilitating effective collection and rebill processes
Medicaid Billing Specialist
Next Door Foundation
Milwaukee, WI
01.2015 - 02.2016
Processed Medicaid claims for services provided by Parent Educators, ensuring timely reimbursement and compliance
Posted and reconciled payments, resolving discrepancies and ensuring prompt follow-up on non-payments to maintain cash flow
Reviewed forward health updates and communicated changes to affected staff and managers
Prepared monthly and quarterly revenue reports for management, providing insights into financial performance and aiding strategic decision-making
Benefits Case Manager
Wisconsin Community Services
Milwaukee, WI
10.2011 - 02.2014
Supervised eligibility processes for Foodshare, healthcare, Social Security benefits, and energy assistance, optimizing access for clients
Managed tracking and ordering of replacement cards for Medicare, Medicaid, and Foodshare, facilitating uninterrupted access to benefits.
Documented benefit entitlements for 400+ disabled clientele, ensuring accuracy and timeliness in records management
Education
CPC- Certified Professional Coder -
AAPC (Healthcare)
Salt Lake City, UT
03-2022
Associate of Applied Science - Medical Administrative Assistant, (Medical Billing and Coding)
& Stratton College
Glendale, WI
05-2019
Skills
Medical billing expertise
Claim adjudication
EOB review
ERA posting
HCPCS level 2 code proficiency
Medical terminology
Compliance with HIPAA standards
Claims adjudication
Timeline
Medical coder and HCC Risk Adjustment Coder, AAPC Externship
Healthcare Inspired, LLC
06.2025 - 09.2025
Medical Billing Specialist/Follow Up/Billing Coordinator
Milwaukee County Behavioral Health Division
01.2019 - Current
Medical Records Assistant
Anew Home Healthcare Services
07.2018 - 01.2019
Cash Poster/Billing Specialist
Milwaukee Center for Independence
04.2016 - 06.2017
Medicaid Billing Specialist
Next Door Foundation
01.2015 - 02.2016
Benefits Case Manager
Wisconsin Community Services
10.2011 - 02.2014
CPC- Certified Professional Coder -
AAPC (Healthcare)
Associate of Applied Science - Medical Administrative Assistant, (Medical Billing and Coding)
Senior Medical Billing Specialist at Wellnow (formerly Physicians Immediate Care)Senior Medical Billing Specialist at Wellnow (formerly Physicians Immediate Care)
Medical Billing and Coding Specialist /Team Leader at Capital City Therapy GroupMedical Billing and Coding Specialist /Team Leader at Capital City Therapy Group