Tori Russell
Riverside,CT
Summary
Well organized Medical Coordinator with demonstrated of 23 years knowledge of healthcare procedures and administrative operations, including but not limited to Medical Terminology, CPT coding, ICD 9 & 10, and GE Centricity and MODMED Proficient in navigating insurance websites, Billing, Coding Collections and Payment Distribution, Denial and AR Management, Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
23
23
years of professional experience
Work History
Medical Billing Coordinator
Orthopedic & Neurosurgery Specialists
Greenwich, CT
10.2000 - Current
- Received and recorded cash, checks and transfers.
- Reduced financial discrepancies by accurately managing accounting documentation.
- Reconciled or entered report discrepancies found in financial records.
- Collected payments, processed receipts and informed policyholders of outstanding balances.
- Submitted electronic and paper-based Medicare claims using appropriate coding conventions.
- Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
- Collaborated with fellow team members to manage large volume of claims.
- Made outbound calls to insurance companies, patients and physicians to perform eligibility checks for patients.
- Checked documentation for appropriate coding, catching errors and making revisions.
- Precisely calculated refunds, premiums, and adjustments.
- Responded to inquiries from providers and managed disputes related to unpaid claims.
- Reconciled intercompany accounts on a monthly basis, ensuring proper documentation was available for review.
- Reconciled customer statements against internal records to identify any discrepancies or errors.
Lead Medical Biller
Orthopaedic & Neurosugery Specialists
RIVERSIDE, CT
10.2000 - 02.2017
- Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
- Trained new team members on company policies and accounting systems to keep team operations productive and efficient.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Reconciled codes against services rendered.
- Provided training on medical billing software applications.
- Maintained billing software by updating rate change, cash spreadsheets and current collection reports.
- Submitted claims to insurance companies.
Education
Some College (No Degree) - Liberal Arts And General Studies
Marymount Tarrytown College
Tarrytown, NYSkills
- Organizational Abilities
- Electronic Health Records Management
- Commercial and Private Insurance
- HIPAA Compliance Certification
- Customer Service
- Centricity EMR
- SIS EMR
- Microsoft Word Excel
- Medical/ Billing/Denials AR
- Centricity EMR
- SIS EMR
- Microsoft EXCEL
- Accounts Receivable
Timeline
Medical Billing Coordinator
Orthopedic & Neurosurgery Specialists
10.2000 - Current
Lead Medical Biller
Orthopaedic & Neurosugery Specialists
10.2000 - 02.2017
Some College (No Degree) - Liberal Arts And General Studies
Marymount Tarrytown College
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