Travis Draper
Flagstaff,AZ
Summary
Certified Medical Billing and Coding Specialist with 20 years of experience in fast-paced, multiple-client medical billing company serving large private practice conglomerates and outpatient clinics. Researched denied claims and submitted appeals. Familiar with health billing and collections.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Contract Medical Billing
Native Americans for Community Action
07.2022 - 09.2024
- Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
- Conducted periodic audits of billing records to identify errors or inconsistencies, ensuring proper documentation for future reference.
- Established a positive work environment through open communication channels and active participation in team meetings, fostering a culture of collaboration and growth.
- Posted and adjusted payments from insurance companies.
- Diligently filed and followed up on third party claims.
- Promptly sent out and posted all medical claims.
- Increased accuracy in billing by meticulously reviewing and verifying medical codes and patient information.
- Maintained HIPAA compliance while managing confidential patient data, enhancing security measures for sensitive information.
- Supported team members in resolving complex cases, applying problem-solving skills to reach favorable outcomes for all parties involved.
- Expedited the claims submission process by using electronic health record systems efficiently, reducing time spent on manual tasks.
- Managed a high volume of medical claims by prioritizing tasks based on due dates and urgency, preventing delays in processing.
Patient Accounts Specialist
Snohomish County Through Healthcare IS
11.2022 - 06.2023
- Maintained high levels of data accuracy with meticulous attention to detail in processing insurance claims and updating patient records.
- Expedited claim resolutions by skillfully navigating complex insurance policies, regulations, and guidelines.
- Collaborated with interdisciplinary teams to optimize billing procedures and ensure timely reimbursements from insurance providers.
- Electronically submitted bills according to compliance guidelines.
- Utilized NexGen EHR / PM for Coding and Billing of family medicine, psychiatry, and medical nutrition visits daily
- FQHC encounters which required ICD-10, CPT, and HCPCS knowledge to successfully code and bill for services
Billing Program Manager
Native Americans Community Act
03.2014 - 07.2022
- Managed and supervised administrative and daily program operations, complying with policies and regulations.
- Established strong relationships with key stakeholders, ensuring support for program initiatives.
- Developed strategic plans, setting clear objectives and achievable milestones for the team.
- Managed cross-functional teams for successful project completion within deadlines and budgets.
- Complete clearinghouse daily scrubbing and resubmit all rejected/denied claims
- Instruct staff on training and new coding/billing methodology from all payers
- Approve staff leave requests, training, and payroll
Remote Medical Coder
DT Trak Consulting
08.2015 - 12.2015
- Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Maintained a high level of productivity while consistently meeting deadlines for claim submissions.
Certified Coder / Billing Specialist
Native Americans Community Act
11.2013 - 03.2014
- Collaborated with physicians and healthcare professionals to ensure proper documentation, resulting in fewer claim denials.
- Conducted billing and coding training for physician and medical staff which included current procedural or coding updates.
- Improved accuracy in medical coding by conducting thorough reviews of patient records and ensuring compliance with coding guidelines.
- Proactively identified areas for improvement in coding practices, implementing new processes to enhance efficiency and accuracy.
HIM / Coder Technician
Tuba City Regional Health Care
02.2012 - 03.2014
- Maintained high coding standards by adhering to industry best practices and staying current with emerging technologies.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Verified signatures and checked medical charts for accuracy and completion.
- Monitored changes in coding regulations to provide recommendations for compliance.
Lead Patient Accounting - Denials Management
Tuba City Regional Health Care
05.2011 - 02.2012
- Supervise Denials Management Team on reconciliation of all aged claims and accounts
- Identified opportunities for process improvement within the department, implementing changes that led to increased productivity and accuracy in billing procedures.
- Collaborated with clinical staff to ensure accurate documentation for proper billing practices.
- Ensured accurate billing, performing regular audits of patient accounts and identifying discrepancies.
- Reduced errors in coding by maintaining up-to-date knowledge of industry regulations and requirements.
- Assist billers with Medicare, AHCCCS, and Commercial payer guidelines and policy.
Patient Access Specialist I
Tuba City Regional Health Care
12.2009 - 05.2011
- Maintained patient confidentiality by adhering to HIPAA guidelines and hospital policies.
- Provided exceptional customer service, addressing patient concerns promptly and professionally.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Handled sensitive situations involving distressed patients with empathy maintaining professionalism throughout interactions.
- Verified insurance coverage and obtained necessary authorizations to ensure timely billing and reimbursement.
- Streamlined front-desk operations for improved patient flow and reduced wait times.
- Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
Education
No Degree - Business Administration
Northern Arizona University
Flagstaff, AZ05-1989
High School Diploma -
Chinle High School
Chinle05-1989
Skills
- ICD-10 Knowledge
- Claims Processing Proficiency
- CPT Coding Familiarity
- Medical Billing Software Proficiency
- Denial Resolution Techniques
- Billing and Collection Procedures
Certification
CPC - Certified Professional Coder thru AAPC
CPB - Certified Professional Biller thru AAPC
CPPM - Certified Professional Practice Manager thru AAPC
CPCO - Certified Professional Compliance Officer thru AAPC
Timeline
Patient Accounts Specialist
Snohomish County Through Healthcare IS
11.2022 - 06.2023
Contract Medical Billing
Native Americans for Community Action
07.2022 - 09.2024
Remote Medical Coder
DT Trak Consulting
08.2015 - 12.2015
Billing Program Manager
Native Americans Community Act
03.2014 - 07.2022
Certified Coder / Billing Specialist
Native Americans Community Act
11.2013 - 03.2014
HIM / Coder Technician
Tuba City Regional Health Care
02.2012 - 03.2014
Lead Patient Accounting - Denials Management
Tuba City Regional Health Care
05.2011 - 02.2012
Patient Access Specialist I
Tuba City Regional Health Care
12.2009 - 05.2011
No Degree - Business Administration
Northern Arizona University
High School Diploma -
Chinle High School
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