Hi, I’m
Trinity Riley
Summary
Focused Medical Biller handling diverse administrative functions. Proven history managing competing priorities in fast-paced and rapidly changing environments. Detail-oriented professional with focus on deadlines and skilled in handling medical billing without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information.
Overview
4
years of professional experience
Work History
Neck & Back Clinics
Medical Billing Specialist
06.2022 - Current
Job overview
- Located errors and promptly refiled rejected claims.
- Researched CPT and ICD-10 coding discrepancies for compliance and reimbursement accuracy.
- Completed data entry tasks with accuracy and efficiency.
- Compiled data and reviewed information for accuracy prior to input.
- Identified data entry errors and reported to necessary departments.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Prepared billing correspondence and maintained database to organize billing information.
- Maintained and updated collections tracking spreadsheet to help organize payment information.
Beneze Medical Group
Medical Biller and Coder
06.2019 - 05.2022
Job overview
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Verified signatures and checked medical charts for accuracy and completion.
- Created and maintained up-to-date patient medical records to enable tracking history and preserve consistent information.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Followed up with medical staff regarding missing information in patient records.
- Maintained accuracy, completeness, and security for medical records and health information.
- Followed exact procedures for handling transfers and other releases of medical records.
- Assisted in training new staff on medical record processing and filing procedures.
- Reviewed medical records for completeness and filed records in alphabetic and numeric order.
- Maintained computer and physical filing systems.
- Created, maintained and updated filing systems for paper and electronic documents.
- Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
- Assisted in preparation of medical reports for external parties.
- Identified new methods to optimize medical records management.
Education
Mohave Community College, Bullhead, AZ
Associate's of General Studies
05.2023
University Overview
- Awarded Medical Billing & coding Certification December 2019
Mohave High School, Bullhead City, AZ
High School Diploma
05.2019
University Overview
- Extracurricular Activities: Marching Band, Concert Band, Women's Chamber Choir
- Completed AP course in English, World History, Chemistry , Medical Billing, Medical Coding, Medical Terminology, & Interpersonal Communications.
Skills
10-Key Data Entry
Accounts Payable and Accounts Receivable
Active Listening
Administrative Leadership
Appointment Scheduling
Billing Data Verification
Billing Document Creation
Claim Verifications
Collection Calls
Correspondence Preparation
CPT Code Modifiers
Critical Thinking
Customer Service
Data Analysis
Data Security Procedures
Database Systems
Diagnostic Codes
Digital Postal Meters
Electronic Communication Management
Equipment Monitoring and Troubleshooting
File and Records Management
HIPAA Compliance
ICD-10 Coding
Insurance Authorizations
Insurance Collections
Invoice Processing
Maintenance Requirements
Medical Claims Submission
Medicare and Medicaid Processes
Microsoft Office
Payments Posting
Physician Interaction
Report Analysis
Schedule Management
Statement Distribution
Strategic Initiatives
Task Delegation
Verbal and Written Communication
Workers' Compensation Knowledge
Workflow Implementation
Timeline
Medical Billing Specialist
Neck & Back Clinics
06.2022 - Current
Medical Biller and Coder
Beneze Medical Group
06.2019 - 05.2022
Mohave Community College
Associate's of General Studies
Mohave High School
High School Diploma
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