Valerie Jean Isaac

• Assisted clients in identifying community resources and connecting with appropriate services.
• Consistently manage over 50 calls per day
• Participated in professional development and training opportunities to enhance clinical skills.
• Developed and maintained strong relationships with community resources for successful referrals.

• Provided crisis counseling and intervention services to clients in emergency situations

• Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
• Monitored changes in coding regulations to provide recommendations for compliance.
• Code, correct and process for billing over 100 patients claims daily
• Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
• Verified signatures and checked medical charts for accuracy and completion.
• Utilized electronic medical record systems to store, retrieve and process patient data.
• Followed up with medical staff regarding missing information in patient records.
• Input data into computer programs and filing systems.
• Used classification manuals to gain additional knowledge of disease and diagnoses processes.

Incorporate modifiers coded narrative diagnoses, and meticulously verify all diagnoses for completeness and accuracy

• Healthcare and medical billing, collections, denial remediation experience
• Medicare Experience with generic accounting, transactions, or medical billing systems
• Ensured precision of final claim submissions by cross-referencing account charges with relevant documentation
• Conducted diligent inquiries with healthcare providers and other pertinent personnel to acquire essential coding interpretations before proceeding with record abstraction
• Facilitate communication among patients, billing staff, and insurance carriers to ensure smooth coordination
• Achieved significant revenue growth and minimized number of unpaid and outstanding accounts by conducting thorough investigations of past-due invoices and delinquent accounts
• Performed medical code verifications and assessments to process over 200+ insurance claims daily
• Optimized process of staying up-to-date on CPT code changes and effectively communicating with IT department to update software that improve workflow and accuracy
• Gathered crucial information on patient policies and payment benefits from insurance companies
• Educated clients on extent of their coverage under benefits plans using easy-to-understand terminology
• Updated and accurately inserted patient and insurance data into company's computer system
• Gained knowledge of medical terminology for better understanding of medical procedures
• Organized team meetings to share agendas and project materials through precise communications
• Maintained commendable attendance record and cultivated reputation for punctuality and preparedness at work.