Summary
Overview
Work History
Education
Skills
Timeline
Generic

Vicki Schenkel

Winter Garden,FL

Summary

To obtain a role as a medical coder / office administrator in which I can apply my educational background, 20 years of experience and time management skills to provide quality assistance to both physicians and patients. I am excited to bring my skills set to a new firm. Open to opportunities within the medical field as well as customer service.

Overview

23
23
years of professional experience

Work History

Billing Representative

Community Health Centers
01.2024 - Current
  • Reviews claims for accuracy in accordance with Medicare, Medicaid and Managed Care policies.
  • Transfers balances to patient’s responsibility on non-covered items, benefits denied or charges applied to the deductible.
  • Researches and ensures corrections are made on denied claims due to missing or incorrect information.
  • Performs insurance collection (follow-up) function utilizing the collection system management and aging reports. As a part of this function generates and reviews aging reports to submit to insurance carriers when appropriate and in accordance with established guidelines.
  • Runs paper claims when necessary and submits claims to appropriate fiscal intermediary.
  • Prepares all refund paper work for accounts payable and enters adjustments into the eClinical Works (eCW) System.
  • Maintains current knowledge of all Medicare/Medicaid policies and procedure updates.
  • Reviews and appropriately places account claims in the collection management system in eCW.
  • Following collection guidelines, sends collection letters and establishes phone conversations concerning outstanding balances.
  • Establishes payment arrangements with responsible parties for outstanding balances.
  • Processes all returned mail according to established policy and procedure.
  • Processes all incoming patient correspondence and answers all patients’ questions regarding their account balance.
  • Processes electronic file for monthly patient statements.
  • Makes necessary adjustments to correct patient accounts for correct billing.
  • Provides recommendations to Patient Accounts Receivable Coordinator regarding account disposition (collection agency placement, write-off discharge, etc.).
  • Reports billing challenges to the Patient Account Receivable Coordinator.
  • Answers questions related to insurance and patient billing for all internal/external customers.
  • Ensures accuracy of payments received from third party payers per contracts and current reimbursement rates.
  • Posts contractual adjustments as required to Medicare, Medicaid, HMO, PPO and other accounts per contracts and current reimbursement rates.
  • Collects and posts payments, and completes appropriate forms/reports and submits daily to Patient Accounts Receivable Coordinator and Bookkeeper.

Billing Specialist

Women’s Care
05.2022 - Current
  • Insurance verification
  • Billing deliveries/charges
  • Document/update information in patient’s electronic medical record
  • Contact patient to obtain insurance information
  • Perform charge entry/posting
  • Explain patient balances/set up payment plans
  • Daily balancing of batch

Medical Assistant/Billing • Front Office Supervisor

Allentown Asthma & Allergy
05.2002 - 03.2021
  • Supervisor of front desk staff, delegation of daily tasks
  • Insurance billing and authorization including verification of benefits, dispute claims, code procedures and insurance payment processing.
  • Frequent contacts: Patients, Ancillary Services Personnel, Physicians, Third Party Payers, Physician’s office staff
  • Triage patient calls
  • Patient records management (EMR)
  • Office coordination responsibilities like answering phones, intake/discharge of patients during office visits and processing of patient payments including 3rd party payments.
  • Carries out clinician orders and performs/assists with patient care procedures and treatments

Education

Associate - Medical Assisting

Lehigh Carbon Community College
Schnecksville, PA
05.2002

High School Diploma - undefined

Palmerton Area High School
Palmerton, PA
06.1994

CPC - Coding

AAPC Certified Coder
11-2024

Skills

  • Knowledge of medical terminology
  • Knowledge of computer systems and software used in functional area
  • Ability to educate patients and/or families as to the nature of disease and to provide instruction on proper care and treatment
  • Ability to perform standard clinical procedures according to established protocols
  • Ability to speak and write effectively at a level appropriate for the job
  • Ability to solve problems and identify solutions
  • Ability to demonstrate customer service skills in interactions with all patients, families, and staff, including high volume and stressful situations
  • Ability to plan, organize, prioritize, work independently, and meet deadlines

Timeline

Billing Representative

Community Health Centers
01.2024 - Current

Billing Specialist

Women’s Care
05.2022 - Current

Medical Assistant/Billing • Front Office Supervisor

Allentown Asthma & Allergy
05.2002 - 03.2021

High School Diploma - undefined

Palmerton Area High School

Associate - Medical Assisting

Lehigh Carbon Community College

CPC - Coding

AAPC Certified Coder

Similar Profiles

CREATE PROFILE
Vicki Schenkel