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
Winter Garden, FL
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, PA05.2002
High School Diploma - undefined
Palmerton Area High School
Palmerton, PA06.1994
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