Vicki Shields
Medical Billing & Coding Specialist
Wichita,KS
Summary
Efficient Medical Billing professional with over 25 years of experience performing various accounts receivable functions. Superior familiarity with claims procedures, collections techniques and customer query resolution.
Overview
17
17
years of professional experience
12
12
years of post-secondary education
Work History
Medical Billing Coordinator
Matthew H, COSMETIC & RECONSTRUCTIVE SUREGERY CENTER
Conrad, MD
04.2014 - Current
- Oversee all aspects of billing and coding for both physician and facility (ASC) to include ICD 10, HCPCS & CPT coding for all patients
- Obtain prior authorizations & pre-determinations of medical necessity when needed
- Work effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Train and mentor new team members and managers on account billing system updates
- Monitor outstanding invoices and performed collections duties.
- Reconcile past due accounts achieving 90% reduction in outstanding invoices.
- Enroll providers and Medicaid, Medicare and private insurance plans.
- Obtain NPI numbers for providers and facilities and updated existing profiles.
- Identify, research and resolve billing variances to maintain system accuracy and currency.
- Process payment via telephone and in person with focus on accuracy and efficiency.
- Respond to customer concerns and questions on daily basis.
Admin Assistant/Coder
Hagan & Associates, LLC
07.2013 - 04.2014
- Reviewed patient charts to better understand health histories, diagnoses and treatments.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Correctly coded and billed medical claims for various providers and locations
- Responded to customer concerns and questions on daily basis.
- Used data entry skills to accurately document and input statements T
Medical Assistant
Center for Reproductive Medicine
04.2011 - 07.2012
- Documented vital signs and health history for patients in clinic and hospital environments.
- Completed clinical procedures and gathered patient data for interpretation by physician.
- Collected and documented patient medical information such as blood pressure and weight.
- Called and faxed pharmacies to submit prescriptions and refills.
- Gathered forms and copied insurance cards to collect patient information for billing and insurance filing.
- Obtained pre- and post-treatment vital signs and weight.
- Sanitized, restocked and organized exam rooms and medical equipment.
- Taught patients about medications, procedures and care plan instructions.
Coordinator/ Instructor
Vatterott College
Wichita
08.2003 - 11.2010
- Evaluated and revised lesson plans and course content to achieve student-centered learning.
- Increased student participation by facilitating interesting and relevant events.
- Created and implemented written and oral assessments.
- Provided instructional handouts, texts, audiovisual aids and other materials to facilitate learning.
- Engaged students in academic and practical conversations that elicited critical thinking, creativity, collaboration and communication.
- Supervised and monitored students' use of tools and equipment.
- Observed and evaluated students' work to determine progress, provide feedback and make suggestions for improvement.
- Conducted clinical simulations and provided feedback for each individual student.
- Instructed students on how to perform head-to-toe assessments on patients and how to intervene in medical emergencies.
- Delivered individualized instruction on observation, assessment, decision-making and patient health teaching.
Education
Healthcare Provider BLS/CPR Certification (current) -
American Heart Association
07.2021 - 07.2021
Quarterly Instructor Training Courses -
Vatterott College - Kansas City
03.2003 - 11.2010
Associate of Applied Science/Special Needs
Butler Community College
01.1991 - 01.1994
Medical Assisting (Registered) #10445 - undefined
Southern Technical College
01.1990 - 01.1991
Skills
Insurance billing
Medical Records Management
Multitasking Abilities
Teamwork and Collaboration
Self-Motivated
Organization and Time Management
Managing patient records
Understanding of medical ethics
Collections duties
Insurance claims analysis
Medical claims coding
Coding error resolution
Records review
CPT, ICD-10, HCPCS coding
Affiliations
American Heart Association
American Medical Technologists
American Association of Medical Assistants
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
Every problem is a gift—without problems we would not grow.
Tony Robbins
Timeline
Healthcare Provider BLS/CPR Certification (current) -
American Heart Association
07.2021 - 07.2021
Medical Billing Coordinator
Matthew H, COSMETIC & RECONSTRUCTIVE SUREGERY CENTER
04.2014 - Current
Admin Assistant/Coder
Hagan & Associates, LLC
07.2013 - 04.2014
Medical Assistant
Center for Reproductive Medicine
04.2011 - 07.2012
Coordinator/ Instructor
Vatterott College
08.2003 - 11.2010
Quarterly Instructor Training Courses -
Vatterott College - Kansas City
03.2003 - 11.2010
Associate of Applied Science/Special Needs
Butler Community College
01.1991 - 01.1994
Medical Assisting (Registered) #10445 - undefined
Southern Technical College
01.1990 - 01.1991