Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
24
24
years of professional experience
1
1
Certification
Work History
Medical Coding and Billing Specialist
Wesco Billing And Consulting
09.2012 - Current
Attained up-to-date knowledge of coding requirements through continuing education courses and certification renewal.
Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Correctly coded and billed medical claims for various cardiology physicians.
Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
Reviewed patient charts to better understand health histories, diagnoses and treatments.
Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Utilized active listening, interpersonal and telephone etiquette skills when communicating with others.
Performed billing and coding procedures for inpatient and outpatient services.
Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
Resourcefully used various coding books, procedure manuals and on-line encoders.
Accurately selected proper descriptive code when more than one anatomical location was indicated.
Entered orders into EMR system efficiently and without errors.
Used Intergy and eClinical to input information into computerized patient record system.
Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Applied charges and updated patient records by using Intergy and eClinical.
Used Intergy to assign procedure and diagnostic codes to patient records for billing purposes.
Used Intergy to assign procedure and diagnostic codes to patient records for billing purposes
Medical Billing and Collection Specialist
EBW Billing And Consulting
01.2015 - 04.2020
Negotiated to collect balance in full.
Delivered exceptional customer service on collection calls and maintained calm and professional demeanor.
Processed payments and applied to customer balances.
Achieved performance goals on consistent basis.
Corrected, completed and processed claims for multiple payer codes.
Logged charges and payments within MedFX.
Handled account payments and provided information regarding outstanding balances.
Monitored outstanding invoices and performed collections duties.
Executed billing tasks and recorded information in company databases.
Used data entry skills to accurately document and input statements.
Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
Inserted mail with manual methods and automated equipment for optimal efficiency.
Reconciled past due accounts achieving reduction in outstanding invoices.
Prepress Typesetter /Prepress Manager
BCT Arizona
09.2002 - 06.2011
Multi-tasked to keep all assigned projects running effectively and efficiently.
Examined job orders to determine quantity, stock specifications, colors and special printing instructions.
Prepared and operated offset printing press for maximum efficiency and production.
Operated press to achieve highest print quality and productivity with minimal scrap.
Produced high-quality business cards, wedding announcements, envelopes, letterheads, brochures, flyers, four-color artwork and mailers.
Proofed all job orders, securing client approval prior to production.
Analyzed account workload quantity, complexity and due dates to predict and prevent problems.
Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.
Carried out day-day-day duties accurately and efficiently.
Demonstrated respect, friendliness and willingness to help wherever needed.
Worked flexible hours; night, weekend, and holiday shifts.
Performed duties in accordance with applicable standards, policies and regulatory guidelines to promote safe working environment.
Maintained energy and enthusiasm in fast-paced environment.
Proved successful working within tight deadlines and fast-paced atmosphere.
Accomplished multiple tasks within established timeframes.
Onboarded new employees with training and new hire documentation.
Cross-trained existing employees to maximize team agility and performance.
Maximized performance by monitoring daily activities and mentoring team members.
Evaluated employees' strengths and assigned tasks based upon experience and training.
Adjusted job assignments and schedules to keep pace with dynamic business needs, factoring in processes, employee knowledge and customer demands.
Delivered feedback to decision-makers regarding employee performance and training needs.
Maximized productivity by keeping detailed records of daily progress and identifying and rectifying areas for improvement.
Reviewed performance data to monitor and measure productivity, goal progress and activity levels.
Expanded cross-functional organizational capacity by collaborating across departments on priorities, functions and common goals.
Education
CPC - Medical Coding
AAPC
Salt Lake City, UT
09.2019
Some College (No Degree) - General Studies
Maricopa Community Colleges - Rio Salado Community College
Tempe, AZ
Skills
Insurance Billing
Medical Billing Processing
Diagnostic Codes
Reviewing Patient Information
CPT Code Modifiers
ICD-10/HCPCS/CPT
EMR Systems
Complex Problem-Solving
Past Due Balance Management
Intermediate proficiency in Microsoft Word and Excel
Affiliations
AAPC- American Academy of Professional Coders
Certification
CPC-A - Certified Professional Coder-Apprentice
Timeline
Medical Billing and Collection Specialist
EBW Billing And Consulting
01.2015 - 04.2020
Medical Coding and Billing Specialist
Wesco Billing And Consulting
09.2012 - Current
Prepress Typesetter /Prepress Manager
BCT Arizona
09.2002 - 06.2011
CPC - Medical Coding
AAPC
Some College (No Degree) - General Studies
Maricopa Community Colleges - Rio Salado Community College
CPC-A - Certified Professional Coder-Apprentice
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