Billing Team Lead

• Jan 2022 - Present

Medical Coder and Biller

• Apr 2021 - Present

Billing and Credentialing Manager

• Sep 2019 - Sep 2022

Insurance Billing and Collection Representative

• May 2018 - Sep 2018

Temporary Temporary

Medical Billing and Collection Specialist

• Mar 2017 - Mar 2018

• Responsible for applying diagnostic and procedural codes to patient using • Responsible for contacting patients and hospitals for demographic information • Contacting patients to discuss payment options • Work independently and follow direction effectively while providing exceptional customer service for our facilities and patients • Performs other duties and projects as assigned • Answer inbound customer phone calls regarding billing related questions • Reviews and… Show more • Responsible for applying diagnostic and procedural codes to patient using • Responsible for contacting patients and hospitals for demographic information • Contacting patients to discuss payment options • Work independently and follow direction effectively while providing exceptional customer service for our facilities and patients • Performs other duties and projects as assigned • Answer inbound customer phone calls regarding billing related questions • Reviews and confirms that appropriate billing documentation has been obtained, including authorizations and Certificates of Medical Necessity (CMNs) as required • Multi-tasks in various computer applications to gather billing and collection information Show less • Responsible for applying diagnostic and procedural codes to patient using • Responsible for contacting patients and hospitals for demographic information • Contacting patients to discuss payment options • Work independently and follow direction effectively while providing exceptional customer service for our facilities and patients • Performs other duties and projects as assigned • Answer inbound customer phone calls regarding billing related questions • Reviews and… Show more • Responsible for applying diagnostic and procedural codes to patient using • Responsible for contacting patients and hospitals for demographic information • Contacting patients to discuss payment options • Work independently and follow direction effectively while providing exceptional customer service for our facilities and patients • Performs other duties and projects as assigned • Answer inbound customer phone calls regarding billing related questions • Reviews and confirms that appropriate billing documentation has been obtained, including authorizations and Certificates of Medical Necessity (CMNs) as required • Multi-tasks in various computer applications to gather billing and collection information Show less

Medical Biller and Coder

• Aug 2015 - Mar 2017

• Responsible for applying ICD-10 CM, PCS, HCPCS, CPT codes to patient account for data retrieval, analysis, and claims processing with Solid understanding of insurance principles terminology and regulations • Instructs patients and obtains signatures on consent forms, financial forms and other documents required by the clinical department; distributes documents to patients; scans, processes and records receipt of all documents collected during registration encounter. • Responds to… Show more • Responsible for applying ICD-10 CM, PCS, HCPCS, CPT codes to patient account for data retrieval, analysis, and claims processing with Solid understanding of insurance principles terminology and regulations • Instructs patients and obtains signatures on consent forms, financial forms and other documents required by the clinical department; distributes documents to patients; scans, processes and records receipt of all documents collected during registration encounter. • Responds to patient concerns and potential patient safety issues accordingly. Recognizes health conditions that are a possible risk to others and adheres to appropriate established procedures to help contain risk. • Registered all new and established patients upon arrival, verifying, collecting co-payments, and updated required information where needed. • Responsible for collecting and data-entering information with high degree of accuracy • Identifies query opportunities and interacts with the physicians for answers. • Verify and obtain patients correct demographic, insurance, workers comp and auto accident claims, call patients and PCP’s for referral • Collect delinquent accounts by establishing payment arrangements with patients • Floats to other areas as needed based on staffing and volume • Knowledge of Explanation of Benefits (EOB’s), copayment, coinsurance, deductibles, denial codes, and insurance allowable amounts • Responsible for day to day basis work flow Show less • Responsible for applying ICD-10 CM, PCS, HCPCS, CPT codes to patient account for data retrieval, analysis, and claims processing with Solid understanding of insurance principles terminology and regulations • Instructs patients and obtains signatures on consent forms, financial forms and other documents required by the clinical department; distributes documents to patients; scans, processes and records receipt of all documents collected during registration encounter. • Responds to… Show more • Responsible for applying ICD-10 CM, PCS, HCPCS, CPT codes to patient account for data retrieval, analysis, and claims processing with Solid understanding of insurance principles terminology and regulations • Instructs patients and obtains signatures on consent forms, financial forms and other documents required by the clinical department; distributes documents to patients; scans, processes and records receipt of all documents collected during registration encounter. • Responds to patient concerns and potential patient safety issues accordingly. Recognizes health conditions that are a possible risk to others and adheres to appropriate established procedures to help contain risk. • Registered all new and established patients upon arrival, verifying, collecting co-payments, and updated required information where needed. • Responsible for collecting and data-entering information with high degree of accuracy • Identifies query opportunities and interacts with the physicians for answers. • Verify and obtain patients correct demographic, insurance, workers comp and auto accident claims, call patients and PCP’s for referral • Collect delinquent accounts by establishing payment arrangements with patients • Floats to other areas as needed based on staffing and volume • Knowledge of Explanation of Benefits (EOB’s), copayment, coinsurance, deductibles, denial codes, and insurance allowable amounts • Responsible for day to day basis work flow Show less

Medical Coding Intern

• 2014 - 2014

• Reviewed and observed other Medical Coders work • Prepared and coordinated the spreadsheets at the Anesthesia Department • Reviewed the process of Medaptus, Optum & 3M Encoders • Reviewed medical records and assigned diagnosis and procedure codes • Reviewed diagnosis and procedure codes submitted by physicians • Reviewed medical records and work on the Auditing papers, and try to resolve denials from third party payers Reviewed and work on the Auditing papers, and… Show more • Reviewed and observed other Medical Coders work • Prepared and coordinated the spreadsheets at the Anesthesia Department • Reviewed the process of Medaptus, Optum & 3M Encoders • Reviewed medical records and assigned diagnosis and procedure codes • Reviewed diagnosis and procedure codes submitted by physicians • Reviewed medical records and work on the Auditing papers, and try to resolve denials from third party payers Reviewed and work on the Auditing papers, and try to resolve Show less • Reviewed and observed other Medical Coders work • Prepared and coordinated the spreadsheets at the Anesthesia Department • Reviewed the process of Medaptus, Optum & 3M Encoders • Reviewed medical records and assigned diagnosis and procedure codes • Reviewed diagnosis and procedure codes submitted by physicians • Reviewed medical records and work on the Auditing papers, and try to resolve denials from third party payers Reviewed and work on the Auditing papers, and… Show more • Reviewed and observed other Medical Coders work • Prepared and coordinated the spreadsheets at the Anesthesia Department • Reviewed the process of Medaptus, Optum & 3M Encoders • Reviewed medical records and assigned diagnosis and procedure codes • Reviewed diagnosis and procedure codes submitted by physicians • Reviewed medical records and work on the Auditing papers, and try to resolve denials from third party payers Reviewed and work on the Auditing papers, and try to resolve Show less

Administrative Manager

• Jun 1998 - Sep 2013

•Managed and coordinated the part time employees schedules •Provided excellent customer service, both on the telephone and in person •Organized and prepared products for most efficient access •Prepared pizzas and sandwiches to customers •Managed the direct telephone calls from customers • Processed credit card •Managed and coordinated the part time employees schedules •Provided excellent customer service, both on the telephone and in person •Organized and prepared products for most efficient access •Prepared pizzas and sandwiches to customers •Managed the direct telephone calls from customers • Processed credit card

Tailor

• Oct 1991 - May 1995

• Responsible for organizing the garments and apparel • Created new pieces of clothing from patterns and designs • Alter exisiting garments • Measured pants, sleeves, and other parts of suits • Responsible for Quality Control of all finished garments • Mark garments to note where alterations are necessary • Sew Clothing by hand, using a needle and thread or with sewing machines • Responsible for organizing the garments and apparel • Created new pieces of clothing from patterns and designs • Alter exisiting garments • Measured pants, sleeves, and other parts of suits • Responsible for Quality Control of all finished garments • Mark garments to note where alterations are necessary • Sew Clothing by hand, using a needle and thread or with sewing machines