Julie Otten, CPC , CPMA, CPCO, CHA
Determination Support at PCG Software, Inc.- Claim this Profile
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Bio
Credentials
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Certified Professional Coder
AAPCMay, 2014- Oct, 2024 -
Certified Healthcare Auditor
American Institute of Healthcare Compliance, Inc -
Certified Professional Compliance Officer (CPCO)
AAPC -
Certified Professional Medical Auditor
AAPC
Experience
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PCG Software, Inc.
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United States
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Hospitals and Health Care
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1 - 100 Employee
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Determination Support
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Sep 2014 - Present
Julie has over 15 years experience in the healthcare industry. She has worked in nearly every aspect of the field in some form or another. She started her medical career in the supply department of a private ambulance company stocking and cleaning the ambulances, but after taking a few basic life support classes she decided hands on patient care was not for her. Julie then moved on to answering phones in a high profile orthopedic office quickly moving up through the ranks to billing, authorizations, and referrals. Finding her niche in billing and coding Julie went on to get her professional coding certification (CPC) with AAPC. After nearly 14 years of billing and coding for different specialty providers Julie joined PCG Software, Inc, and was given the opportunity to work on the other side of the spectrum analyzing claims determination for the payer side of the medical claim. In addition to a coding certificate, Julie also holds a professional medical auditor (CPMA) certificate with the AAPC and is certified as a healthcare auditor (CHA) with the American Institute of Healthcare Compliance (AIHC). Julie has extensive knowledge in CMS, Medicaid, and private insurance billing and payment regulations and guidelines. Show less
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Mountain View Pediatrics
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United States
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Medical Practices
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1 - 100 Employee
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Coding/Billing Specialist
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May 2008 - Sep 2014
At Mountain View Medical I was the lead Billing/Coding Specialist for the Pediatrics, Urgent Care and Internal Medicine departments. My duties included; verifying correct coding from the EMR system, posting of all office charges, posting payments from patients as well as insurance companies. I call insurance companies to follow up on aged claims and to verify eligibility, and I also assist with training, IT, and management. At Mountain View Medical I was the lead Billing/Coding Specialist for the Pediatrics, Urgent Care and Internal Medicine departments. My duties included; verifying correct coding from the EMR system, posting of all office charges, posting payments from patients as well as insurance companies. I call insurance companies to follow up on aged claims and to verify eligibility, and I also assist with training, IT, and management.
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Cardiology Specialists of Nevada
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United States
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Hospitals and Health Care
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1 - 100 Employee
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Billing Specialist
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Aug 2006 - Dec 2007
I was responsible for all billing, including insurance and patient statements, collections, accounts receivable, and explanation of benefits, posting office, hospital, and nuclear-testing charges. I manage A/R reports, assisted in answering multiple phone-lines; prepare bank deposits, scheduling appointments, and various clerical duties. I was responsible for all billing, including insurance and patient statements, collections, accounts receivable, and explanation of benefits, posting office, hospital, and nuclear-testing charges. I manage A/R reports, assisted in answering multiple phone-lines; prepare bank deposits, scheduling appointments, and various clerical duties.
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Orthopedic Surgery & Sports Medicine
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United States
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Higher Education
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Billing Specialist
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Feb 2002 - Aug 2006
My responsibilities included Medicare, Medicaid, patient and insurance billing. I also posted surgery and office charges, preformed accounts receivable duties, which included posting patient and insurance payment and explanation of benefits. I made bank deposits and handled incoming and outgoing mail. Assisted in answering multiple phone lines, scheduling appointments, verifying benefits, and front desk check in and check out. My responsibilities included Medicare, Medicaid, patient and insurance billing. I also posted surgery and office charges, preformed accounts receivable duties, which included posting patient and insurance payment and explanation of benefits. I made bank deposits and handled incoming and outgoing mail. Assisted in answering multiple phone lines, scheduling appointments, verifying benefits, and front desk check in and check out.
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Education
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College of Southern Nevada
Community
