Revenue Cycle Specialist

• Jul 2017 - Present

Field Medical Records Technician

• Sep 2016 - Nov 2016

• Capturing medical records at multiple sites • Hybrid records • Paper charts • EMR • Minimum of 100 charts daily • Records include: Discharge, Radiology, Operative Report, Office visit, Pathology, Medication • Capturing medical records at multiple sites • Hybrid records • Paper charts • EMR • Minimum of 100 charts daily • Records include: Discharge, Radiology, Operative Report, Office visit, Pathology, Medication

Care Associate/Billing Services

• Oct 2008 - Dec 2015

• Authorizations for four Doctors, prep chart over 100 patients a week in a timely manner • Oversee all the billing, Make corrections with Authorizations CPT and ICD-9 codes, handles Claims and Appeals for four office locations • Efficiently managed a high volume of surgery billing as well as submitted CCS referrals if needed for all four doctors and two hospital locations • Consistently reached hospital goal • Finance Coordinator • • Role: Care Associate • Job Description: • Matched fee tickets with authorization and eligibility paperwork, added proper (HCPCS, CPT or ICD9CM??) codes • Submit retro authorizations if codes are incorrect • Submit modifications and pending authorizations. • Status retro authorizations for hospital procedures • Submit CCS • Obtain authorizations for hospital consultations • Perform abstracting while sorting the correct CPT and ICD-9 codes. • Daily account updates with late charges and DNB, charge review for charge error/warning), claim edit (all user error), analyzed mistakes and fixed prior to billing • Send/receive emails from clinics to resolve authorization and eligibility issues • Handle patient financial advice for those with a large deductible or cash patients • Assist eligibility advisor for new or established patients • Decision maker towards retro authorizations for X-ray • Systems used: Epic, Argus

Medical Assistant

• 2003 - 2007

An Orthopedics Surgeons Office Front office and Billing • Assisted in Workers Comp billing and Assisted in Surgical Appointments • Manage all Authorizations, Verifications, in a fast paced environment • Customer service-Heavy phones ,assisted patients with insurance forms and inquiries, scheduling • Responsible for training new employees • Assisted Patients in obtaining Medical/Healthy Families An Orthopedics Surgeons Office Front office and Billing • Assisted in Workers Comp billing and Assisted in Surgical Appointments • Manage all Authorizations, Verifications, in a fast paced environment • Customer service-Heavy phones ,assisted patients with insurance forms and inquiries, scheduling • Responsible for training new employees • Assisted Patients in obtaining Medical/Healthy Families