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Click here or scroll down to respond to this candidateCandidate's Name
Billing and Coding Professional
EMAIL AVAILABLE
Phone: PHONE NUMBER AVAILABLE
Goal To find a company that will allow me to use my gifts and talents as I search for financial
and professional growth. In achieving this goal I will also be positively contributing to the
company that I will be working for.
===== Experience =====
Nue Medical Consulting
Medical Billing Team Leader
6/2014 to current
Oversee the day to day operation of a particular client. This includes the total billing process
from insurance verification to A/R and follow up and rebilling.
Coordinate training programs for staff.
Stay abreast of new developments and changes in assigned carrier and communicate to other
departments.
Maintain monthly days in accounts receivable reports by database to track effectiveness of
follow up by staff.
Provide feedback on performance of staff.
Work closely with staff in meeting and exceeding monthly accounts receivable goals.
Additional duties:
1. Maintains detailed knowledge of carrier guidelines and regulations.
2. Communicates with the supervisors regarding major problems pertaining to billing such as
repeated billing errors, unverified eligibility, invalid CPTICD9 codes, etc.
3. Elevates unresolved issues and problems concerning the team to the immediate supervisor in a
timely fashion.
4. Coordinate with system support staff on user set-up and termination on a billing systems,
perform, e-mail system and insurance websites (if necessary).
6. Monitors in-house staff work time and addresses problems such as tardiness, absenteeism, etc.
Informs the department manager about these problems
Skills:
Ability to work office billing systems including entering demographics, patient scheduling,
pending recalls, looking up patient balances, entering notes, etc.
Grady Health System
Patient Safety Technician (Temp position)
Atlanta, Georgia
5/2013 to 8/2014
The Patient Safety Technician provides one-to-one supervision and observation of patients who
require special attention to assure their safety and comfort.
He/she is accountable to the RN/charge nurse responsible for coordinating unit activities and
will receive assignment from the Staffing Office.
The Patient Safety Technician provides excellent services to all customers, and communicates
effectively with team members.
Enterprise Consulting Solutions
Medical Credentialing Specialist (Temp position)
4/2014 to 6/2014
Scheduling appointments with providers offices as directed by the ECS Site review Coordinator
Travel to/from provider office sites
Onsite assessment of required information
Furnish an ECS Site Survey Satisfaction form to the provider for their optional completion
Communication with ECS Site Review Coordinator to maintain the timely and accurate status
of the assigned orders
Faxing completed tools to ECS Site Review Coordinator
Phoenix Medical Group
Front Office Biller
McDonough, Georgia, October 2012 March 2013
Performed clerical administrative functions including: preparing and maintaining charts for
new and existing patients; developing and maintaining easily accessible confidential files;
scheduling appointments; verifying insurance and billing information: and, collecting co-
payments and balancing cash payments.
Managed in-bound and out-bound calls in an efficient manner to ensure proper dispatch.
Counseled patients regarding their insurance coverage and out-of- pocket expenses, according
to regulatory guidelines.
Resolved administrative problems and inquiries with minimal supervision.
Enterprise Consulting Solutions
Medical Records Technician (temp position)
8/2011 to 1/2012
Identified elements of a medical record's structure and content.
Scan medical charts at various medical offices using company provided equipment.
Upload scanned medical charts to the corporate data center via the internet to be reviewed by
internal auditors.
Serviced doctors offices and hospitals within a 300 mile radius.
Atlanta Cancer Care
Medical Coder
7/2007 to 3/2011
Ensured all claims were filed to the carriers in a timely fashion.
Maintain procedure and diagnosis code master files in the electronic medical record and the
practice management system.
Performed audits on the billing reports to provide feedback for physician coding and ensure
accurate charge capture and entry.
Created tools for communicating and implementing new CPT, HCPCS codes and Medicare
Local Coverage Determinations for all staff and physicians.
Served as the primary contact to resolve coding questions for the staff and physicians.
Prepare Advanced Beneficiary Notices for Medicare Services.
Analyzed new services from a coding perspective and provided information to identify proper
billing and coding for the new services.
Maintained billing codes in the Electronic Medical Record and worked with the support staff
for the EMR to ensure proper linkage for charge capture.
Healthcare Information Services
Verification and Medical Biller
Willow Brook, Illinois April 2006 May 2007
Authenticated patient demographic information while maintaining confidentiality for all
patients served.
Verified all physician and ancillary charges for accuracy and to ensure all charge data was
captured.
Assigned the CPT Codes after reviewing procedure notes logged in the system.
Utilized multiple data bases and insurance websites to obtain and verify patient demographics,
health benefits, and insurance.
Resolved claim errors that were rejected per the claims department and HIPPA pre-edit reports.
Responsible for running reports to maintain and ensured accuracy of work processed to assure
that billing guidelines for specific carriers were followed.
AT&T
Office Support Clerk
1/2001 to 4/2006
Summary: Office Support Clerk, AT&T
Lisle, Illinois, January 2001 April 2006
Received, sorted, and logged incoming customer remittance payments.
Maintained high production rates measured for volume and accuracy.
Identified proper billing system to be used to process changes to customer accounts.
Operated Opex30, Opex 150, and Apex IEM processing/sorting equipment to support my
duties, along with the NCR7780 image/capture system.
Utilized 10-key process work station to balance customer transactions
===== Education =====
College of DuPage
Certificate in Medical Office Billing and Coding Medical Billing and Coding
2004 to 2005
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