Candidate Information Title Front Office Medical Billing Target Location US-NC-Charlotte Email Available with paid plan Phone Available with paid plan	20,000+ Fresh Resumes Monthly     View Phone Numbers     Receive Resume E-mail Alerts     Post Jobs Free     Link your Free Jobs Page     ... and much more Register on Jobvertise Free
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JOY KEYStreet Address  Mountain Brook Drive King, NC 2702PHONE NUMBER AVAILABLE EMAIL AVAILABLEPROFESSIONAL PROFILEProven problem-solver with 18+ years combined managerial and healthcare industry experience and an ability to adapt to new situations and learn new processes and procedures with ease. Reliable, hardworking, and dedicated team player who works well under pressure and effective communication skills.Able to multi-task and work effectively with a large volume of information.Highly organized and capable of prioritizing workloads to meet deadlines.Front office skills with the ability to identify and address customer needs.Ability to use appropriate ICD-10 codes from doctor notes to enter on the encounter to submit charges.KEY QUALIFICATIONSAnatomy & Physiology ~ Government Payers ~ Medicare ~ Medicaid ~ TricareElectronic Medical Records ~ Third-Party Payers ~ Workers CompensationManaged Care (HMO, PPO, POS) ~ Office Management ~ Insurance Claim ProcessingMEDISOFT Proprietary Software ~ Insurance Billing Procedures ~ Data EntryTyping/Filing Documents ~ Co-Payments ~ Deductibles ~ Scheduling AppointmentsAnswering Phones ~ ~ Knowledge of- Epic software & E-Clinical Works software- ~ HCPCS ~ CPTICD-9 & 10-CM ~ Medical Terminology ~ HIPAA Compliance ~ UB-04EDUCATIONUltimate Medical Academy Associate of Science Degree - Medical Billing and Coding, 2012Ultimate Medical Academy Diploma  Medical Billing and Coding, 2012Member of the American Academy of Professional Coders (AAPC)RELEVANT PROFESSIONAL EXPERIENCENovant Health - Winston-Salem, NC 2013 - 2020Revenue Cycle Insurance SpecialistEnsures reimbursement through efficient, accurate and timely billing process for effective accounts receivable management.Work pre-billing report for assigned payers in preparation for month end close.Generates claims for submission to payers in accordance with established schedule.Utilizes technology to manage clearinghouse and payor accept/reject submissions and reports timely.Reviews A/R reports and researches unpaid claims. Takes necessary steps to collect unpaid claims and address credit balances. Provide reports to the Patients Account Manager as needed.Process correspondence and telephone calls from all payors regarding claims.Complete appeals on underpaid claims to the payer.Identify, prepare, and submit patient account adjustments to Revenue Cycle Manager and post in system once approved.Assist as needed with payer authorizations and verification as required and completed documentation in system.Protects the confidentiality of patient and organization information through effective controls and supervision of billing operationsVein Clinic of North Carolina - Winston-Salem, NC 2013 - 2020Insurance Specialist/ Medical Billing & CodingCheck all incoming patient demographics to make sure PCP, referring doctor, and general information is all into the charts and filled out thoroughly and accurately.Enter all out patient charges on the encounters daily with ICD-10 & previously used ICD-9 codes and submit charges daily.Receive and process payments from patients and insurance companies and verify insurance and eligibility.Demonstrate self-motivation, initiative, honesty, integrity, and attention to detail.Run end-of-day reports from patient encounters to billing charges daily.Handle insurance denials, appeals and medical requests from other facilities or from other insurance companies.Formulate front office schedules, train new hires and process eligibility on all new patient's daily.Set up financial agreements for patient's in the office.Go through patient's charts daily to ensure HIPAA and all demographics and insurance information is accurate.Orthopedic Specialist of the Carolinas - Winston-Salem, NC 2012 - 2013Medical ReceptionistServes patients by greeting and helping them, scheduling appointments, and maintaining records and accounts.Welcomes patients and visitors in person or on the telephone and answering or referring inquiries.Optimizes patients satisfaction, provider time, and treatment room utilization by scheduling appointments in person or by telephone.Keeps patient appointments on schedule by notifying provider of patients arrival, reviewing service delivery compared to schedule, and reminding providers of service delays.Ensures availability of treatment information by filing and retrieving patient records.Maintains patient accounts by obtaining, recording, and updating personal and financial information.Old Towne Family Eye Care - Winston-Salem, NC 2012 - 2012Front Office ClerkManaged front desk activities including greeting clients, scheduling appointments, generating estimates, collecting payments, and communicating with clients.Handled daily accounting procedures and acted as liaison between medical staff, clients, and vendors.Marks & Morgan Jewelers  Winston Salem, NC 2010 - 2011Kay Jewelers  Asheboro, NC 2003 - 2010Store ManagerOversaw profit margins and control discounting, expenses of store, payroll & repair department.Conducted employee performance evaluations to determine progress and developmental needs.Assisted and counseled employees to assure highest standards of efforts and output.