| | | 20,000+ Fresh Resumes Monthly | |
|
|
| |
Click here or scroll down to respond to this candidate112 Pierpont Road, 4A Waterbury,CT 06705PHONE NUMBER AVAILABLE (C)EMAIL AVAILABLECandidate's Name
EXPERIENCEConstitution Billing and Finance Avon, Connecticut Medical Billing & Collector October 2023- Present Use ICD-10 code data to review and audit aged claims. Review and appeal of unpaid and denied claims Insurance collector of aged claims with medical billing charges. Authorization Charge entry Audit Workers Compensation negotiationHCA Healthcare Ambulatory. Jacksonville, FL Medical Billing & Collector January 2023- October 2023 Use ICD-10 code data to review and audit aged claims. Review and appeal of unpaid and denied claims Insurance collector of aged claims with medical billing charges. Authorization Charge entry AuditAdvanced Reproductive Medicine, Jacksonville, FL Medical Billing Specialist March 2022-January 2023 Use ICD-10 coded data to produce and submit claims to insurance Work directly with insurance companies and providers to process and pay claims. Review/ appeal of unpaid/denied claims and insurance collector of aged claims with medical billing/charges Charge audit/entry Case review Worked clearing house denialsCoastal Fertility Specialist, Mount Pleasant South Carolina Medical Billing Specialist AUGUST 2021 - FEBRUARY 2022 Use ICD-10 coded data to produce and submit claims to insurance Work directly with insurance companies and providers to process and pay claims. Review/appeal of unpaid/denied claims and insurance collector of aged claims with medical billing/charges Change audit/entry Case review Verification and Benefits Worked clearing house denials Patient financial liaisonInVitro Sciences/WHUSA, Avon Connecticut Medical Biller/Insurance Collector DECEMBER 2016 - AUGUST 2021 Determined correct CPT and ICD-10 codes to create and submit claims to payers. Monitored worklists to audit charge entry and determine if modifiers and coding were appropriate. Followed up on outstanding claims with all commercial and government payers. Advised the follow-up team on the correct resolution. Audited and reviewed claims and medical records to determine if appreals were appropriate for the follow-up team. Created cases and performed case reviews with insurance companies. Use ICD-10 coded data to produce and submit claims to insurance Work directly with insurance companies and providers to process and pay claims. Review/appeal of unpaid/denied claims and insurance collector of aged claims with medical billing/charges Change audit/entry Worked clearing house denialsDoctors of Avon Medical Group, Avon Connecticut Billing Supervisor DECEMBER 2010 - JULY 2014 Medical coding and billing for an eight clinician office: primary care and cardiology Claims review and reconciliation Credentialing for all clinicians Compliance review regarding billing practices and insurance requirements Complied monthly and annual profit and loss reports Worked clearing house denialsProhealth Physicians MSO Elmwood Medical Group, West Hartford Connecticut Assistant Practice ManagerJUNE 2000 - DECEMBER 2010 Medical billing and coding for a five clinician.six administrative staff office Complied monthly and annual profit and loss reports Daily and weekly financial audits/cash controls Accounts receivable and payable Assisted with human resource issues Prepare weekly,quarterly and annual financial statements Calculated financial analysis for yearly budgets Worked clearing house denialsSoftware Athena Allscripts Practice Management EHRR Microsoft Word and Excel SSIMED E-Z Biz Waystar Amkai Advantax |
