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Click here or scroll down to respond to this candidateCandidate's Name , LMTStreet Address
PHONE NUMBER AVAILABLEEMAIL AVAILABLEProfileHighly motivated professional with experience and education in analyzing accounts for underpayment review, denials, billing and coding accuracy, client support, document retention.Exceptional level of versatility gained from a wide array of managerial and technical skills in the billing and coding industry.ExperienceSeptember, 21st, 2020 to presentBeacon Orthopedics and Sports Medicine/OrthoAllianceWorkers Compensation Follow-up specialist for all 150 + Physicians as well as Physicians Assistances, Nurse practioners, including Doctors of Osteopathy.Process claims edits, denial follow-up, registration errors, follow-up phone calls for payments/denials, identify trends, correction of coding errors, training of workers compensation associatesSeptember 19th, 2008 September 18th, 2020Cincinnati Eye InstitutePatient Intake Customer Service, scheduling, doctor messages, prescriptions requests etc for all over 70 doctors and FellowsMarch 20th Billing follow up specialist for Workers Compensation for all 70+ doctors and Retina billing and follow for 4 providers (includes all commercial, government and workers compensation insurance companies.Process claims edits, denial follow-up, registration errors, follow-up phone calls for payments/denialsNovember 27th, 2017 09/14/2018Billing follow up Specialist Mercy Health PhysiciansNovember 27th April 16th Bureau of Workers Comp follow-upProcess claims edits, denial follow-up, registration errors, follow-up phone calls for paymentsApril 16th 09/14/2018 Government follow-upProcess claims edits, denial follow-up, registration errors, follow-up phone calls for payments/denialsOctober 26th, 2017 November 27thInterim Caregiver for my motherMay 8th, 2017 to October 25th, 2017Lead Coordinator of Professional Psychiatric Services in MasonTraining of new associatesNew patient coordinationTelephone TriageSchedulingFilingDocument managementInsurance verificationApril 18th, 2016 to May 5th, 2017Office Manager of Backbone Wellness InstitutePatient CareInsurance VerificationInsurance BillingAccounts ReceivablePatient billingFront desk dutiesSchedulingPhone callsPayments and payment plan managementFiles managementTravel cards managementOffice cleaning and sanitationAugust 2015 to April 2016Account Follow-up Specialist for TrihealthInsurance VerificationInsurance Billing and Follow-up Specialist including denials for all insurances for physician practicesFebruary 2014 to August 2015Account Follow-up Specialist for The Consultants Inc.Insurance VerificationInsurance Billing and Follow-up Specialist including denials for all insurances for physician practicesFebruary 2011 to February 2014Account Follow-up Specialist for Bottom Line Systems (BLS)Client Support Services (analyze accounts for underpayment review)Tricare AnalystA/R Billing and coding Specialist including denials Started this program for BLSNovember 2010 to April 2013Office Manager/Massage Therapist for Complete Chiropractic of CovingtonOffice ManagerMassage TherapistNutrition Response TestingPatient CareInsurance VerificationInsurance Billing and follow-upPatient BillingCommunity outreach to promote the officeAugust 2009 to January 2012Instructor for Daymar CollegeClasses taught include:Medical Massage TherapyAnatomy and PhysiologyStrategies for SuccessPathologiesMedical TerminologyFeb 2009 to August 2009Office Manager of All About Health ChiropracticOffice ManagerMassage TherapyInsurance VerificationInsurance billing and follow-upPatient CarePatient billingCommunity outreach to promote the officeLayed off between November and February (business went bankrupt)August 2007 to November 2008Office Manager of HealthSource (Chiropractic and Progressive Rehabilitation)Office ManagerMassage TherapistPatient Therapy (therapeutic exercises)Patient Billing and Accounts receivableInsurance VerificationCommunity outreach to promote the officeSeptember 2006 to August 2007Mason Chiropractic CenterPatient Therapy including Medical Massage and Therapeutic ExercisesRelaxation massageCommunity Fundraisers to promote the officeJanuary 2000 to September 2006Cincinnati Sub ZeroReturns SupervisorCustomer Service SupportGenerate the Return Material Authorizations and processing all the paperworkProcess the contaminated equipment when it comes back from a medical facilityCoordinate the Work Orders and shipment of the repaired productFiling all records as pertains to returns and repairsTechnical SupportRepair of all small equipmentBuilding of parts and assemblies (for repair)Filing all records for repairsBack-up to Service Coordinator (generate Return Material Authorizations)Level 2 (highest Level) Electrical AssemblerElectrical wiring of the environmental chambersQuality Control of the units and paperwork in the areaSupervisor for the area when management is absentTrainerForklift CertifiedMember of the ISSO 9001 trouble shootersEDUCATIONAL BACKGROUND05/20/2023 Certified Professional Coder AAPCContinuing Educations6/21/23 Medicaid Fraud 1018/16/23 Neurology Overview9/13/23 Heart Failure9/18/23 FAQs for Orthopedics10/23/23 2023 E/M Guidelines for Orthopedics10/23/23 CMS Incident To Rules and Regulations11/15/23 The ABC's of chronic Wound care- auditing, billing and coding11/15/23 Radiology11/27/23 Ask and Learn: modifier 2511/27/23 2024 CPT coding updates7/17/24 Physical Therapy7/17/24 Breast Procedures Excision, mastectomy, reconstruction7/28/24 Risk Adjustment: Navigating the change V24-V288/31/2013 Certified Revenue Cycle Specialist AAHAM (American Association of Healthcare Administrative Management)11/5/2013 Certified Revenue Cycle Representative HFMA (Healthcare Financial Management Association)2004-2005 Butler Tech Medical Massage ProgramAnatomy and PhysiologyMassageMedical TerminologyCPRFirst Aid1995-1996 International Correspondence SchoolBusiness Management and Accounting1988-1989 Monroe Community CollegeGeneral Education/Business Management1988 Graduate of Dundee Community High SchoolCollege PrepAdditional Massage EducationOctober 15th, 2005 Low Back ProFebruary 18th, 2006 Shoulder Region ProApril 7th, 2006 Belevi (Bellanina) Facelift Massage SpecialistApril 21st, 2006 Insurance Billing and Reimbursement or Medical MassageApril 29th, 2006 Cervical Region ProNovember 2007 Chair Massage ProMay 3rd, 2010 Reflexology CertificationJanuary 29th, 2010 The Pacific Institute/Investment in ExcellenceFebruary 19th-20th, 2011 Nutrition Response Testing and Applied Clinical NutritionApril 15-17th, 2011 Nutrition Response Testing Practice ManagementJune 10-12th, 2011 Nutrition Response Testing IntermediateNovember 13th, 2011 Myofacial Pain/Gua ShaHOBBIESCampingReadingDartsDiamond Paintings |
