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Candidate's Name
Azle, Tx Street Address
PHONE NUMBER AVAILABLE EMAIL AVAILABLEPROFILEMotivated Medical Billing and Coding graduate from Peloton college. I have over ten years of Patient Care Coordinator/ Treatment Counselor experience. Thorough knowledge in Medical Office Administrative Procedures. I am seeking a rewarding career where I can utilize my education and professional experience.SKILLS CMS-1500 Claims Processing Anatomy, Physiology and Pathophysiology Comprehension of CPT, ICD-10-CM, HCPCS/Modifiers and Auditing Comprehensive knowledge of ICD-9 and ICD-10 Diagnostic and Procedural Coding, Current Procedural Terminology Coding, HCPCS Level II Coding and Coding Compliance Experience with a variety of Medical Practice Management Software, as well as Electronic Health Records Familiar with CMS-1500, EOB, SOAP Notes and office procedures Hands-on experience in abstracting medical records for coding compliance and medical necessity Health Care Common Procedural Coding System (HCPCS) Level II Coding HIPPA Privacy and Security ICD-10 Diagnostic and Procedural Coding Knowledge of Anatomy and Physiology and Medical Terminology Medical Office Administrative Procedures Medical Records Abstracting Medical Terminology Microsoft Word, Excel and PowerPoint Other general medical administrative duties as required Produce and maintain office procedure and policy manuals Proficient in Microsoft Office Suite, Medisoft Responsible for insurance aging, patient account aging follow-up and resolution Thorough understanding of commercial, government and other third party health insurance Understanding of Medical Insurance, Billing, Collections and Reimbursement Acquainted with Medicare rules and regulations Competent in insurance claims processing for outpatient professional services as well as inpatient facility services Complete understanding of appeals process, claims tracking and follow-up Current Procedural Terminology (CPT-4) Coding Experience in accounts receivable, management and collections ICD-9 Diagnostic and Procedural Coding Medical Collections Practice Management Software/Electronic Health Records Processed primary, secondary and tertiary claims Responsible for assuring day sheet balances supported documented patient load, procedures, charges and diagnoses UB-04 Claims ProcessingWORK EXPERIENCETreys Mobile Mechanic, Fort Worth, Tx March 2016 - April 2021 Business Owner Marketing Scheduling Appointments Inventory Customer Service InvoicesMonarch Dental, Bedford, Tx May 2003 - May 2012Patient Care Coordinator Present Treatment plans Insurance Verification Patient recall Scheduling appointments Billing and collections Check-in and Check-out desk Customer ServiceEDUCATIONPeloton College, Arlington,Tx January 2024Medical Billing and Coding Acquainted with Medicare rules and regulations Anatomy, Physiology and Pathophysiology CMS-1500 Claims Processing Competent in insurance claims processing for outpatient professional services as well as inpatient facility services Complete understanding of appeals process, claims tracking and follow-up Comprehension of CPT, ICD-10-CM, HCPCS/Modifiers and Auditing Comprehensive knowledge of ICD-9 and ICD-10 Diagnostic and Procedural Coding, Current Procedural Terminology Coding, HCPCS Level II Coding and Coding Compliance Experience in accounts receivable, management and collections Familiar with CMS-1500, EOB, SOAP Notes and office procedures Experience with a variety of Medical Practice Management Software, as well as Electronic Health Records Health Care Common Procedural Coding System (HCPCS) Level II Coding HIPPA Privacy and Security ICD-10 Diagnostic and Procedural Coding ICD-9 Diagnostic and Procedural Coding Knowledge of Anatomy and Physiology and Medical Terminology Medical Collections Medical Office Administrative Procedures Microsoft Word, Excel and PowerPoint Other general medical administrative duties as required Practice Management Software/Electronic Health Records Processed primary, secondary and tertiary claims Produce and maintain office procedure and policy manuals Proficient in Microsoft Office Suite, Medisoft Responsible for insurance aging, patient account aging follow-up and resolution Responsible for assuring day sheet balances supported documented patient load, procedures, charges and diagnoses Thorough understanding of commercial, government and other third party health insurance UB-04 Claims Processing Understanding of Medical Insurance, Billing, Collections and Reimbursement Medicare Reimbursement Systems Medical Records Abstracting Medical Terminology Communicate with third-party payers regarding claim issues, patient benefits, preauthorizations and referrals AWARDProfessionalism award, Arlington, Tx May 2023 - July 2023 Award for ProfessionalismPerfect Attendance, Arlington, Tx May 2023 - July 2023 Presidents List, Arlington, Tx May 2023 - January 2024 President's list awardDean's List, Arlington, Tx May 2023 - June 2023Received Dean's List award.