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Click here or scroll down to respond to this candidateCandidate's Name
Jackson MS Street Address PHONE NUMBER AVAILABLE EMAIL AVAILABLEProfessional SummaryHard working Certified Medical Biller and Coder Specialists with full understanding of ICD-10-CM and CPT Procedures. Skilled in data entry using wide range of medical and standard administrative application. Adept at coordinating with providers to follow documentation policies, reviewing and interpreting medical documents and assessing operating procedures.SKILLS Medical billing procedures CPT Coding Knowledge Insurance Verification ICD-10 Denial Management Medicare and Medicaid Billing Claim Submission Commercial Insurance Billing Data Entry Payment Posting HCPCS Coding Appeals Processing Medicare Insurance Regulation Medical Claims Coding EXPERIENCEDecember 2023-CurrentMedical Biller and CoderLakeland Premier Womens Clinic/Flowood MS Confirmed coded data accurately reflected service provided, guarding against fraud and abuse. Entered assigned codes into electronic health records systems accurately and efficiently. Consulted with physicians to ensure optimal reimbursements. Compared account charges with documentation to ensure accuracy for final claim Submission. Maintained up-to-date knowledge of coding guidelines, regulations, and reimbursement policies. Coded medical claims to obtained reimbursement from various insurance companies and government health programs. Utilized correct coding for insurance policies and state law requirements. July 2019- December 2023Medical Biller and CoderCentral Billing Office/Jackson MS Reviewed claims denials and payer requirements for corrective action. Resolved claims denials and discrepancies by contacting insurance companies or patients directly. Posted payments received from insurance companies or patients to appropriate accounts. Investigated and resolved denials and rejections within standard billing cycle timeframe. Submitted electronic and paper claims to insurance companies in timely manner. Worked with patients to establish promissory notes for patients and forwarded default accounts to collections agency for action. Established payment plans for patient with outstanding balances. Coded EKGs and in office procedures for Jackson Heart Clinic. August 1999-July 2019Data Entry ClerkSt. Dominic Hospital/Jackson MS Entered large volume of information daily with high degree of accuracy. Minimized errors with proper verification and classification data. Used computers (McKesson, Cerner, and Epic Software) to enter data and process information. Kept high level of accuracy in completing repetitive tasks. Entered all payments from various insurance companies to the correct patient accounts. Work with hospital accounting department to maintain a daily spreadsheet that balance at the end of the month to co-relate with the monthly bank statements. Entered all bad debt collection payments and work with Smith, Rouchon, and Associates along with Advanced Recovery.EDUCATIONApril 2021 Certification- Medical Billing and Coding Grantham University, Lenexa KSDecember 2009 Associate in Science (A.S)- Medical Billing and Coding Hinds Community College, Raymond MS |
