SUMMARY OF QUALIFICATIONS
Energetic and disciplined professional seeking employment in the field of Health Information, Medical Billing & Coding, to provide continued growth with the opportunity for advancement. Excellent client service skills, accounting skills processing multi-million dollars in a healthcare environment. Have general and high level experiences in the following:
•10 years’ experience in billing, coding and auditing medical records
•Certification completion in process to be completed June 2011
•Claims processing Commercial, Medicare and Medicaid
•Researched insurance claims to insure proper and timely processing
•Managed accounts receivable
•Maintained medical records for mid to large size physician office
•Verification of coverage
•Final review for all claims
•Patient medical communication
•Insurance authorization and pre-certification
•Outpatient registration and scheduling
•HIPAA compliance manager
•Maintained inventory medical supplies
•Detailed understanding of CMS/HCFA 1500, UB claims forms, and payer EOB’s
•Liaison between patient and service provider
EXPERIENCE
IMAGING CODER SUPERVISOR
July 2008- Present
St. Dominic’s Hospital
Jackson, MS
•Assign CPT 4 & HCPCS codes to pre-bill/edited Diagnostic and Interventional Radiology claims
•Audit claims for 2 outpatient facilities for accurate billing/coding
•Work with various hospital entities to resolve coding and reimbursement issues
•Maintain Department Chargemaster to include charge posting
•Serve as Billing/Coding Resource person for staff and radiologist
BILLING CLERK
June 2008-July 2008
Medical Practice Solutions
Jackson, MS
•Verified Medicare, Medicaid, and Commercial payments on patients’ accounts
•Responsible for updating patient account information
•Set-up payment plans/received payment on unpaid accounts
MEDICAL CODER/PATIENT ACCOUNT REP
August 2007- May 2008
Women’s Health Associates
Flowood, MS
•Coded, charged & billed commercial, Medicaid, Medicare OB/GYN accounts for services rendered
•Responsible for verifying benefits/eligibility to schedule OB/GYN appointments
•Set-up 50 new patient accounts on a weekly basis
•Responsible for checking out up to 150 patients daily for 3 physician
•Performed daily scheduling, co-payment collection and batch daily charges for bank deposit
FULL TIME STUDENT
January 2007- August 2007
University of Phoenix
Full-time student with 12 hours. Completing B. S. in Healthcare Administration
DIRECT CARE WORKER (DCW)
January 2007- August 2007
MH- Hudspeth Regional Center
Whitfield, MS
•Worked with 15 to 30 mentally ill clients, developmental disabled and geriatric clients
•Monitored patients regularly for prevention accidental occurrences
•Safely transferred patients from room to test area
•Observed/reported physical and behavioral changes to medical personnel in charge
•Assisted patient with proper use of equipment to assure safety for the client and the facility
CODING ANALYST
June 2005- January 2007
River Region Health System
Vicksburg, MS
•Processed up to 90 claims daily with accuracy and achieving company productivity goals
•Explained medical necessity to patients regarding laboratory tests
•Patients signing financial responsibility form
•Coded ancillary testing for 5 clinics
•Complied with PA regulations and JCAHO requirements for coding guidelines and CMS policies
HIM TECHNICIAN
March 2003- May 2005
Mid South Rehab Services
Ridgeland, MS
•Communicated with healthcare entities to ensure effective ...
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