CHRIS DAUGHERTY, CCA

**** ******* **.

Prospect, KY 40059

502-***-****, Cell 502-***-****

Email: acgdua@r.postjobfree.com

CAREER OBJECTIVE & QUALIFICATIONS PROFILE:

With a firmly established background in various medical billing capacities, my skills are finely tuned putting me in a

prime position to seek new career opportunities that will incorporate my medical billing, leadership, and training

capabilities. I have developed an in-depth knowledge of contemporary billing and insurance office procedures/systems.

Familiar with all phases of the billing function including processing insurance forms and handling

rejections / refunds.

Oversee coding, documentation and billing practices to maintain updated practices.

Skilled in practicing established standards and policies and procedures of Blue Cross/Blue Shield,

Medicare, Medicaid, and third party liability.

Knowledge of procedural and diagnostic coding systems, ICD-9-CM, CPT and medical terminology.

Developed a strong familiarity of the claims process and diagnostic/procedural coding structures.

Utilized a high degree of professionalism, integrity, quality focus, and a consultative, relationship-

driven customer service-oriented approach.

Strengths: Customer service, organization, multi-tasking, consistent follow-through, time

management and problem solving skills. Excel in deadline-oriented environments.

Computer & Related Skills: CPT Coding, HCPCS, ICD-9, Computerized Billing, Microsoft

applications (Excel, Word, Outlook), and popular medical billing applications.

EXPERIENCE:

Collection Specialist Louisville, KY

Baptist Health Systems 2014-2014

Followed up on Medicaid claims for outpatient physician services

Found denial patterns and implemented procedures to resolve problem

Called insurance companies to dispute denials

Completed status check on 50 to 75 claims a day

Collection Specialist Louisville, KY

University of Louisville Physicians 2012-2013

Followed up on outstanding balances for 25 pediatric specialties

Brought patterns of denials to supervisors attention

Decreased outstanding A/R within a three month period by 40%

Called insurance companies to dispute denials

Billed corrected claims when necessary

Preferred Medical Network Louisville, KY

Medical Services Specialist 2011-2012

Verified insurance for workers compensation

Coded claims for worker’s compensation

Insured paid claims by calling insurances

Supervised inventory on medical equipment

Kindred Hospital Louisville, KY

Inpatient Billing Specialist 2008-2010

Gained billing knowledge with inpatient and outpatient billing

Billed on UB-92s to various commercial insurances including Anthem Blue Cross, Blue Shield

Answered billing phone calls from patients and insurance companies

Worked with nursing staff and case management for proper medical documentation related to hospital

billing

Member of employee satisfaction committee

Called insurances to check status of claims and rebilled them based on various rejections

AIRWAY OXYGEN, INC. Grand Rapids, MI

Medical Billing Specialist 2002-2007

Developed an excellent knowledge of durable medical equipment billings (wheelchairs, oxygen,

diabetic supplies, etc.) and criteria for insurance payments.

Utilized strong customer service skills to coordinate orders, billing and inquiries from patients.

Performed insurance verification, pre-authorization and referral tasks; corrected claims, and posted

checks.

Registered patient information; prepared, and posted transactions.

Coded and billed insurance claims.

Collect patient payments and performed collection activities.

Prepared documentation for required signatures from doctors and various referral agencies.

Wrote the insurance guide training book for new employees.

EDUCATION:

Certificate of Medical Coding (2012)

Sullivan University, Louisville, KY

B.A. Bible & Sociology

Milligan College, Johnson City, TN

~ Excellent Professional & Personal References Furnished Upon Request ~

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