DENISE PIGFORD-FRAZIER

Fayetteville, GA *****

678-***-**** acghcp@r.postjobfree.com

Looking to obtain a position where I can maximize my

organizational/interpersonal skills and knowledge which will contribute to

my years of experience and allow me to grow personally and professionally.

RELEVANT EXPERIENCE

. Greet customers and prepare orders (Atlanta Motor Speedway/Philips

Arena).

. Supervise 10-12 staffers.

. Responsible daily startup "bank", making money drops/change and turning

in deposit to cash office.

. Complete cashier transactions with calculator or Point of Sale system.

. Maintain accurate count of inventory sold.

. Counsel teenagers/young adults.

. Worked concession stand at high school football game to help with band

fundraising.

. Assisted with the cleanup of aged claims, transition into Functional

Medicine/Wellness services and the organization of various billing and

administrative processes.

. Participated in Federal government and local company offsite Health

Fairs.

. Managed Payment and Charge Posters, Billing/Collections and Insurance

Verification Specialists, Patient Accounts Representative.

. Processed and updated demographics and billing information for new,

established and hospital patient accounts.

. Filed primary and secondary insurance claims for various specialties.

. Assisted patients, laboratories and insurance companies with patient

account and billing information.

. Collected account payments from patients/attorneys via telephone and/or

set up budget agreements with patients.

. Reviewed accounts receivable reports monthly, account balances/credits,

denied claims and/or followed up on coordination of benefits daily.

. Resubmitted corrected claims (electronically/paper) and/or appealed

denied claims.

. Processed Worker's Compensation, Durable Medical Equipment and Paper

claims with medical records.

. Posted office and hospital (inpatient/outpatient) visits,

procedures/surgeries, diagnoses, disability forms, and no show/missed

appointment fees from encounter forms and/or medical records for billing.

. Posted insurance/patient payments and contractual adjustments daily.

. Documented and retrieved billing information related to patient and

insurance account transactions.

. Verified insurance, claim status, and surgical/procedure benefits via

telephone and online.

. Collected patient payments based on benefits verification for

surgeries/procedures.

. Obtained referrals from primary care physicians and pre-certifications

for outpatient procedures.

. Processed transaction reports, balanced system, organized and

transmitted/mailed patient statements.

. Balanced, prepared and transported daily bank deposits.

. Audited records for missing procedures and/or medication charges; coded

and/or verified coding from medical records.

. Scheduled appointments; processed medical records for appointments and

completed medical records requests for insurance companies.

. Organized with patient account coordinator to run daily schedule, verify

balances and process referrals prior to appointments.

. Forward patient account to collection agency and prepared

patient/insurance refund requests.

WORK HISTORY

Non-Profit Concession Stand Supervisor

St Stephen Outreach Ministries Inc/Levy Restaurants, East Point, GA

08/14 - Present

Cashier

A & M Events

08/14 - Present

Youth Leader/Mentor

St Stephen Missionary Baptist Church/Sandy Creek High School

10/10 - Present

Independent Contractor - Medical Billing Specialist

D P Data Solutions, Fayetteville, GA

03/14 - 05/14

Independent Contractor - Medical Billing Service

D P Data Solutions, Fayetteville, GA

01/12 - 04/13

Patient Accounts Representative

Accountemps/Peachtree Orthopedic Clinic, Atlanta, GA

05/11 - 09/11

Billing Manager/Insurance Billing Specialist

Pain Management Specialist of Atlanta, Stockbridge, GA

04/09 - 09/10

Insurance Billing Agent

Quality Physician Services, Stockbridge, GA

05/07 - 04/09

Insurance Billing Specialist

A Kids World Pediatrics, Fayetteville, GA

04/05 - 05/07

Atlanta Urological Institute, Stockbridge, GA

03/04 - 04/05

Work Skills

Customer Service, Administration, Notary Public, Basic Accounting &

Transcription, 60 WPM, 10 Key, Data Entry, MS Office, Windows, Outlook,

CustomCoder/Decision Health, GroupWise, Delphi, HBOC, Navicure, ICD-9, CPT,

HCPCS Billing Software: Medisoft, Medical Manager, Mysis, Lytec,

Centricity, NueMD, & eClinical Electronic Health/Medical Records (EHR/EMR):

Encounter Pro & Logician, Hospital Portal: StarNavigator &

ClinView/ProMed, Medical Records File Server: SRS, FileZilla, & Document

Manager, Specialties: Internal Medicine, Pulmonology, Rheumatology,

Urology, Pediatric, Family Practice, Pain Management, Orthopedic,

Obstetrics, Gynecology, Chiropractic, Emergency Medicine and General

Practice

EDUCATION/CERTIFICATION

Clayton State University, Morrow, GA

Bachelor of Applied Science Administrative Mgmnt-Organizational

Leadership 12/12

Associate of Applied Science Medical Office Admin-Medical Coding

12/05

Certificate Medical Assisting

09/04

AAPC Certified Professional Coder

Currently Active

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