TONI-MARIE WENK

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

Port St Lucie Fl. 34953

772-***-****

acvyjd@r.postjobfree.com

OBJECTIVE

Seeking a challenging position with a dependable compan y.

EDUCATION

Florida Technical College, Orlando, FL

Medical Billing & Coding Specialist Diploma Program March 2009 – January 2010

National Certified Insurance & Coding Specialist -April 2010. Updated March 2014

Indian River Community College, Port St. Lucie, FL

Associates Degree, Business May 2007

SKILLS

Theory Study

Medical Terminology

Anatomy & Physiology

Disease Processes with Symptomology

Medical Laws & Ethics

Medical Coding Skills

Current Procedural Terminology (CPT) coding for outpatient facilities

Healthcare Common Procedure Coding Systems (HCPCS) coding for outpatient facilities

International Classification of Diseases, 9 th Revision. Clinical Modifications ICD-9 Volumes 1& 2

coding outpatients and in-patient facilities

Health Insurance Skills

Medical insurance billing out-patient & in-patient facilities

Electronic & manual claims processing

HIPAA privacy practices

Front desk and receptionist responsibilities

Medical records

Managing accounts receivable

Health insurance verification, pre-authorization & collections

Understanding of Medicare, Medicaid, Blue Cross/ Blue Shield, workers

compensation, TRICARE/CHAMPVA, and various private insurance plans

Experience

Medical Data Systems, Vero Beach Florida

Insurance Specialist since April 2, 2013, currently employed

Hospital billing for Renown Medical Center

Clean-up project for a hospital in Reno NV (Claims from 2010 to current)

Appeal specialist

Can read and understand contracts to make sure claims paid correctly

Data entry

Can understand explanation of benefits

Proper phone skills

Able to navigate through host systems to find information

Fix mistakes on old claims to get them paid

Revenue Cycle Management, Vero Beach Florida

Insurance Specialist/ Medical Coder from September 1, 2012 to April 1, 2012 (Pro-fee billing section of

Medical Data Systems was bought out by Revenue Cycle Management)

Data entry, coding, accounts receivable, and payment posting

Worked with Clinix

Coded for multiple facilities

Enter data from hospital and hospital systems

Posting payments made by facilities and patients

Managing calls by patients, insurance companies, and doctors with requests and questions

Medical Data Systems, Vero Beach Florida

Data Entry/ Medical Coding from March 24 2011 to September 2011

Data entry/coder/accounts receivable/payment posting

Worked with Clinix

Coded for multiple facilities

Entered data from hospital and hospital systems

Posting payments by facilities and patients

Managing calls by patients, insurance companies, and doctors with requests and questions

East Coast Medical Center, Orlando Florida

160 hour Insurance Billing externship from December 2010 to February 2011

Worked daily with PerfectCare and MediSoft

Verified insurance coverage and eligibility Contacted insurance company to verify patients were covered

and how to follow up with them

Worked with collections

Posted payments into the systems and charging credit cards when authorized to

Wrote and sent out letters to inform the patients of their current balance Verified diagnosis and procedure

codes

Worked daily with Microsoft Word and Excel

Amy’s Organic Gourmet, Stuart, Florida

Assistant Manager July 2007 to June 2009

Responsible for opening and closing the store

Supervised and trained staff

Prepared staff schedule

Handled customer and employee complaints and problems

Giuseppe’s Italian Grill, Stuart Floirda

Hostess and Server May 2005 to July 2007

Greeted customers

Answered telephones

Took customer feedback and handled customer complaints

Ensured excellent customer service was provided

La Petite Daycare Center, St. Lucie West, Florida

Secondary Teacher from February 2004 to May 2005

Filed students’ grades, attendance reports, and other school records

Resolved student problems

Maintained calendar of school events

Supervised students during absence of teacher

Rave Motion Pictures, St Lucie West, Florida

Head Cashier November 2002 -January 2004

Greeted and directed customers

Took customer feedback and resolved complaints

Answered phones, provided information, took message and transferred calls

Handled large amounts of money

Collected and reconciled cash drawers at the end of employee’s shifts

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