Account Representative Medical Biller

LEANNE MINTON

Waldwick, NJ ***** 973-***-**** ad5qwi@r.postjobfree.com

PROFESSIONAL EXPERIENCE

ENGLEWOOD ORTHOPEDIC ASSOCIATES, Englewood NJ May 2019 – Present Account Representative/Medical Biller

● Process 35-50 accounts daily.

● Responsible for all billing inquiries and itemized statement requests

● Experienced in working with multiple billing systems; ECW, Epic, Athena

● Resolve denied claims as well as initiate appeals for proper reimbursement.

● Remains well-informed with changing coding guidelines, government regulations, and insurance specific coding rules. SUTHERLAND GLOBAL, Clifton NJ April 2017 – May 2019 Account Representative/Medical Biller

● Improved coding accuracy 50%.

● Accurately reviewed all ICD-10 & ICD-9 CM inpatient and outpatient coding via Emdeon and Epremis.

● Corresponded with facility practice manager on daily worked accounts for missing information or inconsistent medical documentation.

● Remains well-informed with changing coding guidelines, government regulations, and insurance specific coding rules.

● Initiated authorization for all inpatient claims. LIBERTY BILLING & CONSULTING, Wayne NJ Feb. 2016 – April 2017 Account Representative/Medical Biller

● Processes 30-35 accounts daily.

● Resolution of outpatient claim for full reimbursementof $55,000.

● Reported findings of medical coding audits.

● Appealed workers’ compensation and no-fault claims. SHORT HILLS SURGERY CENTER, Millburn NJ Oct. 2011 – July 2015 Assistant HIM Manager

● Managed a small team in order to ensure accuracy of record-keeping.

● Processed, assembled, analyzed, and maintained surgical charts.

● Tracked all operative and pathology reports until follow up was complete.

● Interacted with medical staff for daily surgical procedures. BACK IN THE GAME THERAPY, Englewood Cliffs NJ Oct. 2010 – Sept. 2011 Medical Billing Representative /Office Manager

● Oversaw and audited pain management coding.

● Updated and maintained patient files as well as updating demographic information.

● Collected and processed co-pays, deductibles, and all accounts receivable.

● Scheduled patient appointments and follow-ups.

● Responsible for the verification of insurance coverage. ROSELAND SPINAL REHABILITATION CENTER, Roseland NJ Dec. 2009-Sept. 2010 Medical Billing Representative

● Verified insurance coverage, processing of claims, and PIP case certifications.

● Completed and maintained appeal and arbitration files as well as daily patient information files.

● Collected and processed co-pays, deductibles, and all accounts receivable. EDUCATION/CERTIFICATIONS

Anthem Institute, Parsippany NJ

Medical Billing & Coding Diploma, Graduated May 2010 Certifications

● Inpatient Prospective Payment Systems (IPPS)

● Certificate of Medical Necessity

● Form CMS-1500 Course Completions

● ICD-10 & ICD-9 CM

● CPT-4 & PIP

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