TERALYN DISON, CMOM / CMC

rhs601@r.postjobfree.com

413-***-****

OBJECTIVE

A Medical Billing, Coding, and Office Administration position with a dynamic, fast-paced company that will effectively utilize my skills, training, and experience to make a positive contribution toward meeting organizational goals and objectives.

SUMMARY

Outstanding Certified Medical Coder, Certified Medical Office Manager, and Medical Billing Specialist with excellent analytical / problem-solving skills.

Strong communication skills when interfacing with all levels of an organization.

Highly motivated, results-oriented, team player with excellent interpersonal skills.

Well organized, reliable, committed to professionalism, and able to multi-task effectively.

Detail-oriented with ability to work well independently and under strict deadlines.

Outstanding written and verbal communication skills.

CAQH and Credentialing of Physicians (new hires and renewals) with Insurance Companies

AREAS OF EXPERTISE

Coding and Charge Entry Insurance Follow-Up

Insurance Reimbursement Problem Solving

Payment Posting Advantix / Source Medical / PCN

Customer Service ICD-9 / CPT Advanced Knowledge

Citrix / Carelink / IDX Knowledge NIA Guidelines

FCSO/NGS Medicare Guidelines Windows / Microsoft Office (Word/Excel)

SELECTED ACHIEVEMENTS

Currently studying ICD-10-CM Anatomy and Pathophysiology through the AAPC.

Successfully completed Medical Coder and Medical Office Manager Certification through the Practice Management Institution, and Medical Billing and Coding Specialist Certification through the National Healthcareer Association.

Connecticut Medicare (FCSO,NGS) subject matter expert with extensive knowledge of third party payer’s guidelines for reimbursement who mentors patients and provides support to coworkers and management to help better understand these requirements.

Accurately and efficiently code day sheets and enter all charges and payments from the private office and for the services our providers provide at the hospital.

PROFESSIONAL EXPERIENCE

CT Podiatry Associates (Dr. Todd Bell) - Bloomfield, CT 2012

Billing Manager

Supervising billing staff to ensure correct coding, billing and follow-up of charges.

Follow-up up on outstanding accounts receivable, both insurance and patient.

Created and implemented new correspondence for patient collections.

Provide customer service to patient’s inquiring about balances.

Reporting of billing department status to office administrator and physicians.

Processing of refund requests by insurance companies, and patients.

Cottage Grove Cardiology PC - Bloomfield, CT 2008 - 2012

Assistant Billing Supervisor / Acting Billing Supervisor since 02-2009

Accurately code and post all hospital charges, including Cardiac Cath procedures, Peripheral Vascular Procedures, Pacemaker and ICD implants.

Electronic insurance submission of charges to clearinghouse for processing.

Perform month end / year end procedures and prepare financial reports for the company partners.

Post all Medicare payments and follow up on outstanding A/R for all insurance's.

Provide customer service to patient’s inquiring about balances.

Prepare daily bank deposits.

Cross training billing staff to cover all aspects of the billing department.

Michael B. Teiger, MD PC – Hartford, CT 2006 – 2008

Medical Billing / Coding Specialist

Accurately code and input all hospital and office charges.

Electronic insurance submission of charges to McKesson for processing of claims.

Mail out primary and secondary claims to insurance companies.

Post all patient payments and insurance payments to appropriate accounts.

Provide customer service to patient’s inquiring about balances.

Schedule appointments.

Provide backup coverage for front desk receptionist duties as needed.

Radiology Associates of Hartford, PC – Hartford, CT 2002 – 2006

Insurance Analyst

Posted Medicare and Anthem payments on a daily basis.

Followed-up on all Medicare accounts from the time that charges were posted until the accounts were paid.

Billed secondary and tertiary insurances once Medicare and/or Anthem paid.

Provided customer service to the patients, physicians, insurance companies, and attorneys who called inquiring about an account.

Sorted and distributed all mail that came into the office on a daily basis.

EDUCATION

Practice Management Institute – Certified Medical Coder

Practice Management Institute – Certified Medical Office Manager

National Healthcareer Association – Certified Billing and Coding Specialist

Angelo State University – San Angelo, TX

San Angelo Central High School – San Angelo, TX

REFERENCES AND SUPPORTING DOCUMENTATION: Available upon request.

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