Insurance Medical

Heather Key, CPC

*** **** ***** **. **********, KY 40047 502-***-****

***********@*****.***

Experience Auditing Manager

**** - ****

Sterling Healthcare Services

* Have managed a team of 5

* Allscripts Medic PM and Tiger

* Microsoft Office Excel and Word

* Client Relations

* Training new and existing staff in all areas

* EMR Training

* Day, month, and year end reconciliation and financial

reporting

* CPT, ICD-9 and HCPCS coding

* Charge posting and charge auditing

* Payment posting and payment auditing

* Internal Medicine, Thoracic Surgeons, Hospitalists, Gastro

* OB-GYN and Nursing Homes

* Home Health Certifications and Recertification

* File Maintenance

* Internet Banking

* Collections and accounts receivable

* Process credit card payments

* Patient Billing

* Return Mail

* Filing for all insurance companies

* Input all necessary documentation on to Excel Spreadsheets

for daily/monthly/yearly reporting purposes

* Scan of all charges and payments to J drive

* Other special projects when requested

Accounts Receivable Specialist with Caretenders

2004-2004

AccountTemps - Temporary Position

* Review of insurance claims

* Medical and Home Health

* Corrected mistakes on HCFA 1500

* Worked with agencies to get claims paid

* Follow-up with insurance companies on delinquent claims

Office Manager

1997-2003

Commonwealth Payphones D.B.A. Unlimited Potential

* Disbursement of monthly commission for merchants

* Prepared year end taxes

* Provided training for merchants on our equipment

* Payphones, cell phones, and smart prepay boxes

* Provided merchant support

* Reported daily maintenance works orders for our equipment

* Provided support in any and all areas

Medical Review Coordinator

1997-2000

Kelly Temporary Staffing/

Anthem Blue Cross Blue Shield

* Processed insurance claims

* Medical and Dental

* CPT and ICD-9 coding

* Review bills/verify insurance coverage

* Update patient files

* Provide support for a team of MD's and Nurses

Billing Specialist

1995-1997

Medical Review, Inc

* Processed insurance claims

* CPT and ICD-9 coding

* Medical and Worker's Comp

* Review bills/verify insurance coverage

* Research info given by patients

* Provided support for a team of Nurses

Unit Secretary

1993-1997

Baptist East Hospital/Clinical Lab

* Processing of lab reports

* Updating patient charts

* Editing clerical errors in test ordering

* Assuring specimens are delivered to appropriate areas

Insurance Billing Clerk

1993-1995

Women's Care Physicians

* Processed insurance claims

* CPT and ICD-9 coding

* OB-GYN

* Update patients files

* Review bills/verify insurance coverage

* Charge entry and payment posting

* Follow-up with insurance companies on delinquent claims

* Collections on patient accounts

Education Jefferson Technical College - AAPC - CPC Certification

Sullivan College - Computer Science Studies

Jefferson Community College - Liberal Arts Studies

Special Skills I am familiar with most office equipment, and office based

software. I have 18 years experience in the

medical/insurance industry and have had several courses in

medical terminology and medical coding/billing. I also have

excellent communication/training skills with clients and

staff members.

References References are available on request.

Contact this candidate