LY N N E M . R E E D E R, C P C - A

*** *. ***** **. • Spokane Valley, WA 99216

509-***-**** • abk9qg@r.postjobfree.com

MEDICAL BILLING AND CODING SPECIALIST : Using my eleven years medical claims experience

where my attention to detail and self-motivation will reduce claim errors and increase cash flow for your

office.

QUALIFICATIONS

Experienced Medical Claims Processor for HMOs, PPOs, FFS, Medicaid and Medicare Supplement Plans

Received 3 Customer Service Awards for Excellent Customer Service

Trained in and knowledge of all aspects of HIPAA Privacy and Security Standards

Medical coding of CPT, ICD-9, and HCPCS codes

Medical billing of paper and electronic claims using CMS-1500 Forms and UB-92s (now UB-04s)

Resubmitted corrected claims, received delinquent monies owed, and significantly reduced aging report

Posted payments from patients and insurance companies

Evaluated patients’ financial status and generated patient statements

Identified and resolved patient billing complaints

Corresponded with patients and providers by e-mail, letters, and faxes

Interpreted and administered medical policy provisions and contract language

Investigated and maintained compliance of state and federal guidelines

Audited documents for correct client and payment information and sent out invoices

Answered multi-line phones in medical front office

Scheduled patient appointments and referrals for diagnostic testing

Checked in and admitted patients, answered questions regarding insurance coverage

Created new patient charts; inputted demographics, insurance information, new patient medical history

Collected co-payments and self-pay payments

Tested new group accounts online and identified system problems

Operated Medical Manager, Centricity, Brightree, MediSoft, and MS Office Suite 2007

American Red Cross Certified Adult CPR/AED and Standard First Aid

EDUCATION

SPOKANE COMMUNITY COLLEGE Spokane, WA

Medical Billing & Coding Specialist and Medical Receptionist Certificates • Graduated with Honors June, 2010

President’s Honor Roll • Recipient of the Richard & Susan Stannard Scholarship

Phi Theta Kappa International Honor Society • Chapter Secretary • 2010 Outstanding Member of the Year

UNIVERSITY OF PHOENIX ONLINE

Area of study: Healthcare Administration

ARIZONA STATE UNIVERSITY Tempe, AZ

Area of study: Corporate Finance

WORK EXPERIENCE

Inspired Solutions Spokane, WA 2010

Medical Billing and Coding Internship

Valley OB/GYN Spokane Valley, WA 2010

Medical Receptionist Internship

Humanix Staffing Spokane Valley, WA 2009 – 2010

LY N N E M . R E E D E R, C P C - A

912 N. Burns Rd. • Spokane Valley, WA 99216

509-***-**** • abk9qg@r.postjobfree.com

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Medical Receptionist at Spokane Mental Health

Receptionist at Liberty Lake City Hall

Spokane County Spokane, WA 2009

Seasonal Worker: Participated in community events.

Physician Hospital Community Organization Spokane, WA 2004 – 2006

Business Analyst in Contracting Department : Created, assembled, and mailed provider contracts and

exhibits; reviewed claims with fee related disputes; ran database reports to identify claim trends and for

maintaining accurate fee schedules in system; implemented CPT, ICD-9, and HCPCS updates and appropriate

fees related to new procedures; researched to determine appropriate contract language and Medicare

guidelines.

Adjudication Associate: Processed medical claims, handled customer service calls for benefits and claims.

In-home Care Provider Poulsbo & Spokane, WA 2002 - 2004

Completed reports, prepared meals, did house cleaning and laundry, ran errands, drove clients.

Jack In The Box Phoenix, AZ 1999 – 2001

Shift Leader: Supervised twenty employees, trained new employees, audited cash registers, prepared and

made bank deposits.

Insurance Overload Systems, CSRG, Talent Tree (agencies) Phoenix, AZ 1995 – 1998

Medical Billing for Samaritan Surgicenters and Phoenix Memorial Hospital.

Medical Claims Adjuster for United Healthcare, Pacific Mutual Group, Phoenix Health Plans and SW

Service Administrators.

Benefits Administrator: Conducted new employee orientations; processed and sent COBRA notifications;

managed employee information counter; acted as liaison between employees, providers, and insurance carriers

for The City of Glendale.

Provident Life & Accident Insurance Company Phoenix, AZ 1989 – 1995

Claims Specialist/CSR: Processed a wide variety of complex group health claims with expertise in adjusting

multiple groups of up to 5000 lives. Maintained above average production and quality requirements with

superior customer service.

Eligibility/Provider Maintenance: Entered and maintained member eligibility and provider data records.

PROFESSIONAL ORGANIZATION

American Academy of Professional Coders Member since July, 2010

Certified Professional Coder – Apprentice (CPC-A) Received August, 2010

VOLUNTEER

Booster Club President • North Pines Middle School • Spokane Valley, WA 2009 – current

Toys 4 Tots • Spokane, WA 2009

Classroom Assistant/PTSA Volunteer • Progress Elementary School • Spokane Valley, WA 2004 – 2009

Concessions worker • North Kitsap Little League • Poulsbo, WA 2003

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