Insurance Medical

Denean Long

**** ******** **** • Montgomery, AL *6106

Contact 334-***-**** • ********@***.***

OBJECTIVE

To secure a challenging, career oriented position that utilizes my knowledge, skills, abilities, and

experience to increase services, provide opportunities for professional growth, and satisfy

organizational objectives.

SUMMARY OF QUALIFICATIONS

I have over 11 years of experience as a clinical coordinator in the private sector with emphasis in

administration, training, payroll, and customer services.

EXPERIENCE

Medical Coder – (October 2008 March 2010)

Montgomery Cancer Center

• Performed timely and accurate data entry

• Attached administration codes to injections for oncology

• Worked closely with all disciplines

• Interpreted patient's medical charts and assign the appropriate diagnostic and procedural

codes

• Organized patient history and services provided for insurance and billing purposes

• Assigned and identified the information by using the accurate ICD 9 CM and CPT codes

• Responsible for ensuring the assigned codes meet all federal, legal and insurance

regulations so service payments are obtained in a timely fashion

• Reviewed claims to ensure accuracy and appropriateness; verified signatures and data

• Resubmitted claims when necessary and contact the provider to ensure the correct code was

used

• Possess a working knowledge of ICD 9 and CPT codes

• Possess a working knowledge HCPCS

Patient Account Representative– (April 2007 – September 2008)

Rehab Associates, Montgomery, Alabama

• Modified the status accounts receivable log

• Contacted insurance companies to investigate why payments have not been received

• Modified the status accounts receivable log

• Contact patients to retrieve their co insurance and deductibles

• Verified patient insurance

• Verified benefits and effective dates on insurance

Denean Long

4285 Shamrock Lane • Montgomery, AL 36106

Contact 334-***-**** • ********@***.***

Ensured that daily quotas are me

Medical Biller/Coder– (July 2006 – April 2007)

Career Personnel, Montgomery, Alabama

• Verified patient’s insurance

• Post insurance payments in the patient’s charts

• Completed outpatient treatment requests

• Verified benefits and effective dates on insurance

• Prepared charts for Doctor revisions/additions

• Disseminated outpatient treatment requests to various insurance agencies

• Collected co payments from responsible parties

• Composed insurance claim forms

• Maintained a record of all claims

• Contacted various insurance agencies regarding unpaid claims

• Followed up with insurance agencies to ensure that claims are paid

• Contacted patients to remind them of scheduled appointment times and dates

• Completed return to work/school forms

• Composed documents, memoranda, and correspondence for Doctor’s signature

• Prepared monthly reports for Job Corp billing

• Ensured charts are kept current

• Performed other duties as requested

Payor Follow Up Representative/Coder– (August 2003 –July 2006)

Physician Professional Management, Montgomery, Alabama

• Modified codes as needed to ensure the code is correct for reimbursement

• Modified the status accounts receivable log

• Contacted insurance companies to investigate why payments have not been received

• Modified CPT codes and ICD 9 codes when necessary

• Prepared monthly reports

• Contacted patients to retrieve their co insurance and deductibles

• Verified patient insurance

• Verified benefits and effective dates on insurance

• Completed refund and bad debt reports on a monthly basis

• Ensured that daily quotas were met

Medical Biller/Administrative Assistant – (May 2003 –August 2003)

Denean Long

4285 Shamrock Lane • Montgomery, AL 36106

Contact 334-***-**** • ********@***.***

Aspire Staffing, Montgomery, Alabama

• Verified patient’s insurance

• Posted insurance payments in the patient’s charts

• Completed outpatient treatment requests

• Verified benefits and effective dates on insurance

• Prepared charts for Doctor revisions/additions

• Disseminated outpatient treatment requests to various insurance agencies

• Collected co payments from responsible parties

• Composed insurance claim forms

• Maintained a record of all claims

• Contacted various insurance agencies regarding unpaid claims

• Followed up with insurance agencies to ensure that claims are paid

• Contacted patients to remind them of scheduled appointment times and dates

• Completed return to work/school forms

• Composed documents, memoranda, and correspondence for Doctor’s signature

• Prepared monthly reports for Job Corp billing

• Ensured charts are kept current

• Greeted patients

• Scheduled patients for appointments

• Performed other duties as requested

Medical Biller/Data Entry (January 2003 May 2003)

Aspire Staffing, Montgomery, Alabama

• Performed CPT/ICD 9 coding for reimbursement purposes

• Coded all diagnoses and procedures using selected description codes from the ICD 9

coding classification

• Researched all information needed to complete billing processes including checking

physician coding

• Batched and documented all collections and billings daily

• Processed and distributed billing data

• Collected funds according to policy

• Corrected account balance information

• Functioned as Medical Office Assistant as necessary

• Maintained patient confidentiality

• Performed duties as requested

• Entered data from source documents into computer following format displayed on screen

Denean Long

4285 Shamrock Lane • Montgomery, AL 36106

Contact 334-***-**** • ********@***.***

Compared data entered with source documents, or re entered data in verification format on

•

screen to detect errors

Deleted incorrectly entered data, and re entered correct data

•

Compiled, sorted, and verified accuracy of data to be entered

•

Maintained a record of work completed

•

Contributed to the overall success of the department by accepting assignments,

•

volunteering for additional tasks, and filling in wherever necessary

Collected all co payments and deductibles from the patient and applied it to any other

•

accounts before refunding monies

Clinic Secretary/Clinic Scheduler Coordinator (1991 2002)

Montefiore/St Barnabas/PHS, East Elmhurst, New York

• Scheduled patients to go to specialty clinics

• Compiled and distributed all incoming and outgoing mail

• Maintained daily employee sign in/out sheets

• Ordered supplies and restocked supply cabinets

• Performed administrative duties such as creating letters, reports, and memorandums

• Answered telephones in a courteous manner

• Completed weekly and end of the month reports for the specialty clinics

• Followed up with physicians concerning patient's needs and testing

• Documented the disposition of patients each day and scheduled follow up appointment, if

needed

• Compiled and typed minutes for the monthly staff and clerical meeting

• Distributed eyeglasses to patients

• Set up all diabetic patients for their dilated fundoscopy eye exams

• Compiled and disseminated all EKGs to the cardiologist for review

• Prioritized patient consultations written by the doctors in order to assess patient's needs

• Documented the disposition of patients each day and scheduled follow up appointment, if

needed

• Compiled and typed minutes for the monthly staff and clerical meeting

• Distributed eyeglasses to patients

• Set up all diabetic patients for their dilated fundoscopy eye exams

• Compiled and disseminated all EKGs to the cardiologist for review

• Prioritized patient consultations written by the doctors in order to assess patient's needs

EDUCATION

Denean Long

4285 Shamrock Lane • Montgomery, AL 36106

Contact 334-***-**** • ********@***.***

Devry University On line Currently working on AAS degree in HIT to obtain RHIT

Certificate, Medical Biller/Coder (2002)

Roxbury Institute for Medical Management, Jamaica Estates, New York

GPA: 3.8, Major GPA: 3.8

CERTIFICATIONS

Certified Professional Coder

The Academy of Professional Coders

March 2005

REFERENCES Furnished upon request

Contact this candidate