Medical Insurance

Tori Pearson

Email: ********@**-********-********.***

Address:

City: Clearwater

State: MN

Zip: 55320

Country: USA

Phone: 320-***-****

Skill Level: Any

Salary Range:

Primary Skills/Experience:

Inpatient and outpatient records coding specialist with ICD-9, ICD-10 and ASC coding expertise. Familiar with commercial and private insurance carriers. Seeks a position of increased responsibility and authority.

Educational Background:

High School Dipolma from US Career Institute, Fort Collins CO 1/2001 to 8/2012 (Medical Coding/Billing)

High School Dipolma from KRS Computer and Business School, Fort Collins CO 1/2001 to 10/2012

Job History / Details:

Professional Summary

Inpatient and outpatient records coding specialist with ICD-9, ICD-10 and ASC coding expertise. Familiar with commercial and private insurance carriers. Seeks a position of increased responsibility and authority.

Certifications

Certification in Medical Billing and Coding From US Career Institute in August, 2012.

Skill Highlights

Multi-tasking

Maintains strict confidentiality

Understands anesthesia coding

Strong planning skills

ICD-9 and ICD-10 Coding

CPT and HCPCS coding

Strong work ethic

Strong attention to detail

Work Experience

March 2012 to October 2012

United States Postal Service Minneapolis, Minnesota

PSE Mark-Up Clerk

Scan all letters, flats and parcels for the correct forwarding addresses for all residential/business mail. Making sure that the type of mail service is accurate as well as the correct endorsement, if applicable, is being used.

Labels are created and placed on all articles of mail, from newspapers to letters to parcels. the articles of mail are then placed in bins and moved onto the next segment of their transportation.

April 2001 to March 2012

Liberty Paper, Inc Becker, Minnesota

Production Technician-Job Family ll

Worked as an Inbound, Outbound, Winder Assist, Mill Utility, Field, Winder Operator and Dry End Technician. Inbound Duties included unloading OCC bales off of Semis with a bale clamp truck. Then loading them onto a conveyor to be consumed in a hydra pulper. Outbound included taking a finished 3.5 ton roll of liner board and loading it in a Semi or placing it in the warehouse in it's desired upright location. Mill Utility included filling in wherever needed, whether it meant giving breaks of giving a hand or just emptying dumpsters. Winder Utility ran the 40 ton Capacity crane with a 26 ton parent reel at every turn up and brought the parent reel down to the winder crew. Winder assist helped with all aspects of the winder, including measuring, placing the correct labels on the finished rolls. Running the labels computer. Helping out the Winder Operator with core cutting and cleanup. Winder Operator meant running the winder and making sure there were no flaws in the liner board that was being run off. Cutting cores, making adjustments to the winder as the schedule dictated and made log entries at the end of every shift. Field Tech basically was in charge of Stock Prep. Making sure that all chemical totes had product in them and filling them accordingly. Check readings and perform solids tests twice a shift. Making sure the ragger tail is still in the pulper and making a new tail if it broke off. Also responsible for stock prep cleanup at the end of every shift. Dry End Tech is responsible for all operations on the dry end of the paper machine. From sheet quality and strength to steam adjustments in conjunction with Xcel Energy. Turn up each parent reel and performs a battery of tests on the paper to make sure everything is in spec.

April 1996 to February 2001

General Mill,Inc Golden Valley, Minnesota

Medical Claims Examiner

Paid Medical claims in accordance with policy provisions. Examined patients' insurance coverage, deductibles, possible other insurance carrier payments and remaining balances not covered under their policies when applicable.

Updated patient financial information to guarantee accuracy.Researched questions and concerns from providers and provided detailed responses.

Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature.

May 1991 to March 1996

Prudential Insurance Company Minneapolis, Minnesota

Medical Claims Examiner

Paid medical claims in accordance with policy provisions. Trained in classroom for 6 weeks prior to actually paying claims. Learned medical terminology as well as ICD-9, CPT, and HCPC's codes. Examined patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable.Updated patient financial information to guarantee accuracy. Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature.

Researched questions and concerns from providers and provided detailed responses.

Education and Training

2012 US Career Institute Fort Collins, Colorado

Certification Medical Coding/Billing

3.95 GPA

Studied ICD-9 and ICD-10 codes.

CPT codes

Anesthesia Codes

DRG billing

HCPC's coding

Outpatient Billing

COB

Medicare/Medicaid/Medigap Insurance

1996 KRS Computer and Business School St. Louis Park, Minnesota

Certification Office Management

3.92 GPA. Had Classes in Powerpoint, Access, Excel, Accounting, Word, Wordperfect and Keyboarding and 10-key.

Military Experience

to

USAF, Zaragosa, Spain

Aerospace Ground Equipment (AGE) Mechanic

Additional Information

Was a member of the Safety committee at LPI. Also was a certified CPR, First-Aid, AED instructor for 9 years. Volunteered for the annual Relay for Life events as well as took part in the fund raising and walking.Was nominated for launch of the 5S program and the VPP program as well as training for the implementation of new JD Edwards software upgrade.

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