Medical Billing Manager

DEBORAH SMILEY

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

Address:

City: WARWICK

State: RI

Zip: 02889

Country: USA

Phone: 401-***-****

Skill Level: Any

Salary Range:

Primary Skills/Experience:

Medical Biller with 12 years experience in hospital inpatient/outpatient physician coding. Knowledge in ICD-9 and ICD-10. Familiar with commercial and private insurance carriers. Desire a position in inpatient/outpatient medical billing.

Educational Background:

High School Dipolma from Prout Memorial High School, Wakefield RI 1/2001 to 6/1980 (Accounting)

Job History / Details:

Professional Summary

Medical Biller with 12 years experience in hospital inpatient/outpatient physician coding. Knowledge in ICD-9 and ICD-10. Familiar with commercial and private insurance carriers. Desire a position in inpatient/outpatient medical billing.

Skill Highlights

CPT and HCPCS coding

HIPAA compliance

Medical billing software

Strong planning skills

Strong work ethic

Leadership skills

Multi-tasking

Maintains strict confidentiality

Medical Manager Software

Composed and professional demeanor

Pain management coding

Internal medicine billing

Ophthalmology coding

Knowledge of HMOs, Medicare

OB-GYN, surgery, gastro, ENT, ortho experience

Professional Experience

January 2000 to February 2012

ProviderTech Business Solutions Coventry, RI

Medical Billing Manager

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.

Printed and reviewed monthly patient aging report and solicited overdue payments.

Precisely completed appropriate claims paperwork, documentation and system entry.

Thoroughly researched newly identified diagnoses and/or medical procedures to expand skills and knowledge.

Researched questions and concerns from providers and provided detailed responses.

Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.

Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.

Completed appeals and filed and submitted claims.

Posted charges, payments and adjustments.

Performed full-cycle medical billing in a fast-paced medical billing company.

Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.

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