Tammey Jones

Email: abpggu@r.postjobfree.com

Address:

City: Mandeville

State: LA

Zip: 70471

Country: USA

Phone: 678-***-****

Skill Level: Any

Salary Range:

Primary Skills/Experience:

[Appointment Specialist] with experience supporting [4-5 at one time] physicians in a busy medical office. Expertise includes verifying insurance coverage, records reviews and schedule maintenance.Inpatient and outpatient records coding specialist with ICD-9, ICD-10 and ASC coding. Familiar with commercial and private insurance carriers. Seeks a position of increased responsibility and authority.Administrative Assistant experienced at registering patients, scheduling appointments and recording and filing patient medical records. Enters orders and information quickly and accurately.

Educational Background:

High School Dipolma from Mandeville High School, Mandeville LA 1/2001 to 5/1981 (Business)

Job History / Details:

Professional Summary

[Appointment Specialist] with experience supporting [4-5 at one time] physicians in a busy medical office. Expertise includes verifying insurance coverage, records reviews and schedule maintenance.Inpatient and outpatient records coding specialist with ICD-9, ICD-10 and ASC coding. Familiar with commercial and private insurance carriers. Seeks a position of increased responsibility and authority.Administrative Assistant experienced at registering patients, scheduling appointments and recording and filing patient medical records. Enters orders and information quickly and accurately.

Skill Highlights

Electronic Medical Record (EMR) software

ICD-9

Pain management coding

CPT and HCPCS coding

Interpreting instruction

HIPAA compliance

Medical billing software

Strong planning skills

Patient-focused care

Strong work ethic

Leadership skills

Strong attention to detail

Multi-tasking

Customer service

Office support (phones, faxing, filing)

Excellent verbal communication

Maintains strict confidentiality

Knowledge of HMOs, Medicare and Medi-Cal

Knowledge of anatomy/physiology

Billing and collection procedures expert

Ortho experience

Records maintenance professional

ICD-9 coding

Composed and professional demeanor

Resourceful and reliable worker

Adept multi-tasker

Professional Experience

February 2003 to March 2008

Dunwoody Pediatrics Dunwoody, Ga

Appointment Specialist

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.Treated all patients, their families, visitors, peers, staff and providers in a pleasant and courteous manner.Thoroughly researched newly identified diagnoses and/or medical procedures to expand skills and knowledge.Professionally and courteously verified appointment times with patients.Assisted in the maintenance of medical charts and/or electronic medical record (filing, Op Reports, test results, home care forms).Prepared patient charts, pre-admissions and consent forms as necessary.Compiled necessary documents for surgical billing packages.Coordinated luncheons with Pharmaceutical Representatives.Researched questions and concerns from providers and provided detailed responses.Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative.Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.Analyzed and interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.Thoroughly reviewed remittance codes from EOBS/AR's.Confirmed patient information, collected copays and verified insurance.Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature. Posted charges, payments and adjustments.Carefully prepared, reviewed and submitted patient statements.Efficiently performed insurance verification and pre-certification and pre-authorization functions.Meticulously identified and rectified inconsistencies, deficiencies and discrepancies in medical documentation.Adeptly managed a multi-line phone system and pleasantly greeted all patients.Verified patients' eligibility and claims status with insurance agencies.Prepared patient charts accurately and neatly for the clinic.Maintained strict patient and physician confidentiality.Resourcefully used various coding books, procedure manuals and on-line encoders.Scheduled appointments, registered patients and distributed sample pharmaceuticals as prescribed.

I was Caregiver to my Mother In Law, for the last 5 yrs, single mom 21 yrs, married in 2007. My son Joshua, is currently at the Gwinnett Co. Sherriffs Academy.

March 2001 to March 2003

ReSurgeons Orthopedics Inc Dunwoody, GA

Front Desk

Examined patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable.Treated all patients, their families, visitors, peers, staff and providers in a pleasant and courteous manner.Thoroughly researched newly identified diagnoses and/or medical procedures to expand skills and knowledge.Professionally and courteously verified appointment times with patients.Prepared patient charts, pre-admissions and consent forms as necessary.Compiled necessary documents for surgical billing packages.Determined prior authorizations for medication and outpatient procedures.Performed qualitative analysis of records to ensure accuracy, internal consistency and correlation of recorded data.Researched questions and concerns from providers and provided detailed responses.Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.Confirmed patient information, collected copays and verified insurance.Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature. Efficiently performed insurance verification and pre-certification and pre-authorization functions.Meticulously identified and rectified inconsistencies, deficiencies and discrepancies in medical documentation.Adeptly managed a multi-line phone system and pleasantly greeted all patients.Verified patients' eligibility and claims status with insurance agencies.Prepared patient charts accurately and neatly for the clinic.Maintained strict patient and physician confidentiality.

February 2000 to March 2001

Always Care Nursing Inc. Atlanta, Ga

Assistant Operations Specialist

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.Treated all patients, their families, visitors, peers, staff and providers in a pleasant and courteous manner.Compiled and tracked outstanding balances owed to medical facilities.Accurately posted surgeries, hospital visits and payments for assigned carriers.Printed and reviewed monthly patient aging report and solicited overdue payments.Correctly coded and billed medical claims for various hospital and nursing facilities.Thoroughly researched newly identified diagnoses and/or medical procedures to expand skills and knowledge.Assisted in the maintenance of medical charts and/or electronic medical record (filing, Op Reports, test results, home care forms).Coordinated luncheons with Pharmaceutical Representatives.Performed qualitative analysis of records to ensure accuracy, internal consistency and correlation of recorded data.Researched questions and concerns from providers and provided detailed responses.Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.Received, organized and maintained all coding and reimbursement periodicals and updates.Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative.Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.Analyzed and interpreted patient medical and surgical records to determine billable services.Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.Thoroughly reviewed remittance codes from EOBS/AR's.Confirmed patient information, collected copays and verified insurance.Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature. Completed appeals and filed and submitted claims. Communicated with medical transcriptionists regarding patient medical records.Posted charges, payments and adjustments.Applied payments, adjustments and denials into medical manager system.Submitted refund requests for claims paid in error.Carefully prepared, reviewed and submitted patient statements.Ensured timely and accurate charge submission through electronic charge capture, including the billing and account receivables (BAR) system and clearing house.Efficiently performed insurance verification and pre-certification and pre-authorization functions.Performed full-cycle medical billing in medical billing company.Meticulously identified and rectified inconsistencies, deficiencies and discrepancies in medical documentation.Maintained updated knowledge of coding requirements, through continuing education and certification renewal.Adeptly managed a multi-line phone system and pleasantly greeted all patients.Verified patients' eligibility and claims status with insurance agencies.Diligently filed and followed up on third party claims. Accurately selected the proper descriptive code when more than one anatomical location was indicated. Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.Maintained strict patient and physician confidentiality.

Education and Training

1981 Mandeville High School Mandeville, LA

High School Diploma Business

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