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Remote Charge Entry/Coding Specialist

Location:
Austin, TX
Salary:
$11.00
Posted:
September 04, 2017

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Resume:

PHYLLIS WILSON

**** ****** *****, ******,** *****; 512-***-****

ac15fy@r.postjobfree.com

To whom it may concern:

Team work is the essential key in making a business run smoothly and efficiently. I have practiced this philosophy in my daily approach while performing the duties of my job.

I currently work in a fast-paced medical practice dealing with rigid deadlines, receivables and customer service.

My versatility and adaptability has proven to be an asset that helps me to realize my goals.

I am looking for part time work and work into full time work within one to two months, but I am willing to negotiate.

I would welcome the opportunity to further discuss my skills and this position. I have enclosed my resume for your review and I look forward to hearing from you and thank you very much for your time.

Sincerely,

Phyllis Wilson

PHYLLIS WILSON

8004 Petaca Trail, Austin,Tx 78729 C: 512-***-**** ac15fy@r.postjobfree.com

Objective

I am an energetic professional, looking for a position that will allow me to excel in my current abilities and provide me an

opportunity to add to my knowledge. I am currently in Charge Entry because of the merge of our company with HCA.

Skill Highlights

Eight years coding Physician Hospital and Reception duties, including multi line phone

Office charges. systems, scheduling appointments and surgeries.

Proficient in using CPT, ICD9, HCPC'S and Customer service including patient greeting,

learning ICD10. account resolution and assorted problem solving, to

Proficient in medical terminology, medical record make the patient's experience less stressful.

auditing and medical billing requirements. Experience with all office electronics, including fax,

Software products: Microsoft Office - including phone, copiers, scanners and computers.

Word, Excel and Outlook.

Software Medical Programs: Epic, Misys and Tiger

Producing and auditing reports for management,

physicians and insurance payers.

Work Experience

Charge Specialist 06/2002

St. David's Heart & Vascular (HCA Corp) Austin, Tx

Started with the company as an Insurance Verification Specialist and progressed to Coding II Specialist within 5 years.

Coding hospital charges for approximately seven physicians and non-physician practitioner's using CPT, ICD9 and

HCPC's guidelines.

Conduct follow up review of physician's and non-physician practitioner's reimbursement for accuracy.

Daily summary reports that are coordinated and reviewed for accuracy.

Trends or patterns of insurance denials are researched and brought to the appropriate personnel with recommendations

for action.

Assist in training new employee's and participate in planning and implementing new policies and procedures to

maximize workflow and production.

Our practice consists of 64 physician’s and 30 non-physician’s, in 12 clinics, 18 outreach clinics and several satellite

clinics and adding practices monthly.

Patient Care Coordinator 11/2001 to 05/2002

Surgery Center of Nacogdoches (Tenet Corp) Nacogdoches, Tx

Patient admits, assembling charts, verifying insurance, answering multi line phones and collecting payments.

Scheduling of surgeries and special procedures.

Various other clerical duties including interacting with physicians and nurses.

Generate reports for pediatric coordinator and four fifteen therapists: Speech, Occupational and Physical Therapists.

Front Office Receptionist

Starbright Clinic (Health South Rehabilitation)

Verified all insurance and obtained all referrals and authorizations.

Knowledge of all insurance contracts.

Tracked existing authorizations: Submitting reports to physicians and insurance companies.

Monitor insurance denials and also assisted patients and billing office with insurance resolutions.

Collect copays and deductibles, process deposits and balance ledger at the end of the day.

Updated and transferred all patient information to Business Office.

Admissions Floater, Insurance Specialist, Medicare/Quality Assurance Coordinator

Nacogdoches Medical Center (Tenet Corp)

Out patient, In Patient and E/R Admissions

Complete orders for all diagnostic testing.

Daily charting (updating information)

Insurance verification and EOB follow up, analyzing denials and performing appeals on recommendations for appropriate action.

Business Assistant

Dental Health Associates

Front office clerical duties: Scheduling appointments, bookkeeping and customer relations.

Reconciliation of payments, insurance processing and accounts receivable follow up.

Setting up contracts.

Responsible for opening and closing of the office daily.

Education and Training

High School Diploma: General 1976

Vidor High School Vidor, Tx

Certificate: Medical Billing 2002

Professional Career Development Institute

On line Medical Billing Course

08/2001 to 11/2001

Round Rock, Tx

09/1999 to 01/2001

Nacogdoches, Tx

06/1996 to 04/1999

Huntsville, Tx

Accomplishments

Progressed from Hospital Admissions Floater to Insurance Specialist within one year.

Accepted newly created position as Medicare/Quality Assurance Coordinator within one year.

Received recognition for ability to work unsupervised within two days training.

I have advanced into seven different positions in the 14 years I have been with my present employer, assisting each

department in becoming current and accurate in their daily processes.



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