TERESA WOLCOTT, CPC
Leesburg, Florida ***** Tel. 315-***-**** ac3jtw@r.postjobfree.com
PROFESSIONAL SUMMARY
Well-regarded Certified Professional Coder with the skill, knowledge and competence that comes from over 3 years of medical billing and coding experience. Follows guidelines to assure consistent quality. Functions independently with limited direction or guidance. Ensures medical records are maintained with respect to patient confidentiality, completeness and timeliness and in compliance with HIPAA regulations.
Electronic Medical Records (EMR / EHR) and proprietary softwares.
Experienced with insurance verifications, denials, Medicare, Medicaid and Commercial Insurance.
Background includes Family Practice, Cardiology, and Hospitals.
Attention to detail needed to review and correct errors and maintain high levels of accuracy.
Ability to review Medical Records and knowledge of HIPPA
CORE QUALIFICATIONS
Medical Billing • Medical Coding • Payment Posting • Patient Services
ICD-9-CM • HCPCS • CPT • Proficiency in ICD-10-CM • Scheduling • Insurance Verification
CMS 1500 • CMS 1450 (UB-04) • EOB / COB • Collections
Government Payers • Medicare • Medicaid • Tricare • Third- Party Payers • Claims Documentation
Co-Payments and Deductibles • Medical Terminology • Anatomy & Physiology • HIPAA Compliance
Managed Care (HMO, PPO, and POS) • Worker’s Compensation • Office Management
Insurance Claim Processing • Insurance Billing Procedures • Disease Processes
MS Word / Office / Excel • Medical Office Procedures • Computer Skills • Data Entry • 10-Key Skills
CERTIFICATIONS / ASSOCIATIONS
Member of the American Academy of Professional Coders (AAPC), #01191825
National CPC Certification - Current with ICD 10
PROFESSIONAL WORK EXPERIENCE
Holiday Travel Resort – Leesburg, FL 12/2017 – Present
Customer Service of Retirement Community 55+ Park
Activity Director
Plans winter activities for residents of park not limited to dances, shows and special presentations
Print and sell all park club tickets to shows
Coordinate all communication for park’s monthly newsletter
Keep activity notice board current and organized
Maintain records of building use so there is no conflicts with clubs and shows
Ollies Bargain Outlet – Leesburg, FL 8/2016 – 10/2017
Cash Sales Associate: Direct sales and service to public
New store set up
Freight processing
Customer service at registers
Replenish front end at close of day
Train new employees
Follow company policies and procedures
Michael’s Craft Store - Lady Lake, FL 11/2015 - Present
Customer Service of retail merchandise: Direct sales and service to public
Replenishment Team
Unload merchandise from freight truck
Work merchandise to floor
Read POG’s for new merchandise and set to POG
Work new merchandise to aisle’s and free standing power point sale units
Run register to service customers for fast friendly service
Assist customers in finding items in store when working on the floor.
Visiting Nurse Services of Central Florida – The Villages, FL 04/2015 – 12/2015
Provider of residential home health care services.
Medical Biller
Perform insurance billing duties for commercial insurances, including review and verification of patient account information against insurance program specifications.
Review claims for compliance and completeness for claim submissions.
Submit and follow up on payer claims.
Resolve routine patient billing inquiries and problems.
Obtain addition authorizations via use of Patient Medial Records as needed for Nursing, Therapy, or HHA.
Verify ICD-9 & ICD-10 CPT, and HCPCS coding and handle payroll duties for 30 employees.
St. Elizabeth Medical Center – Utica, NY 11/2013 – 03/2015
General medical and surgical hospital with 181-beds and part of the Mohawk Valley Health System.
Medical Coder / Medical Biller
Worked remotely and on-site.
Processed medical billing utilizing EHR software for 8 physicians
Read physician notes, and coded notes for billing to patient insurance (commercial, Medicare and Medicaid).
Entered office visit procedures and diagnosis using ICD-9-CM and CPT codes into patient records.
CNY Cardiology – Utica, NY 12/2011 – 04/2014
Practice comprises a group of board certified cardiologists, nurse practitioners, and cardiovascular technicians providing state-of-the art cardiac care.
Medical Coder / Medical Biller
Verified insurance coverage (commercial, Medicare and Medicaid), updated patient demographic information utilizing EMR software, and obtained authorizations.
Processed insurance denials and duplicate claims and applied ICD-9 codes for Holter monitors.
Formatted a program to ensure all Echocardiograms were read by physicians, and billed and coded accurately and in a timely manner.
Brought past due accounts to a status of being current.
Fielded customer phone calls on accounts, balances, and insurance questions.
EDUCATION
Ultimate Medical Academy – Associate in Science Degree / Medical Billing & Coding, 01/2012
Ultimate Medical Academy – Diploma / Medical Billing and Coding, 05/2011
Mohawk Valley Community College – Associate of Science Degree