Medical Billing

La Denna G.V. Pierce

** ******* ** *********, *.Y. 11717

***************@*****.*** 631-***-****

Education

Suffolk Community College: Brentwood

Major: Media Communications

Associate Degree

May 2010

Hunter Business School

Major: Medical Billing and Coding

Medical Billing and Coding Diploma

June 2013

Work Experience

Business Dynamics: Administrative Assistant/ Client's Representative Processing Specialist June 2017- Present

● Receives incoming Portals requests Multiple Assigned Clients responds with in opening e-mail retrieving information.

● EOB, Post-Payments Of Multiple Accounts will get Stamped, Dated, Signed and Highlight The D.O.S, The Patient's Name, Account Name and Request.

● Retrieving Requests of Authorizations, Denials, Appeals, Of Medical Information, and Medical Procedures.

● Finalize Release upon Request Information including Patients Medical Charts, Medical Records, Surgeries, Surgical Procedure’s, Scanning, copying, Filing, and Pulling Charts

● Electronically Transmits The processing of the Medical Operations into The Computer Software

● Phone Etiquette, Very Detailed Oriented, Double Check Work and Follow Up on The Client's Portal

● All Special Projects, High Requests Have a Timeline to either have done by the of the day or by the end of the month depending on the Portal of The Client.

● Knowledge Of HIPPA Guidelines, Knowledge Of Medical Terminology, and Knowledge Of The CPT 9 & CPT 10 Codes

● Verifying Insurances, Billing Out- Network & In- Network insurances

● Knowledge of Medicare and Medicaid Processing and Billing

● Post and update in Excel Spreadsheet of Payments on different accounts of the clients. Data Clerk: Nassau Central Guidance Counseling Services April 2016- June 2017

● Organizing files and collecting data to be entered into the company database

● Analyzing the data for errors

● Accurately entering information into various computer programs

● Performed clerical duties such as answering phones, sorting and distributing mail or sending faxes

● Great attention to detail

● Pre Authorizations, Denials and Appeals On Patients Medications

● Pulling Charts, Filing and Scanning Patient's Medical Record and Electronic E.O.B

● Medical Billing, Co-Pays and Post Payment From Insurances and Billing the Third Party Insurance in Out Of Network as well In-Network Billing

● HIPPA Guidelines and Knowledge Of Medical Terminology

● Setting Patients Appointments

Support Processing Specialist: First Data

September 2015- November 2015

● Managed complete data entry and customer support functions

● Managed Different Merchants Accounts

● Compiled reports on merchant accounts

● Transcribed phone messages

● Made courtesy calls to merchants once they received their statements

● Invoiced Accounts Balances, Verified Statements and Accounts Administrative Assistant: Broadridge Investor Solutions October 2013- February 2015

● Drafted letters and correspondence on a regular basis

● Scheduled meetings for managers and imported/exported paper work

● Maintained manager calendars in MS Outlook

● Maintained client information into QuickBooks & MS Excel

● Invoiced account balances, verified statements and accounts

● Set up interfaces between customer and clients

Three Peaks Physical Therapy and Massage, Islip, NY 07/2013 – 08/2013

Medical Biller

● Entered Patient Demographics into the Electronic Health Records

● Verified Patient Insurances, Billed Third Party Insurance, and Post Payments to the insurances

● Filing Charts, Pulling Charts, and Setting Appointments

● Data Entry and Prior Authorizations

Skills & Abilities

● Proficient using Microsoft applications: Excel, Outlook, PowerPoint & Word

● Consistently display professional phone etiquette

● Knowledge of using modifiers & terminology as well as scheduling

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