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Customer Service Administrative Assistant

Location:
Cleveland, Ohio, 44126, United States
Posted:
November 29, 2018

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Resume:

**** * ***** **., ******** Park, Ohio ***** p.440-***-**** ac7twy@r.postjobfree.com

Stephanie Bartlett

Objective

Obtain employment as a Billing and Coding Specialist, utilizing extensive knowledge of medical terminology, insurance policies, knowledge of CPT, HCPCS, and ICD-10-CM coding, and Electronic Data Interchange.

Qualifications

Proficient in medical terminology, physiology and human anatomy, knowledge of ICD-10-CM/PCS, HCPCS, & CPT coding, familiar with NCCI Edits, NCDs, and LCDs. Collection and accounting of patients, insurance companies, TPAs, Billing and coding requirements pertaining to Medicare, Medicaid, Tricare, Worker’s Compensation, and commercial payers. Payment and remit posting, appeals, and denials. Understanding of EDI HIPAA 5010 requirements and usage. Use of Epic, Citrix, Medtech, Springcharts, Emdeon, Relay Health(ePremis), and Microsoft Office software.

Certifications

Certified Billing and Coding Specialist (CBCs)

Certified Medical Administrative Assistant (CMAA)

Certified Electronic Health Record Specialist (CEHRs)

Professional Achievements

The Privacy Rule and Health Care Practice Certificate of Completion

Precision Machining Technology Program Certificate of Completion

Seco Milling Principles Certificate of Completion

Manufacturing Technology Program Certificate of Completion

Work Experience

Clifton Cleaners June 2018 – Current

Assembly

Part-time. Inspect and assemble customer orders.

Premier Physicians March 2016 – September 2016

Billing and Coding Specialist

Reviewed documentation, entered data, and submitted professional charges to appropriate entities. Corresponded with Doctors and staff for utilization and organization of billing. Worked COBs, rejections, and insurance denials. Reconciled outstanding accounts. Provided customer service and entered payments.

Aerotek – The Cleveland Clinic Main Campus July 2015 – March 2016 Internal Med/Infectious Disease/IMPACT Professional Fee Coder

Reviewed clinical information for reimbursement, research, and compliance. Identified and applied diagnosis codes, CPT codes, and modifiers as appropriate. Ensured billing discrepancies were corrected. Compared and reconciled patient schedules/registration to billing and medical record documentation for accurate charge submission, processed professional charges, and facility charges. Investigated and resolved charge errors. Worked denials, and appeals. Communicated with providers and other support staff. Resolved Customer service issues relating to coding and reimbursement.

MSN Healthcare Solutions – Lorain, Ohio August 2014 – July 2015

Radiology/Pathology Billing Specialist

Tickler representative, demographics, patient accounts, charge posting, corrected coding and billing errors, processed clean claims, EDI representative (clearing house rejections and Payor IDs), denials and appeals.

Practice Management Consultants - Rocky River, Ohio Fall 2013

180 Hour Externship – Behavioral Health

Entered provider and patient data, verified patient eligibility and benefits; collect, post, and managed account payments, corrected and resubmitted claims to payors.

Education

Polaris Career Center

Middleburg Heights, Ohio

Medical Billing & Coding

2013

University Of Phoenix Online

Independence, Ohio

Associate of Arts, Health Care Administration/ Medical Records

2008 - 2012



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