Jacqueline A. Stone

*** ***** ******

Apt *H

Syracuse New York 13203

315-***-****

ac9hg8@r.postjobfree.com

SUMMARY: Medical Biller/Coder with more than 13 years of experience in data analysis, proficiency with electronic medical records (EMR), strong knowledge of MS access, ability to work independently and collaboratively within a team environment, able to multi-task and meet tight deadlines, using excellent problem-solving skills.

PROFESSIONAL SKILLS:

Strong communication and organizational skills.

Adapts easily to change.

Even-tempered, non-threatening, friendly and cordial.

Dedicated professional in appearance and manner.

Proven record of dependability.

Proficient at handling multiple complex projects.

Strongly self-motivated and willing to assume responsibility.

Special talent for persuasion and problem solving.

EXPERIENCE:

Crouse Irving Memorial Hospital, Syracuse New York, 2002 - Present

Hospital Patient Guest Relations Specialist/Business Office/Customer Service/Billing Department and Patient Representative/Charge Master (CMD) Coordinator

Organize and code all documents related to due diligence for acquisitions.

Facilitate patient and family concerns.

Consult with physicians regarding Risk Management.

Review all insurance and coverage aspects for per-certification and authorization.

Provide onsite training to ancillary department staff to ensure charge generation processes are understood.

Educate hospital Directors of updates and new coding laws.

Research Medicare billing requirements prior to establishing service codes.

Recorder for Charge Master/Revenue Cycle related meetings.

Assist in development of coding policies and procedures for the charge master.

Maintain the PGR (Patient Guest & Relations) to ensure professionalism.

File and maintain Occurrence reports and Security claims in a timely manner.

Coordinates with Business Office to understand and maintain knowledge of government and non-government payment schedules and billing codes.

Perform posting charges and completion of claims to payers in a timely fashion.

Convert dosages to billable units.

Submit billing data to insurance providers.

Work claims and claim denials to ensure maximum reimbursement for services provided.

Perform Medicare/Medi-Cal reviews and audits.

Utilize TSI and RMS (Revenue Management System) to review costs, charges and reimbursement for high volume ancillary procedures.

Knowledge of all aspects of billing Medicare, Medicaid, Commercial Insurance, HMO’s No Fault and Workman’s Compensation accounts.

Knowledge of Sorian System.

Page 2 – Jacqueline A. Stone

EXPERIENCE (Continued):

Anesthesia Group, North Medical North – 1993 -1998

N. Syracuse, New York, 13088

Medical Secretary/Medical Transcription

Blue Cross & Blue Shield of Central New York - 1998 – 2000

344 So. Warren Street, Syracuse, New York 13202

Help Desk Specialist/PC Service Support

EDUCATION/CERTIFICATIONS:

Onondaga Medical Career School – EKG - 1996

521 Erie Boulevard West, Syracuse, NY 13203

EKG Technician

Medical Transcription – 1992

Medical Billing – 1998

Syracuse University/University College – 1998 – 2000

700 University Avenue, Syracuse, NY 13244

Computer Support Analyst/Help Desk Certificate Program

Bryant and Stratton College – 2004

James Street, Syracuse, NY 13203

Certification Outpatient Coding

Medical Coding ICD-9/CPT4 Coding Degree

Medical Billing

AMAB American Medical Billing -

Certification

Certified Medical Reimbursement Specialist

CMRS Certification

References upon Request

Contact this candidate