Medical Billing

Teresa White

*** ********** **, ****** ** *****

Cell: 904-***-**** - **************@*****.***

Professional Summary

Inpatient and outpatient records coding specialist with ICD-9, ICD-10 coding expertise. Familiar with commercial and

private insurance carriers. Seeks a position of increased responsibility and authority.

Skill Highlights

Strong work ethic Knowledge of HMOs, Medicare

Team player with positive attitude OB-GYN, surgery, reproductive experience

Deadline-driven Managed care contract knowledge

ICD-9 coding

Professional Experience

Medical billing

September 2002 to May 2014

Jacksonville Center for Reproductive medicine - Jacksonville, FL

Provided administrative support for three physicians.

Carefully reviewed medical records for accuracy and completion as required by insurance companies.

Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as

well as clinical studies) in support of existing diagnoses.

Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered.

Accurately entered procedure codes, diagnosis codes and patient information into billing software.

Acted as a liaison between the business department, billers and third party payers in resolving billing and reimbursement

accuracy.

Received, organized and maintained all coding and reimbursement periodicals and updates.

Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.

Analyzed and interpreted patient medical and surgical records to determine billable services.

Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.

Thoroughly reviewed remittance codes from EOBS/AR's.

Confirmed patient information, collected copays and verified insurance.

Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses,

patient identification and provider signature.

Completed appeals and filed and submitted claims.Communicated with medical transcriptionists regarding patient

medical records.

Posted charges, payments and adjustments.

Applied payments, adjustments and denials into medical manager system.

Submitted refund requests for claims paid in error.

Carefully prepared, reviewed and submitted patient statements.Ensured timely and accurate charge submission through

electronic charge capture, including the billing and account receivables (BAR) system and clearing house.

Consistently informed patients of their financial responsibilities prior to services being rendered.

Remained up-to-date with all insurance requirements, including the details of patient financial responsibilities, fee-for-

service and managed care plans.

Prepared and attached all required claims documentation including referrals, treatment plans or other required

correspondence to reduce incidence of denials.

Efficiently performed insurance verification and pre-certification and pre-authorization functions.

Education and Training

High School Diploma : General, 1987

Terry Parker High School - Jacksonville, FL

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