Medical billing & Coding
Resume:
Veyola Johnson
Fresno, Texas 771545
**************@***.***
Career
Honest and ethical Billing and Coding Specialist, with
10+ years of experience within the Medical Operations
arena, who possesses excellent oral and written
communication skills and who interacts well with diverse
cultures. One who is currently seeking a position as a
Billing and Coding Specialist. I hope to find a company
where my Medical Office Front & Back End Operation
Experience, a positive attitude along with a
professional demeanor, will allow me to continue
attaining personal growth and career advancement.
Education
Memorial Hermann Hospital- TMC, Debra H. Swisher, CPC
Medical Billing and Coding
Attaining Certificate
Experience 4/2006-9/2014 Advanced Diagnostics
Houston, Texas
Direct Billing and Coding Specialist
Billed LTACS, Skilled Nursing facilities and patient
insurance for Radiology, Interventional, Nuclear
Medicine billing with Modifiers
Verified insurance, collections to the facilities,
insurance and patients accounts generated invoices
and HCFA 1500 claims.
Payments Posting, EOMB and Customer Service.
Performing medical billing and coding through federal,
state, third party payers (NaviNet, Novitas,
TMHP, RealMed, etc). Performing CPT and ICD- 9 CM coding
for this multi-specialty group.
1/2004-2/2006 Fort Bend Heart Center Sugar Land,
Texas
Medical Office Operations Specialist
Performed medical billing and coding through federal,
state, third party payers and patient self-pay
billing, for several Cardiologist; also performed
collection on delinquent accounts verified
patient insurance submitted claims in a timely manner
gathered patients primary and secondary and sometimes
tertiary insurance.
Collected patients co-pay, co-insurance, deductibles and
all other expenses the insurance company is not willing
or going to cover, while also handling patients
questions, complaints, problems and concerns and
researching
insurance billing and adjustment identification to
ensure proper account resolution
Qualifications
Strong knowledge of the Medical Office Front End & Back
End Operations Process, to which includes,
CPT & ICD-9-CM Coding, Charge Entry, Insurance
Verification, Obtaining Pre-Auth/Pre-Cert & Pre
Determination, Correcting Front End Edits,
Reconciliation, Payer & Patient Refunds, Correcting
Payer Edits, Medical Appeals, Over Turning Payer
Denials, Keeping Up With Payer Trends. System Knowledge
Includes, Easy print, EncoderPro, Medinfomatix, and EMR.
Payer Websites & Portals Includes, Novitas, TMHP, Navi
Net, Availity, RealMed, Emdeon, UHC Optum Cloud,
Amerigroup Online & Various Others.
Contact this candidate