Billing Specialist

Laura L. Jones

**** ********* ******** **** ******, NC 27302

Cell: 919-***-****

Email: **********@*******.***

Professional Summary

I am enthusiastic, organized and have excellent people skills. I am professional with a strong work ethic and

a strong attention to detail. I am experienced in all aspects of a business office from front desk to office

manager.

Skill Highlights

* EPIC Maestro Care, Excel, Word, Outlook, Centricity, NextGen

* Detailed knowledge of HMO's, Medicare, and Medicaid

* ICD-9 coding, CPT and HCPCS coding

* Team player with a positive attitude

* Medical terminology

Professional Experience

Accounting Principals November 2013-present

Contract work with Duke PRMO

Cash Management-Payment Location

*Track and identify unreported/unapplied payments in the computer system, post undistributed funds and/or

adjustments if needed. *Transfer payments to posting department for payment application.

A/R Follow-up Professional Claims

*Research denied insurance claims in the EPIC system with calls to insurance companies, transfer

information obtained to proper areas for correction and resubmission.

Triangle Endoscopy Center November 2006 – September 2013

Office Manager/Billing Specialist

*Recruited to organize and oversee the business office administration in a new facility

*Worked as liaison with accountants and staff regarding payroll

*Verified invoices for accuracy then processed and paid in a timely manner.

*Compiled month end reports and submitted to Corporate Office

*Calculated, posted and reconciled the daily bank deposits/petty cash drawer

*Provided administrative support in monthly partners meetings with the physicians and nurse manager

* Checked inventory weekly and ordered supplies as needed

* Analysis and resolution of customers billing and insurance inquiries, always striving to provide the best

possible outcome for the patient as well as the facilities profit.

*Coverage for staff members as needed

* Assisted team members as needed with administrative needs

* Accurately posted facility charges after verifying ICD-9 and CPT codes

* Accurately posted insurance and patient payments.

* Insurance verification prior to scheduled procedures.

* Covered patient check-in and posted payments at time of check-in.

* Excellent customer service a priority via phone and in person.

James E Davis Ambulatory Surgical Center January 1996 - October 2006

Medical Records Coordinator/A/P Clerk back-up

* Independently reviewed, processed, distributed, and filed sensitive and confidential components of the

patient’s medical record.

*Maintained the security and integrity of all sensitive and confidential information in the patient’s medical

record per HIPAA regulations and Duke/DASC policies.

* Assisted staff with medical record audits needed for Physician review committees, governmental reporting

and AAAHC accreditation.

* Processed all record requests internally and externally per HIPAA regulations.

* Reconciled charges against invoices and purchase orders for accuracy prior to payment.

Honors

James E. Davis Ambulatory Surgical Center Employee of the Month

Education and Training

Orlando College, Orlando, FL Graduated with Diploma

Medical Assisting, GPA 3.9

Tuslaw High School, Massillon, Oh Graduated with Diploma

National Honor Society GPA 3.6

References

Steven Solik, MD

Triangle Endoscopy Center

Cell: 919-***-****

Email: **********@*****.***

Former Medical Director

Sheila Harmon

Davis Ambulatory Surgical Center

Office: 919-***-****

Email: ******.******@****.***

Former Office Manager

Tammy Gentry, CPC

Medical Coding Specialist

Davis Ambulatory Surgical Center/PRMO

Office: 919-***-****

Email: *****.******@****.***

Former Co-worker

Doug Buckland, Sr. Manager

Cash Management, PRMO

Duke University Healthcare System

Office: 919-***-****

Email: ****.********@****.***

Current Manager

Contact this candidate