Medical Billing

Adrian H. Walters

**** *** **** ***** ** Pegram, TN 37143

Home: 615-***-**** Cell: 615-***-****

**************@*****.***

Professional Summary

Highly organized and detail-oriented Administrator, Medical Billing Specialist, and Accounts

Payable/Receivable Specialist with over 9 years experience supporting a physician in a busy

medical office. Expertise includes managing and overseeing daily operations of the office,

verifying insurance coverage, maintaining records, and scheduling patient services including

patient billing and insurance claims.

Skill Highlights

*Professional multi-line phone etiquette and proficiency *Medical Billing *Accurate and

detailed *Filing and date archiving *Excellent

coordinator and scheduler *HIPAA compliance

*Works well under pressure *CMS-1500 billing forms

*Great communication skills

*Pleasant demeanor

*Advanced clerical knowledge including invoicing and patient accounts

Professional Experience

Andrew J LaMay, D.P.M. January 2005 to December 2014

Administrator, Medical Billing Specialist, Accounts Payable and Receivable Specialist

Bellevue, TN

Administrator

*Reduced overhead by taking on more responsibility with creative and administrative

projects. *Successfully implemented new technologies including electronic medical records

(EMR) and billing software programs to encourage continuous improvements.

*Adeptly managed and answered a multi-line phone system while recording accurate

messages. *Researched questions and concerns from the provider and provided detailed

responses. *Prepared and organized daily deposits for 3 different bank accounts.

*Opened and properly distributed incoming mail.

*Located, prepared, and checked in patient charts accurately and neatly for the clinics

and facilities including consent forms and physician orders.

*Professionally and courteously coordinated and scheduled surgeries for a surgeon and

booked operating rooms.

*Professionally and courteously coordinated and scheduled patient appointments for 2

clinic locations including verifying times with patients.

*Professionally and courteously coordinated and scheduled up to 18 nursing home and assisted

living facilities for regular visits.

*Coordinated luncheons with Pharmaceutical Representatives and Sales Representatives.

*Oversaw daily office operations.

*Managed office supplies, vendors, and organizations.

*Maintained a clean reception area.

*Treated all patients, their families, visitors, peers, staff, and providers in a pleasant and

courteous manner.

*Responded appropriately to the physical, emotional, and development needs of patients and their

families.

Medical Billing Specialist

*Facilitated successful internal and external audits through sound and thorough documentation.

*Scanned documentation and entered into the electronic medical records (EMR) database

accurately.

*Reviewed medical records for completeness and filed records in alphabetic and numeric order.

*Maintained all medical charts and/or electronic medical records (dictations, op reports, x-ray

reports, test results, nursing home and assisted living orders and consent forms).

*Maintained updated knowledge of coding requirements through continuing education and

certification renewal.

*Accurately assigned appropriate medical codes and the proper descriptive codes when more than

one anatomical location was indicated with a 100% accuracy rate.

*Determined prior authorization for out patient surgical procedures and high tech radiology.

*Reviewed, analyzed, and managed coding of diagnostic and treatment procedures.

*Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement

accuracy. *Resourcefully used various coding books, procedure manuals, and on-line encoders.

*Accurately submitted and posted all medical claims for timely filing.

*Confidently and adeptly handled claim denials and/or appeals.

*Maintained accurate records of patient care, including conditions, progresses, and concerns.

*Verified patients' eligibility, benefits, and claims status with insurance companies.

*Responded to correspondence from insurance companies.

*Posted and adjusted payments from insurance companies.

*Maintained strict patient and physician confidentially.

Accounts Payable and Receivable Specialist

*Processed all accounts payable, accounts receivable, and payable discrepancies.

*Tracked and monitored all collection progress, including payments due from patients

and promptly contacted patients with past due payments.

*Improved timely paying of bills by developing flexible payment plans for patients.

*Maintained and updated collections tracking spreadsheets to help organize payment

information.

*Printed and reviewed monthly patient aging summary reports.

*Prepared billing correspondences and maintained a database to organize billing information.

*Generated invoices upon receipt of billing information and posted receipts to appropriate patient

accounts. *Managed and

responded to all correspondence and inquires from current facilities, prospective facilities, current

patients, and prospective patients. *Communicated with patients

and facilities to identify, investigate, and resolve outstanding problems and issues.

*Identified and resolved patient

billing and payment issues.

Education and Training

McVey and Associates

Podiatry Coding and Billing

Nashville, TN

Attended annual seminars in 2010, 2011, 2012, and 2013

Nashville Christian School

High School Diploma

Bellevue, TN

Graduated with Honors in 1997 with a 3.6 GPA

References

Ms. Melanie Bowers, Business Manager for Nashville Surgery Center 615-***-****

Mr. David Wiegand, Prothetist/Orthotist 615-***-****

Ms. Amy Young, Social Worker for Lakeshore Meadows of Bellevue 615-***-****

Mr. Steve Swearingen, Social Worker for Bethany Health Care in Nashville 615-***-****

Ms. Lisa Harlow, Director of Sunnington Assisted Living Center in Murfreesboro 615-***-****

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