Billing Manager

EXPERIENCE

Billing Clerk/Receptionist Alpha Eye Associates, LLC

Smyrna, GA 2006-Present

Presently working as a Billing Clerk for an Ophthalmology office in Smyrna, Ga. Essential Duties:

* Examining super bills for diagnosis codes for accuracy, added modifiers as appropriate, coded narrative diagnoses and verified diagnoses in support of existing diagnoses

* Ensuring claims are timely and accurately charge submission attached with all required documentation including referrals, appeals, treatment plans or other required correspondence, through electronic billing and account receivables (BAR) system and Emedeon clearing house.

* Carefully prepare, review and submit patient statements to minimized the number of unpaid accounts. submitting refund requests for claims paid in error.

* Appropriately and correctly identified errors, re-filed denied/rejected claims when received from the insurance, then thoroughly review remittance codes from EOBS/AR’s, apply payments, adjustments and denials into our office’s medical manager system, Compulink.

* Act as a liaison between the business department, billers and third party payers in resolving billing and reimbursement accuracy by remaining up-to-date with all insurance requirements.

* Collect patients copays, schedule patient appointments, scheduled all surgeries in conjunction with the surgical coordinators at Emory University Midtown Hospital, as well as radiology tests at the various imaging locations throughout Atlanta.

* Serve as a liaison between patients and physicians to assist patients in understanding their treatment plans, medication, and any and all ophthalmic care.

Medical Assistant, ENT Institute Smyrna, GA 2004-2006

Worked as a back and front office medical assistant for an ENT office Essential Duties:

* Escorted patients to examination rooms and prepared them for physician exams.

* Support duties for diagnostic and technical treatment procedures, such as setting up and operating special medical equipment and apparatus.

* Assisted the physician with minor surgery for example myringotomies, tonsillar abscess removal, and several types of biopsies.

* Responsible for insurance verification of procedures such as CT scans MRIs, allergy testing, allergy injections and ENG. Served as a liaison between patients and physicians to assist patients in understanding their treatment plans.

* Scheduled appointments and other front office duties as well.

Back office clinical Medical Assistant

Dermatology Consultants Marietta, Ga 2002 2004

Back office clinical Medical Assistant

Dr. Paula Nelson and Associates Marietta 2000 2002

Medical Assistant (Internship)

Dr. Warren Weber Austell, GA 1999-2000

EDUCATION

High School Diploma Pebblebrook High School Mableton, GA, US 1993 - 1997 Pebblebrook High School

Medical Assistant Certificate Medix School Smyrna, GA US 1998-1999 Medix School

Computer Science B.A Georgia State University Atlanta, GA, US 2012 Present Georgia State University

SKILLS

Clinical Medical Assistant experience, Medical Billing with Electronic Remittance, Appointment Scheduling, Answering Multi-line phones,Medicaid & Medicare knowledge, Outpatient care, procedures & surgeries, Receptionist duties, Medical Terminology, Radiology Testing Phlebotomy, CPT-4 code, ICD-9, EMR Medical Records, Instrument Sterilization knowledge, Yag and MediLite Laser, Microsoft Office, Excel, Powerpoint, Pharmacology, Toxicology, HIPPA compliance,

REFERENCES

Upon Request

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