Medical Billing/Coding Medical Front Desk Receptionist

~ TaKaye D.Donahue ~

**** ******* **. *********, ** 77471; Cell 832-***-****

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

PROFESSIONAL SKILLS AND KNOWLEDGE

Microsoft Word, Excel, Outlook, TexMed Connect, Medisoft, Vesta Home Health Billing Software, Medicare Ability Network, Medical Terminology, CPT-10 and ICD-9 codes. Health Insurance Portability and Accountability Act (HIPPA), Emergency Medical Treatment and Active Labor Act (EMTALA) Data Entry, Financial Counseling, Typing and Ten Key by touch. Cash handling and Collections experience. Excellent verbal communication skills, Committed to Superior Customer Service, Experience in working in fast paced environments with extensive clerical and answering heavy phone lines. Trustworthy, ethical and discreet.

EDUCATION

Genesis Vocational Training, Houston, TX 08/2001

Medical Billing and Coding Certificate

PROFESSIONAL EXPERIENCE

OakBend Medical Group, Sugarland, TX 04/2015-Current

Billing Specialist

Translate patient information into alphanumeric medical code

Collect, post, and manage patient account payments

Submit claims to insurance

Prepare and review patient statements

Review delinquent accounts and call for collection purposes

Process payments from insurance companies

Sort and file paperwork

Ensure healthcare facilities are reimbursed for all procedures

Review patient records for treatment and diagnosis to ensure proper coding

Follow up to see if a claim is accepted or denied

Investigate rejected claims and insurance fraud and report if found

Coastal Medical Services, Inc., Houston, TX 12/2005-04/2015

Billing Coordinator Supervisor

Oversee the billing process of Medicaid/Medicare and commercial insurance for Home Health.

Ensure accuracy and completeness of billing information.

Create and process documentation related to billing.

Retrieve patient Medical Records to add medical documents to insure proper ICD-9 codes are billed.

Follow up on claim denials, pending, and aged claims. .

Verifies patients Medicaid and Medicare on a monthly basis.

Assists with timesheet checking for billing and payroll.

Perform various clerical duties.

Communicates with, Nurses, Field Supervisors, physicians' office staff, insurance companies, as well as patients and their families.

Baylor College Of Medicine, Houston, TX 02/2005-12/2005

Physician Billing Specialist II & Insurance Coordinator of Pediatric Urology

Provided high quality, accurate, and timely assistance to all prestigious physicians of the Pediatric Urology Department.

Ability to work in a fast-paced environment.

Handled stressful situations with resourcefulness and initiative.

Assisted with pulling Medical Records for inputting patient’s information and refiling them.

Obtained and verified patients insurance for authorizations/precertification

Entered, reviewed and submitted charges for patient procedures and services daily.

Assist patients with estimates and provided financial payment arrangements for surgeries.

Occasionally collects co-pays, deductibles, co-insurance, and surgical payments as well as self-pay.

Answered calls and provide specific details regarding insurance questions.

Provided general office and clerical support for the out-patient / medical office.

References available upon request

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