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Medical Staff

Location:
Broomfield, CO
Posted:
September 16, 2015

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Resume:

Jeremy Steven Patton

Billing and Coding Professional

acrp1q@r.postjobfree.com

Phone: 770-***-****

Goal – To find a company that will allow me to use my gifts and talents as I search for financial and professional growth. In achieving this goal I will also be positively contributing to the company that I will be working for.

Experience

Nue Medical Consulting

Medical Billing Team Leader

6/2014 to current

Oversee the day to day operation of a particular client. This includes the total billing process from insurance verification to A/R and follow up and rebilling.

Coordinate training programs for staff.

Stay abreast of new developments and changes in assigned carrier and communicate to other departments.

Maintain monthly days in accounts receivable reports by database to track effectiveness of follow up by staff.

Provide feedback on performance of staff.

Work closely with staff in meeting and exceeding monthly accounts receivable goals.

Additional duties:

1. Maintains detailed knowledge of carrier guidelines and regulations.

2. Communicates with the supervisors regarding major problems pertaining to billing such as repeated billing errors, unverified eligibility, invalid CPT¬ICD9 codes, etc.

3. Elevates unresolved issues and problems concerning the team to the immediate supervisor in a timely fashion.

4. Coordinate with system support staff on user set-up and termination on a billing systems, perform, e-mail system and insurance websites (if necessary).

6. Monitors in-house staff work time and addresses problems such as tardiness, absenteeism, etc. Informs the department manager about these problems

Skills:

• Ability to work office billing systems including entering demographics, patient scheduling, pending recalls, looking up patient balances, entering notes, etc.

Grady Health System

Patient Safety Technician (Temp position)

Atlanta, Georgia

5/2013 to 8/2014

• The Patient Safety Technician provides one-to-one supervision and observation of patients who require special attention to assure their safety and comfort.

• He/she is accountable to the RN/charge nurse responsible for coordinating unit activities and will receive assignment from the Staffing Office.

• The Patient Safety Technician provides excellent services to all customers, and communicates effectively with team members.

Enterprise Consulting Solutions

Medical Credentialing Specialist (Temp position)

4/2014 to 6/2014

• Scheduling appointments with providers offices as directed by the ECS Site review Coordinator

• Travel to/from provider office sites

• Onsite assessment of required information

• Furnish an ECS Site Survey Satisfaction form to the provider for their optional completion

• Communication with ECS Site Review Coordinator to maintain the timely and accurate status of the assigned orders

• Faxing completed tools to ECS Site Review Coordinator

Phoenix Medical Group

Front Office Biller

McDonough, Georgia, October 2012 – March 2013

• Performed clerical administrative functions including: preparing and maintaining charts for new and existing patients; developing and maintaining easily accessible confidential files; scheduling appointments; verifying insurance and billing information: and, collecting co-payments and balancing cash payments.

• Managed in-bound and out-bound calls in an efficient manner to ensure proper dispatch.

• Counseled patients regarding their insurance coverage and out-of- pocket expenses, according to regulatory guidelines.

• Resolved administrative problems and inquiries with minimal supervision.

Enterprise Consulting Solutions

Medical Records Technician (temp position)

8/2011 to 1/2012

• Identified elements of a medical record's structure and content.

• Scan medical charts at various medical offices using company provided equipment.

• Upload scanned medical charts to the corporate data center via the internet to be reviewed by internal auditors.

• Serviced doctors’ offices and hospitals within a 300 mile radius.

Atlanta Cancer Care

Medical Coder

7/2007 to 3/2011

• Ensured all claims were filed to the carriers in a timely fashion.

• Maintain procedure and diagnosis code master files in the electronic medical record and the practice management system.

• Performed audits on the billing reports to provide feedback for physician coding and ensure accurate charge capture and entry.

• Created tools for communicating and implementing new CPT, HCPCS codes and Medicare Local Coverage Determinations for all staff and physicians.

• Served as the primary contact to resolve coding questions for the staff and physicians.

• Prepare Advanced Beneficiary Notices for Medicare Services.

• Analyzed new services from a coding perspective and provided information to identify proper billing and coding for the new services.

• Maintained billing codes in the Electronic Medical Record and worked with the support staff for the EMR to ensure proper linkage for charge capture.

Healthcare Information Services

Verification and Medical Biller

Willow Brook, Illinois April 2006– May 2007

• Authenticated patient demographic information while maintaining confidentiality for all patients served.

• Verified all physician and ancillary charges for accuracy and to ensure all charge data was captured.

• Assigned the CPT Codes after reviewing procedure notes logged in the system.

• Utilized multiple data bases and insurance websites to obtain and verify patient demographics, health benefits, and insurance.

• Resolved claim errors that were rejected per the claims department and HIPPA pre-edit reports.

• Responsible for running reports to maintain and ensured accuracy of work processed to assure that billing guidelines for specific carriers were followed.

AT&T

Office Support Clerk

1/2001 to 4/2006

Summary: Office Support Clerk, AT&T

Lisle, Illinois, January 2001 – April 2006

• Received, sorted, and logged incoming customer remittance payments.

• Maintained high production rates measured for volume and accuracy.

• Identified proper billing system to be used to process changes to customer accounts.

• Operated Opex30, Opex 150, and Apex IEM processing/sorting equipment to support my duties, along with the NCR7780 image/capture system.

• Utilized 10-key process work station to balance customer transactions

Education

College of DuPage

Certificate in Medical Office Billing and Coding Medical Billing and Coding

2004 to 2005



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