Medical Billing

NICOLE FLOYD

OBJECTIVE:

I am a professional with strong interpersonal and organizational skills. I have a keen ability to multitask a variety of challenges and responsibilities at one time.

EMPLOYMENT:

Florida Dept. of Health

Dental/Vital Statistic/OB/Gyn. Fla shots intake October 2014 to October 2015 (1yr contract)

Senior Clerk

Supervises employees by assigning work, reviewing progress and assessing performance.

Compiles, copies, sorts, and files records of office activities, business transactions, and other activities.

Computes, records, and proofreads data and other information.

HMS software, dental billing, verify all insurances, referrals, pre certifications, medical term.

Vital Statistic certified (Birth/Death certificates)

Stuffs envelopes and addresses, stamps, sorts, and distributes mail, packages, and other materials.

Immunization intake for Fla Shots, religious exempt intake.

Composes and types letters and other correspondence.

Orders materials, supplies, and services, and completes records and reports.

Answers telephone, responds to requests, delivers messages, and runs errands.

Reviews files, records, and other documents to obtain information to respond to requests.

Completes work schedules and arranges appointments.

Collects, counts, and disburses money, completes banking transactions, and processes payroll.

Communicates with customers, employees, and other individuals.

Maintains logs and inventories and prepares related reports.

Provides basic information to clients.

Determines program eligibility and provides program benefits to clients.

Inputs and retrieves program specific information and/or prints program documents.

Assigns and reviews work or other employees and trains as required.

Full-time college student

3/2013 to 6/2014 Nursing pre-req

Total Family Healthcare January 2012 to April 2013

Medical Biller

Performing outpatient coding and billing for Family Medicine, Sports Medicine, Substance Abuse, Mental Health and Weight Loss Management.

Ensure claims are entered and submitted with 48 hours of receipt. Accurately apply payments to patient accounts.

Post and reconcile insurance and patient payments. Research and resolve incorrect payments, EOB rejections, and other issues with outstanding accounts. Insure accuracy of insurance claims, incorporate Meaningful Use and PQRS Medicare reporting

Verify correct ICD-9 and CPT codes for a variety of specialties, Set up new patient accounts. Assign ICD-9 to physicians' diagnosis and insure correct level of service and various other CPT codes.

Fulltime college student 7/2010 to 9/2011 Nursing pre-req

South Lake Chiropractic October 2005 to November 2009

Medical Front Office/Billing

Scheduling appointments, typing, most insurance knowledge, medical billing, posting payments and charges. Insurance verification, referrals and pre-certifications.

Advertisements for company, retail sales, cashier. Reviews billing reports, confirmations, and tracks daily claim activity. Filing and appealing all medical claims. Electronic filing, accounts payable & receivable, check-in and check-out patients, medical records, medical collections, assist with x-rays, and ultrasounds.

Neurological Care Clinic February 2004 to October 2005

Medical Front Office/Biller

Using coded data to produce and submit claims to insurance companies

Working directly with the insurance company, healthcare provider, and patient to get a claim processed and paid

Reviewing and appealing unpaid and denied claims

Verifying patients’ insurance coverage

Answering patients’ billing questions

Handling collections on unpaid accounts

Managing the facility’s Accounts Receivable reports

Emmanuel Christian Health Clinic September 1999 to February 2004

Medical Front Desk Coordinator

Scheduling appointments, typing, medical billing and verification of insurances. Referrals and pre-certifications.

Reviews billing reports, confirmations, and tracks daily claims activity. Initiates and works up refund requests for overpayments.

Pre-certification requirements and procedures for filing and appealing claims

Electronic filing, chart filing. Trained new staff in front office procedures.

Advertisement for practice, health-fair associate, cashier, bookkeeping and accounts receivable, room patients, vitals, assist Physician with minor office surgeries, flu shot clinic.

EDUCATION:

Herzing University

-Associate Science of Nursing

City College

-Healthcare Management/Vocational Diploma

REFERENCES: Upon request

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