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Medical Insurance

Location:
Rockwall, TX
Posted:
February 06, 2017

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Resume:

Annette Welch, CPC CPC-I

**** ****** *****

Royse City, TX 75189

Cell Phone 214-***-****

Email:welchannette1@ gmail.com

To whom it may concern,

Please review the attached resume. My experience and expertise as a Certified Professional Coder (CPC) and Certified Professional Coder-Instructor (CPC-I) would be an asset to your team as a Coder, Coding Manager, or Business Office Manager. My many years of progressively responsible experience in the medical field involving physician coding, compliance, auditing and education could contribute to the financial success of your facility/department. Your organization could benefit from my skills, knowledge and experience as a Coder. Further, I also currently serve as a certified coding instructor of the Professional Medical Coding Curriculum (PMCC), teaching coding and compliance for the AAPC (American Academy of Professional Coders). My extensive and diverse experience affords me great leadership and teamwork skills as well as those required to be a dedicated, loyal follower. I look forward to meeting with you to discuss the exciting possibilities of joining your team!

Thank you for your time and consideration.

Sincerely,

Annette Welch

Annette Welch, CPC CPC-I

1112 Brazos Court

Royse City, TX 75189

Cell Phone 214-***-****

Email:welchannette1@ gmail.com

Objective

Position in a company with an emphasis in Medical Billing and Coding where I can utilize my skills with an opportunity for growth and advancement.

Experience

Divine Coding Institute- Irving, TX- AAPC Coding Instructor January 2014-Present

Responsible for developing strategies to deliver course material in both a blended and on-site learning environment for students preparing to sit for the CPC and/or CCS-P Exam

Responsible for organizing, preparing and regularly revising/updating course material

Responsible for utilizing educational technology to enhance the learning experience

Responsible for setting clear objectives and expectations for the course

Responsible for designing assignments and tests to conform to the objectives of the curriculum

Responsible for creating interactive classroom learning utilizing Blackboard Learn

Responsible for providing timely feedback to students in regards to their performance

Conifer Health- Frisco TX- Coder and Charging Specialist February 2016 - November 2016

Responsible for emergency room diagnosis coding

Responsible for emergency room charges

Responsible for radiology charges

Responsible for maintaining the emergency room charges and coding are billed within three days of date of services

Responsible for reviewing and researching insurance denials

Responsible for maintaining coding education to code accurately and effectively

Responsible for CPT and ICD-10 changes for the current year

Urology Clinics of N. TX- Dallas- Coder and Auditor- _ _ July 2015 - February 2016

Responsible for physician, staff and CEO education on importance of coding and documentation

Review and research insurance denials from collectors

Conduct quarterly in-services training and development education for staff and physicians

Communicate with staff, physicians, and CEO on any billing, coding, and compliance issues

Communicate with physician on audit results for the quarterly audits

Continue to Assist with ICD-10 inquires as needed

Maintain spreadsheet on pre-payment audits and internal audits

Coding review on difficult /distinct surgical procedures

Responsible for Quarterly Memo/educational information on billing protocol changes.

Responsible for CPT and ICD-10 changes for the current year

Texas Oncology- Richardson, TX Analyst Reimbursement-Gov’t Audits January 2009- July 2015

Receive the pre-payment audits and RAC audits

Responsible for requesting records from the BOM if they are not in the EMR system

Responsible for maintaining the spreadsheet for the pre-payment and RAC audits

Responsible for compiling data for the monthly board reports for the Controller

Responsible for auditing accounts to ensure that the records match what was given and what was billed

Responsible for coding Interventional Radiology Charts

Responsible for refunds, adjustments, appeals, answering the TXO coding questions and assisting with coding projects

Accounts Receivable Specialist Presbyterian Dallas, TX April 2004- January 2015

Performed medical billing and collection

Audited accounts to ensure proper payment

Performed refund processes

Posted patient payments

Performed insurance verifications

Assisted patients with billing questions

Appealed claims for denials

Achieved the Billing and Integrity Program for both Medical and Radiation Oncology

North Texas Heart Center- Dallas, Texas Patient Liaison/Insurance Verification Coordinator- 2004-2009

Performed medical billing and collection

Performed insurance verifications

Posted patient payments

Obtain Referrals

Obtain Pre - Authorizations

Assisted physicians with billing questions

Assisted with the front desk as needed

Assisted the accounts receivable department as needed

Super User for the practice management system

Multicare Medical- Richardson, Texas- Billing Clerk 2003-2004

PI Case Coordinator

Billed Workman’s Comp, Major Medical, and PIP claims

Posted patient payments and balanced the day sheet

Obtained Pre-Authorization for Workman’s Comp

Performed insurance verifications

Obtained Referrals

Collected on the Major Medical and PIP accounts

Brookhaven Family Medicine-Dallas, Texas - Receptionist 2001-2003

Responsible for answering the phones

Scheduled patient’s appointments

Performed insurance verifications

Collected co-pays

Checked patients in and out

Faxed prescriptions to the pharmacies

Notated patient’s account numbers on reports and placed the charts on the physician’s desk

Posted patient payments and balanced the day sheets

Receivable Solution, LC-Plano, Texas - Collector 2000-2001

Medical Collections

Knowledge of hospital and clinic system

Answered patients inquires about insurance policies

Performed insurance verifications and claim status

Executive Assistant

Operated the main switchboard

Maintained employees time, attendance and vacation requests

Responsible for Data entry for bankruptcy notices, consumer disputes verifications and return mail

Responsible for Data entry of employees collection totals

Dr. Anne K. Webb-McKinney, Texas - Receptionist 1998-1999

Answered patient’s inquiries on a multi - line phone system

Updated patient’s information

Scheduled patient’s appointments

Performed insurance verifications

Filed claims

Verified status of a claim

Posted patient payments and balanced the day sheet

Collin County Justice Center-McKinney, Texas - Receptionist 1997-1998

Responded to incoming phone calls on multi-line phone system

Greeted visitors and enforced Justice Center procedures

Organized medical records on current inmates

Organized inmates visitations

Skills

Proficient-Microsoft Word and Excel

Experience with medical software Lytec, QSI, Athena, and Misys

Answering up to 20 telephone lines

PBX switchboard

Blackboard Learn

Excellent communication skills

Vision Practice Management System

Iknowmed Electronic EMR Texas Oncology

XPER EMR for Interventional Radiology

Medifusion for Pathology reports

Nextgen EMR

Epic

Lynx

Casetrakker

Payer Compass

Athena

Education

Graduated from Anna High School 1996

Intro to PC at East Field College in Mesquite, Texas

Certified Professional Coder 2010 through AAPC-80 hour PMCC Coding Course

Certified Professional Coder Instructor 2013 through AAPC-Instructor Training

Affiliations

AAPC

Garner Little League-Fundraiser Representative 2003



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