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Senior Medical pillar full cycle

Location:
Mesa, AZ
Salary:
24.00
Posted:
October 13, 2023

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Resume:

Amy Zverina Senior Medical Biller

**** *. ******* // ****, ** 85204 // 602-***-**** // ad0cu5@r.postjobfree.com PROFILE Nineteen years of experience in all aspects of medical billing, accounts receivable, insurance credentialing, insurance claim status checking, obtaining authorizations for procedures and services, insurance CPT coding, HCFA electronic billing and coding, and collections.

EXPERIENCE SENIOR MEDICAL BILLER – CLAIMS TEAM

WebPT // Phoenix, AZ // 2015 - Present

Provides web-based electronic medical record systems for physical therapists, occupational therapists, and speech- language pathologists. In addition to its patient

documentation software, WebPT offers systems for billing, scheduling, and practice management.

ACHIEVEMENTS + HIGHLIGHTS

• Process front end claims. Audit all claims for over 100 physical therapy and chiropractic service members. Research and correct any rejections, confirm

authorizations, investigate claim delays and billing exceptions.

• Set up new insurances. Ensure that new insurances are correct, follow up on failed charges, reach out to members that have errors that require attention or corrections, send corrected claims when required.

• Interface with electronic clearing houses. Utilizing Change Healthcare and ZirMed, work on projects including insurance address changes and clearing house issues to ensure claims are billed correctly and received by the insurance companies.

PATIENT SERVICES / INSURANCE CREDENTIALING

Accident Chiropractic // Mesa, AZ // 2011 - 2015

A skilled and knowledgeable chiropractic office ready to help patients achieve a pain-free, healthy lifestyle. The highly trained staff works closely with its doctors to provide an evidence-based approach to care by utilizing chiropractic manipulation, soft-tissue techniques, therapeutic

rehabilitation, and a variety of chiropractic services. ACHIEVEMENTS + HIGHLIGHTS

• Patient services. Checked patients in, reviewed patient insurance coverage, scheduled appointments, took vitals on new patients, administered patient therapies,

including: muscle stimulation, traction, decompression; conducted ultrasound exams and developed x-ray films.

• Insurance verification and billing. Verified that patients had proper insurance coverage, obtained

authorizations for treatments and x-rays, managed all billing for personal injury patients, filed all liens, communicated with attorneys for status on payments, handled 3rd party auto insurance claims/collections.

• Billing, coding and authorizations. Handled all health insurance CPT coding, HCFAS/electronic billing, collections posting and obtained authorizations where needed by gathering patient history from previous doctors to ensure approval.

MEDICAL BILLING / INSURANCE AUTHORIZATIONS

True Imaging // Gilbert, AZ // 2008 - 2011

An outpatient facility offering an extensive line of imaging services, including Computerized Radiography (x-ray), Computerized Ultrasound (US), Computerized Tomography

(CT), Magnetic Resonance Imaging in high field and high definition (MRI), Digital Mammography, and Dexa Scans

(BMD). (Founded by the same owner of Accident

Chiropractic.)

ACHIEVEMENTS + HIGHLIGHTS

• Billing and authorizations. Handled all billing for x- rays, ultrasounds, MRIs, CAT scans, mammograms, bone density/Dexa scan studies. Obtained authorizations for abovementioned services. Managed claims status on

insurance claims.

PATIENT SERVICES / INSURANCE CREDENTIALING

Accident Chiropractic // Gilbert, AZ // 2004 - 2008 Owned by the same physician as above, however, in a different location.

ACHIEVEMENTS + HIGHLIGHTS

• Duties were the same as listed above.

EDUCATION HIGH SCHOOL

Marana High School / Marana, AZ // 1995

OTHER

Chiropractic Assistant Board Certified // 2006

OTHER SKILLS NOTARY PUBLIC

Arizona State Notary // 2006 – 2017

Currently inactive

REFERENCES Provided upon request



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