Thirtza Mesadieu

561-***-**** ad2i2d@r.postjobfree.com

SUMMARY/OBJECTIVE

Motivated medical billing and coding specialist with over 17 years of experience seeking for a full time position in the healthcare system. Trained in ICD-10 coding, medical terminology, data management, data entry, conducting billing practices, and other administrative tasks. Familiar with various computerized coding programs and electronic health records.

SKILLS

Florida community health center 08/23/2021 Present Time

PSR -CHECK IN PATIENTS

Insurance Verification

Answer and follow up on calls from patients with billing questions.

Receive inbound and place outbound calls from and to customers, Medicare, Medicaid and Commercial insurance providers regarding patient accounts.

Answer and follow up on calls from patients with billing questions.

MEDICAL BILLING REPRESENTATIVE 10/2019 to 03/2020

BECTON & DICKINSON Stuart, FL

Investigate the reason of claims denial, and rectify the situation with the payer or patient.

Insurance Verification

Referral and authorization verification

Receive inbound and place outbound calls from and to customers, Medicare, Medicaid and Commercial insurance providers regarding patient accounts.

Provide written correspondence to audit requests to include investigation and obtaining of appropriate documentation to be attached to response.

Document status of billing and payment process in patient account for future follow-up.

Answer and follow up on calls from patients with billing questions.

Complete all internal system service ticket requests as assigned.

Work miscellaneous projects and tasks on an as needed basis.

EDI CLAIMS/MEDICAL BILLING AND CODING SPECIALIST 08/2002 to 07/2019 HEALTHCARE DISTRICT AT PBC Riviera Beach, FL

•Overseen daily Billing Department functions, including medical coding, charge entry, claims, payment posting, an reimbursement management

•Provided administrative support to physicians and interpreted medical reports and data to assign ICD-9 and ICD-10 codes; enter diagnosis codes and patient information into billing software (Diamond).

•Follow up on past due invoices and delinquent accounts to reduce the number of unpaid and outstanding balances.

•Uphold and reinforce compliance with hospital policies and federal regulations such as HIPAA.

•Trained and mentored new team members and managers on accounts payable systems and policies to build cohesive groups and promote operational performance.

BILLING SPECIALIST 03/2000 to 07/2002

MEDICAL BILLING CONCEPT INC. Delray Beach, FL

•Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.

•Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.

•Performed targeted collections on past due accounts aged over 30 days.

•Handled high volume of in-bound calls pertaining to reconciliation of delinquent accounts.

•Verified vendor accounts by reconciling monthly statements and related transactions.

•Generated financial statements and reports detailing accounts receivable status.

FRONT DESK CLERK 06/1997 to 02/2000

MORSE KRAMER AGENCY West Palm Beach, FL

•Prepared weekly employee work schedules for 10 team members so all shifts received adequate coverage.

•Maintained files and records by implementing effective filing systems that boosted efficiency and organization.

•Answered multi-line phone systems, responded to inquiries and transferred calls to correct departments and personnel.

•Used quick response and dynamic service skills to build relationships with patrons, improving customer retention rate.

•Resolved service-related problems in a timely manner.

EDUCATION

Institute of Career Education - West Palm Beach, FL 1999-2000

Medical Office Specialist And Coding

Agency For Health Care Administration - West Palm Beach, FL 1990

Nurse Assistant Training School Inc.

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