Gwendolyn Searcy, CBCS

**** ******** ** ******* ******* 30032• 404-***-**** • ad2tec@r.postjobfree.com

Medical Billing/Coding Professional

Efficient • Deadline Driven • Team Leader

Education and Training

Detroit Business Institute - AA, Accounting

National Health Association - Certified Billing and Coding Specialist 2004 Areas of Knowledge and Expertise

Medical Billing/Coding Insurance Verification Billing Management Medical Terminology Electronic Claims Submission Accounts Receivable Collections CPT/ICD-9/HCPCS Codes Claims Auditing

Proficiency in: MS Office Suite Resolute Professional Billing Prelude / Cadence Professional Experience

Kaiser Permanente – Atlanta, Georgia October 2011 – August 2017 Senior Insurance A/R Analyst

Utilize Epic /Tapestry System modules Resolute/Prelude/Cadence to access and manage Work Queues and Registration Assist and guide department co-workers on all questions and concerns regarding commercial insurance claims Utilize Excel spreadsheets to access, edit, and update reports and cash posting Assist with resolving Member financial concerns and note the interaction in the patient record Resubmit insurance claims using CPT/ICD-9 Codes to process HCFA/CMS1500 forms Manage additional department reporting tasks in a timely manner and assist in other tasks when needed Process EOB and correspondences from all commercial insurances in a timely manner Process refunds for Members and commercial insurance company refund requests Edit HMS spreadsheets to update coding corrections Maintain high level of performance, accuracy, and cooperation within the department Resource Mosaic / Kaiser Permanente – Atlanta, Georgia July 2010 to October 2011 Benefits System Analyst - Contractor

Responsible for timely and accurate data entry from GCF Form into the Epic System Perform accurate data entry of group demographic data in all contract and benefit systems Analyze Sales Connect reports to monitor timely entry of contract installations and/or peering After data import validate all groups to make sure that the correct benefit package is signed Optimum Health -- Suwanee, Georgia February 2007- April 2010 Billing Manager

Manage five clinic Billing Department and billing employees Code and bill all claims from doctors SOP notes using CPT / ICD-9 / HCPCS Bill all Blue Cross/Blue Shield and Commercial claims electronically Enter payments from EOB to patient accounts using CPT / ICD-9 / HCPCS codes. Balance and close month-end aging reports

U.S. HealthWorks Inc. -- Alpharetta, Georgia July 2002 – February 2007 Medical Coder / Audit Analyst .

Code and audit E/M level claims from doctors dictation using CPT / ICD-9 / HCPCS Code Orthopedic notes from doctors dictation using CPT/ ICD-9/ HCPCS Capture and record all supplies from fee tickets for revenue generation. Create weekly summary log spreadsheet for doctor’s review. Educate doctors to comply with 1995 and 1997 guidelines HealthSouth Surgery Center -- Snellville, Georgia August 2001 - July 2002 Coding Analyst

Code Orthopedic and Surgery operative notes from doctors dictation using CPT / ICD-9 / HCPCS / NCCI Bill all Blue Cross/Blue Shield, Medicaid/Medicare, and Commercial claims electronically Enter analyzed codes to generate claims for Medicare, Medicaid, Blue Cross