Miranda Shirks

**** ********* **. ********** ** *0078

470-***-****

ad3avi@r.postjobfree.com

Objective: To obtain a position within a company which offers increasing challenges, responsibilities, advancement opportunities and the ability to utilize my communication, technical, and interpersonal skills.

Skills:

●Extensive knowledge of Medical Billing and Coding

Specialties

■Nephrology

■Dermatology

■ENT

●Perform CPT and ICD-10 coding to ensure accurate billing procedures were followed

●Educate Physicians and Clinicians regarding changes in coding compliance

●Attend payer specific seminars and webinars to ensure that the most accurate and compliant coding and billing is implemented

Proficient in Practice Management Epic and AllScripts :

●Schedule follow up visits, update patient demographics and insurance information

●Verification of insurance benefits and collections of co payments

●Answer multiple incoming phone lines

●Precert and schedule in office procedures, outpatient procedures, diagnostic testing, in office medications, and consults with other physicians

●Post all daily charges according to super bill and complete end of day close and balance

●Collect outstanding balances and set up payment arrangements

●Prepare medical records requests and fax to appropriate persons

●Print all schedules and prepare charts for next business day with referral, any scans, lab reports, and patient records available for physician

●Confirm appointments for following day

●Scan all correspondences into paperless chart system

Experience:

8/2012-Present - GA Kidney Associates - Billing Coordinator

●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.

●Handling Medicare, medicaid and blue cross blue shield

●Dealing with Denials, appeals and any healthcare insurance issues

●Made heavy outbound calls to insurance companies to get patient insurance information and to patients

●Cross-selling healthcare insurance to patients

●Answering patients’ billing questions. Handling collections on unpaid accounts .

●Scheduling patients for follow up appointments with the doctor and setting up test such as ultrasounds, CT's, Echocardiograms, Nucler Stress Test, Mammograms, Bone Density, Vein Mapping, and also scheduling them for Dialysis and placements for AV Fistula's.

2/2010-7/2012 - Marietta Imaging Center - Scheduling Specialist

●Managed around 60-80 outbound calls per day scheduling medical appointments of the patients

●Responsible for checking in and checking out patients.

●Perform insurance verification and precertification as well as ICD-9/CPT code verification.

●Update patient demographics and medical records.

● Answer a 26 incoming line phone system and scheduling patients for 8 modalities at 3 different centers. Balance and prepare daily deposits.

10/08-2/2010 - ENT Institute - Patient Service Representative

●Greet and assist patients in whatever way possible to ensure a pleasurable experience.

●Assist in office flow by preparing charts for the following day with radiology, pathology, lab results, and any office notes needed for visit.

●Check out patients and schedule all follow up visits.

7/07-9/08 - Georgia Cancer Specialists - Patient Service Representative

●Patient service representative in a fast paced environment.

●Answered multiple incoming lines and routed calls to appropriate persons.

●Ensured all new patient paperwork was completed, updated existing patient information, and scanned into EMR. Reviewed physician orders and scheduled follow up and additional appointments needed.

Education:

High School Diploma

Etowah High School - Woodstock, GA

References available upon request

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