Medical Billing Home Health

TAMMY MCWHERTER

**** ******* ** *** ** Delaware,Ohio 43015 740-***-**** ****************@*****.*** or *******@*****.***

OBJECTIVE

Motivated medical biller with experience with health care management and office management as well. Experience in ICD-9 and ICD-10. Highly skilled in analyzing and validating patient information, diagnoses, and billing data. Rejections and remittances. Demonstrated leadership skills that enable the processing of high volumes of patient information to achieve revenue generation goals. Specialize in Medicaid, Duel plans and Military insurances.

SKILLS & ABILITIES

ICD-9 AND ICD-10 Coding

Hmo’s and Medicare- medicaid

Operation Management

Quality Assurance

Medical Billing and Private Pay

Medical records Management

Patient Confidentiality

Office Machines

Multi Line Phones

Medicaid

Military Insurance

EXPERIENCE

January 2020 to

Current

September 2019

to December 2019

May 2017 to July 2019

Accounts Receivable Rep Orthopedic One 614-***-**** Kim Nice

Review remits and accounts with Staff and Patients.

Follow up on accounts needing Appeals on Medent

Write appeal letters and Documents needed to collect on Claims

Copying files and attaching files as needed.

Verify insurance Coverage. Apply for Auths or Retro Auths if needed.

Document on spread sheets my daily adjustments.

Adjust accounts according to Denials or payments.

Intake Officer & Billing, Marion Area Counseling Centers 740-***-****

Answer incoming intake calls, Schedule New and Past for intake to start treatments.

·Perform Insurance verification, Pre certifications and Pre authorizations as well. Collect payments and Chart the payment onto Spreadsheets.

Medical Billing coder, Sun Home Health 740-***-****

·Perform Insurance verification, Pre certifications and Pre authorizations as well. Collect payments and Chart the payment onto Spreadsheets.

·Respond to client and staff about codes and denials.

·Enter procedure codes and Diagnoses codes into Billing Software adding modifiers and coding narratives and verify diagnosis.

· Collect, post and manage patient account payments and prepare and submit claims to insurance companies and other third- party payers

Oct- 2008 to

Aug 2016

Food Service Coordinator, Delaware Area Career Centers 614-***-****

·Production of food and Serving Students and Staff

·Ordering and Inventory Daily, Weekly, Monthly and End of year.

·

EDUCATION

May 2017 to May 2018

May 1991

Aug 1982 to 1985

Medical Billing and Coding, On Line, Penn Foster (accredited)

925 Oak Street Scranton PA. 18515

Graduated 1991 Coral Springs,Florida, Clairmont High School

Delaware Hayes High School

Delaware Ohio 43015

REFERENCES

Kimberly Nice Orthopedic One Supervisor 614-***-****

Judy Dodge Sun Home Health Supervisor 740-***-****

Hillary Caldwell Sun Home Health 740-***-****

Jack Higgins DACC 614-***-****

Laura Williams Friend 740-***-****

Taya Noel Sun Home Health 740-***-****

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