Medical Records Billing
Resume:
Bridget Taylor
*** *** *** **** ***********, SC *9483 843-***-**** ad5tbt@r.postjobfree.com
PROFESSIONAL PROFILE
Customer service-oriented professional with 18+ years of combined medical records and healthcare industry experience. Able to provide timely and accurate data to ensure reimbursement for patient services and communicate effectively with co-workers, patients, and staff. Follows policies, procedures, and guidelines to ensure quality. Maintains patient privacy and confidentiality.
§Academic Honors: Ultimate Medical Academy Dean’s List; Wayne Community College Honor Roll.
§Healthcare Industry Software: eClinicalWorks Cloud-Based EMR; ZirMed RCM, Centricity Cloud-Based EMR, NextGen Cloud-Based EHR.
§Certifications: American Heart Association BLS, CPR, and AED.
§Work experience includes Medical Billing and Coding experience.
§Accustomed to handling sensitive confidential information.
§Team player who performs at high levels of productivity in fast-paced environments without missing a deadline.
§Demonstrates independent work initiative, sound judgment, and attention to detail.
§Microsoft Office Applications / MS Excel, MS Word; Typing Speed: 48 WPM.
KEY QUALIFICATIONS
Electronic Health Records (EHR) Electronic Medical Records (EMR) Release of Information
Front Office Operations Medical Office Procedures Scheduling Insurance Verification Insurance Claim Processing
CMS 1500 CMS 1450 (UB-04) Managed Care (HMO, PPO, and POS) Workers Compensation Medical Billing
Accounts Receivable Collections Co-Pay Deductibles Co-Insurance EOBs Medical Terminology
Anatomy and Physiology HIPAA Compliance Medical Coding (ICD-10-CM HCPCS CPT)
Revenue Cycle Management Posting Payments Government (Medicare and Medicaid) 3rd Party Payers
EDUCATION
Ultimate Medical Academy Associate of Science Degree – Medical Billing and Coding, 2020
Wayne Community College Office Systems Technology / Medical Program, 1998
RELEVANT PROFESSIONAL EXPERIENCE
Lincare – Summerville, SC 02/2023 – 08/2023
Patient Account Coordinator
Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
Perform appropriate follow-up for missing data elements such as CPT, HCPCS, ICD-9 codes and modifiers.
Provide quality customer service, maintain confidentiality, problem solving, and accuracy while complying with all HIPAA regulations.
Exifin INC. – Charleston, SC 06/2022- 10/2022
Payment Posting Specialist
Process and reconcile incoming payments accurately, ensure all transactions are recorded in the company’s financial system.
Maintain and update customer payment information, including bank account details and contact information, to ensure smooth transaction processes.
Initiate and manage electronic transfers, including ACH and wire transfers, ensuring timely and secure movement of funds.
Collaborate with the sales and customer service departments to resolve billing issues and improve the payment experience for customers.
Palmetto Digestive Disease – West Ashley, SC 11/2021 -05/2022
Billing Specialist
Prepare and submit invoices through electronic or non-electronic means to ensure processing and payment.
Issue and post bills, receipts, and invoices.
Resolve issues related to payments by clients such as rejection or deduction analysis.
Manage the status of accounts and balances and identifying inconsistencies.
The Mary Jenkins Center – North Charleston, SC 01/2020 – 10/2021
Medical Insurance Biller
Verify insurance coverage, process claims, and enter codes into patient records.
Utilize medical terminology and follow HIPAA guidelines.
Post claims, charges, and payments, follow up on claims, and file documents.
Palmetto Primary Care Physicians – Summerville, SC 07/2009 – 08/2018
Revenue Poster
Posted insurance payments to accounts, received payment posting lists, and compared method received from carrier.
Worked on special reports and projects and posted third party insurance payments and denials.
Maintained confidentiality, posted patient payments, and utilized eClinicalWorks EMR software.
Completed work within authorized time limits to assure compliance and performed other duties as required.
Palmetto Internal Medicine – Summerville, SC 05/2006 – 06/2010
Insurance Biller / Medical Records Clerk
Prepared, coded, and submitted claims to insurance companies, and handled and sorted mail.
Posted hospital charges, filed denials, and appeals, called insurance companies to follow up on claims, and verified patient demographics and insurance information.
Helped patients with billing questions, handled medical records requests, and faxed and filed pertinent information.
Processed x-rays, checked patients in and out, answered phones, and scheduled appointments.
Smart Document Solutions – Summerville, SC 02/2002 – 12/2005
Release of Information Specialist
Scanned and transmitted medical records for assigned facilities.
Handled medical record requests for attorneys, insurance companies, and patients.
Solved patient relation issues and ensured confidentiality of information.
Per-Se Technologies, Inc. – North Charleston, SC 01/2000 – 06/2000
Medical Coder
Coded Emergency Room reports for different hospitals and determined the proper CPT and ICD-9 codes.
Trained for and passed MCC final examination and became Per-Se Certified Coder.
Ensured work was completed in a timely manner with a high level of accuracy.
Palmetto Internal Medicine – Summerville, SC 05/1999 – 01/2000
File Clerk / Medical Records Custodian
Filed, faxed, and handled all medical record requests and scheduled appointments.
Sorted, opened, and passed out mail, and helped in the front office when needed.
Checked patients in and out for appointments.
VOLUNTEER EXPERIENCE
Society for the Prevention of Cruelty to Animals (SPCA) – Summerville, SC 06/2010 – 12/2019
Kitten Foster Parent / Volunteer
Cared for sick kittens to get them ready for permanent homes and helped stray cats in the neighborhood.
Trapped cats for spay or neuter surgery and released them.
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