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Medical Billing and Coding Specialist

Location:
Lebanon, OR
Posted:
July 01, 2024

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Resume:

Miranda Giron

I’m looking to be part of a nimble, autonomous, transparent business that collaborate and engage employees for mutual benefit of growth for both the business and employees. Lebanon, OR 97355

*********@******.***

+1-541-***-****

Dedicated, go-getter, and skilled business professional with a versatile administrative support skill set developed through experience as an office manager, receptionist, and medical billing specialist and medical coder.

Authorized to work in the US for any employer

Work Experience

Medical Billing and Coding Specialist

Peak Management Group (OnePeak Medical)-Medford, OR May 2022 to Present

Currently I’m the only Biller and Coder; as well as 1 of only 3 staff with knowledge of lab charge posting. Account receivables, patient communication via phones, emails, and patient portal. Create instructions aka ‘cheat sheets’ for new billing staff, front office staff, coders, and management to reference while learning the EHR/PM systems. Review chart notes for the encounters of 5 providers, make coding corrections of ICD10 or CPT and/or modifiers, insurance or patient demographic errors, etc, if needed, then submit claims to appropriate payer. This is family practice, dermatology, and hormone therapy services. Analyze and research claim denials, insurance, and patient balances. Self taught EHR, PM systems, patient engagement programs, payment system (DRC, Nextgen, Instamed, Phreesia, Clinect) Medical Billing and Coding

Oregon Health Professionals-Shady Cove, OR

March 2021 to May 2022

Medical Coding and Billing at 3 locations for 2 practices and 4 providers. Trained front office staff, worked with 2 different practice management programs and EMRs. Worked rejections and denials of claims, patient balances, patient collections and payment plans. Learned and helped train staff on Athena (EMR/ PM) then switched back to MicroMd 4 months after Athena had been implemented. Owner ended up putting clinic up for sale to semi-retire.

Customer Service

The Yard Food Park-Salem, OR

December 2018 to September 2020

Used Square to track orders and sales. Cooked orders when ordered and prepped fresh vegetables. Followed and helped implement procedures that are most efficient to help with the workflow between kitchen staff and cart staff. Trained new staff. Tracked inventory Medical Recovery

Due to Car Accident

September 2014 to December 2018

Was going through rehabilitation after car accident that broke my back in 3 places, concussion, short term memory loss, and minor cuts, scrapes and bruises Assistant Office & Billing Manager

Brune Dermatology, LLC-Corvallis, OR

February 2012 to November 2014

Coordinated all office functions and supervised a team of 2 Medical Receptionists, 1 Billing specialist, and 6 Certified Medical Assistants. Developed efficiency-enhancing workflow/processes that made it possible to accommodate -increasing responsibilities necessitated by an added Physician's Assistant. Train all front office and billing staff on office procedures that are most efficient to help with the workflow between the front office staff and the medical staff. Implemented in house billing department Medical Biller/Referral Specialist

Retina Consultants, LLC-Salem, OR

December 2010 to February 2012

Requested referrals and Pre Authorizations when needed Managed accounts receivable. Made financial arrangements with patients. Was back up for front office receptionists for checking patients in/out, collecting co pays or account payments, preparing charts for future appointments, scheduling diagnostic, office visits, and/or procedures.

Medical Biller

Willamette Valley Professional Services/Salem Health-Salem, OR April 2009 to November 2010

Managed accounts receivable. Contacted insurance companies for aging claims for all specialties. Backed up Patient Account Representatives on multi-line phones. Helped with other miscellaneous tasks as needed.

Education

Associates of Applied Science in Medical Billing & Coding Daytona College

2013

Coursework in Introductory Accounting

Benton Comm. College

February 2003 to June 2003

General Education Diploma

Benton Comm. College

1994

Skills

• Customer Service

• Call Center

• CSR

• Customer Support

• Multi-line Phone Systems

• Medical Billing

• Accounts Receivable

• Medical Records

• Medical Coding

• Office Administration

• Microsoft Excel

• Microsoft Word

• ICD-10

• General Ledger Accounting

• CPT Coding

• Bookkeeping

• Office Management

• Financial Report Writing

• Account Reconciliation

• Balance Sheet Reconciliation

• Insurance Verification

• Data Entry

• EMR Systems

• ICD-9

• Phone etiquette

• Microsoft Outlook

• Communication skills

• Primary care

• Computer skills

• Medical office experience

• ICD coding

• Medical Terminology

• Epic

• Athenahealth

• HIPAA

• Anatomy Knowledge

• Medical collection

• Medical records

Awards

Academic All-American

1992

GPA 3.26+

Certifications and Licenses

Food Handler Certification

Certified Billing and Coding Specialist

December 2023 to December 2025

National Healthcare Association

Medical Coding Certification



Contact this candidate