Medical Coding Biller

Location:

Winnemucca, NV

Salary:

48000

Posted:

August 19, 2024

Contact this candidate

Resume:

Pushpa Bhusal Subedi

Contact

Information Home Address Contact

**** ********* **. *****: *************@*****.***

Winnemucca, NV 89445 Cell Phone:+1-903-***-****

LinkedIn: *************@*****.***

Objective: Dedicated CPC-certified professional, certified through the American Academy of Professional Coders(AAPC), with a strong foundation in medical coding and billing. Seeking to leverage expertise in ICD-10 and CPT coding systems, alongside comprehensive knowledge of insurance and payer policies, billing software proficiency, and meticulous attention to detail. Equipped with strong problem-solving abilities, leadership acumen, and excellent interpersonal and communication skills to contribute effectively to a dynamic healthcare environment.

Education Great Basin College, Winnemucca, NV

• Certified Medical Coding and Billing through the American Academy of Professional Coders(AAPC), May 2024

• Anatomy and Physiology I

• Anatomy and Physiology II

• Pathophysiology

• Executive Office Procedures and Management

Core

Qualifications • Medical Billings

• Confidential Records Maintenance

• Accounts/Claims Reconciliation

• Posting Balancing

• Quality Control

• EOBs Knowledge (HMOs, Medicare, Medicaid)

Working

Experience

• Walmart Associates (Part-time), Walmart Winnemucca Nov 2022-Present

• Medical Biller (Remote), Desert Blossom Health and Rehabilitation, Mesa, AZ April 2021-October 2022

• CNA, Heaven Health, Flagstaff, AZ Sept 2020-March 2021

• Khol’s Associate, Flagstaff, AZ Oct 2018-March 2019 Skills • Expertise in ICD-10-CM, CPT, and HCPCS Level II coding systems

• Comprehensive knowledge of insurance and payer policies

• Proficiency in billing software

• Attention to detail and accuracy

• Compliance

• Coding Guidelines

• HIPAA Policies

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• Strong problem-solving abilities

• Organizational and time management skills

• Effective communication skills

• Leadership acumen

• Excellent interpersonal skills

• Proficiency in handling office tasks such as scheduling, correspondence, and record- keeping.

• Strong verbal and written communication abilities for interacting with executives, staff, and clients.

• Proficiency with office software such as Microsoft Office Suite (Word, Excel, PowerPoint, Outlook). Ability to use office equipment such as printers, copiers, and fax machines. Responsibilities

• My responsibilities as a Medical Biller at Desert Blossom Health and Rehabilitation typically include:

• Claim Submission and Follow-Up: Prepare and submit medical claims to insurance companies. Follow up on unpaid claims and resubmit them if necessary.

• Insurance Verification: Verify patient insurance coverage and benefits. Coordinate with insurance companies to obtain prior authorization for certain procedures.

• Patient Billing: Generate patient statements and bill patients for services not covered by insurance. Assist patients with billing inquiries and set up payment plans if needed.

• Compliance and Record Keeping: Ensure compliance with federal and state billing regulations. Maintain accurate records of all billing transactions and update patient accounts.

• Communication and Reporting: Collaborate with healthcare providers, insurance companies, and patients to resolve billing issues. Prepare regular reports on billing activities, revenue, and outstanding claims.

• My responsibilities at Heaven Health Flagstaff as a Certified Nursing Assistant (CNA) typically include:

• Patient Care: Assist patients with daily activities such as bathing, dressing, grooming, and feeding. Help patients with mobility, including turning, repositioning, and transferring between beds and wheelchairs.

• Vital Signs and Monitoring: Measure and record patients’ vital signs, including temperature, blood pressure, pulse, and respiration rates. Monitor patients’ health and report any changes or concerns to the nursing staff.

• Support and Comfort: Provide emotional support and companionship to patients. Ensure patients are comfortable and assist with pain management under the direction of the nursing staff.

• Documentation and Reporting: Accurately document patient care activities and observations in medical records. Communicate effectively with the nursing team about patients’ conditions and any issues that arise.

• Housekeeping and Environment: Maintain a clean and safe environment for patients 2 of 4

by assisting with light housekeeping tasks. Ensure that patients’ rooms are tidy and supplies are stocked.

• My responsibilities as a Walmart and Kohl’s Associate:

• Customer Service: Greet and assist customers in a friendly and professional manner. Answer customer inquiries and provide information about products, promotions, and services.

• Sales and Merchandising: Help customers find and select products that meet their needs. Maintain the sales floor by restocking shelves, organizing displays, and ensuring merchandise is properly labeled.

• Cash Handling and Transactions: Operate cash registers, process transactions, and handle returns and exchanges. Ensure accurate handling of cash, credit cards, and other payment methods.

• Store Maintenance: Keep the store clean and organized, including fitting rooms, restrooms, and common areas. Follow store policies and procedures for loss prevention and safety.

• Team Collaboration: Work with team members to achieve sales goals and meet store performance standards. Participate in training sessions and meetings to stay updated on company policies and product knowledge. Certifications

• CPC (Certified Professional Coder through AAPC)

• Cryptography Basics

• Data Backup and Recovery

• Entry-Level Cyber Security Training

• Firewall Basics

• Vulnerability Scanner Basics

• Antivirus Basics

Awards/Achievements

Great Basin College, Winnemucca, NV

• Pennington Nursing Scholarship Sep 2022

• Dean’s List: Fall 2023, Spring 2024

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