Medical Office Patient Care

Melissa Daughtry

Azle, Tx *****

682-***-**** *************@*****.***

PROFILE

Motivated Medical Billing and Coding graduate from Peloton college. I have over ten years of Patient Care Coordinator/ Treatment Counselor experience. Thorough knowledge in Medical Office Administrative Procedures. I am seeking a rewarding career where I can utilize my education and professional experience.

SKILLS

• CMS-1500 Claims Processing

• Anatomy, Physiology and Pathophysiology

• Comprehension of CPT, ICD-10-CM, HCPCS/Modifiers and Auditing

• Comprehensive knowledge of ICD-9 and ICD-10 Diagnostic and Procedural Coding, Current Procedural Terminology Coding, HCPCS Level II Coding and Coding Compliance

• Experience with a variety of Medical Practice Management Software, as well as Electronic Health Records

• Familiar with CMS-1500, EOB, SOAP Notes and office procedures

• Hands-on experience in abstracting medical records for coding compliance and medical necessity

• Health Care Common Procedural Coding System (HCPCS) Level II Coding

• HIPPA Privacy and Security

• ICD-10 Diagnostic and Procedural Coding

• Knowledge of Anatomy and Physiology and Medical Terminology

• Medical Office Administrative Procedures

• Medical Records Abstracting

• Medical Terminology

• Microsoft Word, Excel and PowerPoint

• Other general medical administrative duties as required

• Produce and maintain office procedure and policy manuals

• Proficient in Microsoft Office Suite, Medisoft

• Responsible for insurance aging, patient account aging follow-up and resolution

• Thorough understanding of commercial, government and other third party health insurance

• Understanding of Medical Insurance, Billing, Collections and Reimbursement

• Acquainted with Medicare rules and regulations

• Competent in insurance claims processing for outpatient professional services as well as inpatient facility services

• Complete understanding of appeals process, claims tracking and follow-up

• Current Procedural Terminology (CPT-4) Coding

• Experience in accounts receivable, management and collections

• ICD-9 Diagnostic and Procedural Coding

• Medical Collections

• Practice Management Software/Electronic Health Records

• Processed primary, secondary and tertiary claims

• Responsible for assuring day sheet balances supported documented patient load, procedures, charges and diagnoses

• UB-04 Claims Processing

WORK EXPERIENCE

Treys Mobile Mechanic, Fort Worth, Tx March 2016 - April 2021 Business Owner

• Marketing

• Scheduling Appointments

• Inventory

• Customer Service

• Invoices

Monarch Dental, Bedford, Tx May 2003 - May 2012

Patient Care Coordinator

• Present Treatment plans

• Insurance Verification

• Patient recall

• Scheduling appointments

• Billing and collections

• Check-in and Check-out desk

• Customer Service

EDUCATION

Peloton College, Arlington,Tx January 2024

Medical Billing and Coding

• Acquainted with Medicare rules and regulations

• Anatomy, Physiology and Pathophysiology

• CMS-1500 Claims Processing

• Competent in insurance claims processing for outpatient professional services as well as inpatient facility services

• Complete understanding of appeals process, claims tracking and follow-up

• Comprehension of CPT, ICD-10-CM, HCPCS/Modifiers and Auditing

• Comprehensive knowledge of ICD-9 and ICD-10 Diagnostic and Procedural Coding, Current Procedural Terminology Coding, HCPCS Level II Coding and Coding Compliance

• Experience in accounts receivable, management and collections

• Familiar with CMS-1500, EOB, SOAP Notes and office procedures

• Experience with a variety of Medical Practice Management Software, as well as Electronic Health Records

• Health Care Common Procedural Coding System (HCPCS) Level II Coding

• HIPPA Privacy and Security

• ICD-10 Diagnostic and Procedural Coding

• ICD-9 Diagnostic and Procedural Coding

• Knowledge of Anatomy and Physiology and Medical Terminology

• Medical Collections

• Medical Office Administrative Procedures

• Microsoft Word, Excel and PowerPoint

• Other general medical administrative duties as required

• Practice Management Software/Electronic Health Records

• Processed primary, secondary and tertiary claims

• Produce and maintain office procedure and policy manuals

• Proficient in Microsoft Office Suite, Medisoft

• Responsible for insurance aging, patient account aging follow-up and resolution

• Responsible for assuring day sheet balances supported documented patient load, procedures, charges and diagnoses

• Thorough understanding of commercial, government and other third party health insurance

• UB-04 Claims Processing

• Understanding of Medical Insurance, Billing, Collections and Reimbursement

• Medicare Reimbursement Systems

• Medical Records Abstracting

• Medical Terminology

• Communicate with third-party payers regarding claim issues, patient benefits, preauthorizations and referrals AWARD

Professionalism award, Arlington, Tx May 2023 - July 2023 Award for Professionalism

Perfect Attendance, Arlington, Tx May 2023 - July 2023 Presidents List, Arlington, Tx May 2023 - January 2024 President's list award

Dean's List, Arlington, Tx May 2023 - June 2023

Received Dean's List award.

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