Rhonda Lehm
Willow Springs, MO *****
**********@*****.***
Professional Profile
Medical Biller with more than 20 years of medical, administrative, office management experience. Highly proficient in multiple aspects of billing, coding, working claims, collections, MIPS, HIPAA, and EMR. Skilled in developing, implementing and maintaining office policies in accordance to practice needs. Highly proficient problem solver, advocate for both the practice and staff.
Skills:
Experienced Surgical Coder
Billing
MIPS
HIPAA
Accounts Receivable
Accounts Payable
Credentialing
H/R
Surgery Scheduling
Collections
Insurance Verification/Benefits/Prior Authorizations
Recent Employment
2021 – 2024 Affiliated Colon and Rectal Surgeons, PC
Remote Biller/Coder/Accounts Receivable/MIPS reporting
Worked remotely coding and billing all endoscopy, surgery, and hospital charges. Processed claim denials from corrected claim to appeals, and reconsiderations. Posted all incoming payments from insurance and patients, applied correct adjustments and worked any denied line items for additional payments. Create and maintain Excel spreadsheets to report A/R to Bookkeeper. Selected MIPS measures, set up triggers within EHR, added any missing data, and perform yearly reporting to CMS. Perform all end of day/month reports, verify all numbers balance and forward to Bookkeeper.
2009 – 2021 Affiliated Colon and Rectal Surgeons, PC
Business Manager
Oversee daily medical practice operations managing staff and assisting physicians, to ensure a successful practice. Duties included: Accounts payable, accounts receivable, payroll, HR, credentialing, surgical coding, billing, appeals, collections, scheduling, HIPAA compliance, MIPS reporting, Developing implementing and maintaining office policies and procedures in accordance to practice requirements and make changes as needed to stay current with the insurance market. Complete FMLA paperwork. Oversee all surgical procedural and clinic scheduling, as well as, day to day operations of the clinic. Credentialing for 3 physicians, negotiate fee schedules, and/or contracts, keep PECO’s and CAQH attested and ensure all hospital privileges are current.
References: Available upon request.