Ambulance Repetitive Patient Coordinator/Billing Specialist
Resume:
CHELSEY HILTON
**** *** *** *****, ****, AR *****
Email: *****************@*****.***
Cell: 870-***-****
PROFESSIONAL SUMMARY
My first job title was a Certified Phlebotomist Technician in 2011. I began working for an Emergency Ambulance Service as an Ambulance Claim Coder in 2016. I really enjoyed coding and decided to increase my skills within the Ambulance company. I acquired an additional job within Ambulance services as an Ambulance Repetitive Patient Coordinator in 2019 and continued Claim Coding up to October 2024. I have a total of 8 years and 4 months experience in Medical Coding and Health Insurance billing.
EDUCATION
Cayuga High School - 17750 US-287, Tennessee Colony, TX 75861.
I attended Cayuga High School but didn't graduate there. I moved back to Hope, AR and was able to acquire my GED from the Arkansas Department of Education in 2009.
WORK EXPERIENCE/JOB DESCRIPTION
Phlebotomy Technician - 2011
•As a Certified Phlebotomist Technician, I had computer skills for medical data entry.
•I collected blood samples for patients in a hospital inpatient/outpatient setting.
•I collected and labeled blood/urine samples and performed routine drug tests for patients.
•Accurately labeled vacutainer tubes with patient name, date, and time of collection.
•Performed bedside tests like bleeding time tests and entered results into patient charts.
•Followed safety precautions within the workplace.
•Communicated with patients on-site at the hospital to gather information for lab records.
•Experience in this field: Less than a year (This was my introduction into the Medical career).
Ambulance Claim Coder/Billing Specialist - 2016 to 2024
•Experience in this field: 8 years and 4 months
•Coded ambulance transportation claims for all types of insurance.
•Over 8 years billing experience in Medical Coding for all types of insurance including Medicare, Medicare Advantage Plans, Medicaid/Brokers, and Commercial insurance.
•Extremely knowledgeable in reviewing and obtaining Certificate of Medical Necessity/Physicians Certification Statement forms, Prior Authorization forms, and Medical Records requests via secured fax or e-mail.
•Verified eligibility for insurance such as Medicare including: Part A stay (inpatient status) and Part B coverage.
•Productivity: 15 to 18 claims per hour.
•Excellent knowledge of CPT/HCPCS/ICD-10 CODES for Medical Terminology in Medical Coding.
Ambulance Repetitive Patient Coordinator - 2019 to 2022
•Experience in this field: 3 years
•Managed the repetitive patient insurance billing systems.
•Organized team communications and information for repetitive patient meetings.
•Updated policy procedures and ensured success within the department.
•Managed patient evaluations and correlated with supervisors in order to approve ambulance transportation.
•Obtained Certificate of Medical Necessity, Physicians Certification Statement, and Non-Emergency Ambulance Transportation forms for Medicare and Medicaid from Physician offices and other healthcare facilities.
•Communicated with patients and facilities for Dialysis, Wound Care, Physical Therapy, Cancer Treatment.
•Improved operations within the billing department by following procedures and state guidelines set forth by Medicare and Medicaid.
•Followed the HIPAA guidelines to ensure patient confidentiality and company integrity.
•Excellent experience in using Microsoft Excel spreadsheet and Microsoft Word.
•Logged patients information, weekly appointments, and account balances into the patients chart.
•Coded ambulance transportation claims for repetitive patients using appropriate medical terminology and ICD-10/CPT codes.
•Developed strong working relationships with management and executive team members for effective communication daily.
•Documented patient and team correspondences into our database for each patients account.
•Obtained Medical Records from Hospitals, Physician offices, Dialysis centers, Hospice, Home Health and other healthcare facilities.
•Faxed or e-mailed requests for completed PCS/CMN/NEAT and prior authorization forms then scanned and filed documents into the patients records.
•Extremely knowledgeable in reviewing, obtaining, and faxing the following medical forms: Certificate of Medical Necessity, Physicians Certification Statement, Prior Authorization, and Medical Records.
•Managed and organized patient documents through a filing system.
•Researched and verified patient insurance, eligibility, and patient information.
•Contacted patients insurance to obtain authorization numbers for transportation and payment.
•I obtained Acceptance of Financial Responsibility Forms for patients where their insurance would not cover payment for reoccurring appointments. Knowledgeable in calculating contract rates for payment of said services to the patients. Communicated with the patients and healthcare facilities to obtain secured payment of services rendered via cash or visa/debit/credit transactions.
•Ensured that all patient information and documentation was accurate and up-to-date daily for billing purposes and financial security.
•Met with the Office of Audit and Compliance Teams for patient medical necessity review bi-weekly.
RESUME SUMMARY
I take pride in my work ethic and my ability to code fast and accurately. I am very dependable and push myself at everything that I do. My goal is to apply my years of experience in Medical Coding and Medical Records to accomplish my long term goals and progress in my career.
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