Substitute Food Service Worker/ Teacher

PROFESSIONAL SUMMARY

SKILLS

EXPERIENCE

CHERIA

BURGIS

C

B

Galloway, NJ 08205, 609-***-****, ************@*****.*** Dedicated professional with demonstrated strengths in customer service, time management, and trend tracking. Good at troubleshooting problems and building successful solutions. Excellent verbal and written communicator with a strong background in cultivating positive relationships and exceeding goals. Meticulous Billing Clerk versed in reviewing transactional data to verify accuracy and resolve variances. Astute problem-solver with high-level financial acumen coupled with 15 years of billing and coding experience. Maintains financial records and updates account databases. Willing to take on any task to support the team and help your business succeed. Offers strong organizational and problem-solving abilities.

• Statement itemization • Billing reconciliation • Mail sorting and correspondence

• Financial reporting • Financial transactions

Medical Billing, Coding, Credentialing, Revenue Cycle, MIPS/MACRA, I/P November 2017 - January 2022 Lee Hecht Harrison Parsippany, NJ

- Medical coding and medical billing (I/P, O/P, ASC, HH, SNF, CC, ED, Imaging, Cath Lab)

- Credentialing with Medicare, Medicaid, and Commercial payers

- Performance measures documentation

- Streamlining practice workflows

- Engaging stakeholders through education

- Providing feedback via periodic chart audits

- Re-engineering templates through CDI

- Reimbursement analysis to identify gaps

- Development of periodic executive level reports

- Revenue Cycle Improvements

- Electronic health record template creation / updates

- Compliance program

- Staff training, development, and mentoring

- Cost reporting file support

- wRVU reporting

EDUCATION

- Data analysis

- Chargemaster

Analysis of your productivity and customization of reporting from your system. Certifications: CCS, CCS-P, CIRCC, CDEO, CMARS, CICA, CPC-I, CPC Datasets: CPT-4, ICD-9-CM, ICD-10-PCS, ICD-10-CM, HCPCS Level II, RXNORM, NDC, LOINC, SNOMED CT, HL7, HSLOC, ICF, CVX, IS-A, HCPCS Level III

SYSTEMS: EPIC, CPSI, 3M, HBO, GE patient management systems IDX and GPMS, Allscripts/Touchworks, TES, Ingenix Claims Manager, Medinformatix, Meditech, eClinicalWorks, NextGen, AthanaHealth, SMS Signature, Cycare, BCA, OXFORD, MEDCAT, PM2000, Medical Manager, Mestamed, Medisoft, RIMS, NICE, HCPS, CSS, Dairyland, OfficeAlly, ClearCare.

Web-page experience: HTML 5.0, CSS, Python, Microsoft FrontPage, Visio. Data Entry Data Mitigation Medical Biller/Coder (Remote) January 2013 - October 2017 Ensemble Health Partners Cincinatti, OH

Maintained accuracy while entering high-volume data into designated fields. SKILLS: PDF Mail Merge, Convert PDF to Excel, Spreadsheets, Excel, Data Entry, Word, Google Sheets, Customer Service, Accounts Receivable, Website Design, Certified Medical Coder 15+ years in Data Entry, Data Mitigation, Data Conversion, Excel, Customer Service, Accounts Receivable, Quality Control, and MS Office. 10+ years in Medical Billing, Insurance, Coding, and Auditing

• Safeguarded data accessibility through effective file management and organization.

• Verified data accuracy by consistently reconciling work with documentation.

• Compiled data from sources and organized for manual or automated upload.

• Recorded, stored, and reported medical coding information to create statistics of healthcare encounters.

• Utilized correct coding for insurance policies and state law requirements. Coded medical claims to obtain reimbursement from various insurance companies and government health programs.

•

• Compiled, classified, and coded high volumes of patient data each day.

• Secured patient information according to HIPAA protocols by following strict procedures.

• Obtained payments by completing and posting bills to medical insurance providers. Bachelor's of Science - Business Administration December 2004 Montclair State University, Upper Montclair, NJ

Associate's of Science - Medical Billing and Coding June 2006 American Intercontinental University (Online), Buckhead, GA

Contact this candidate