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Insurance Medical

Location:
Clearwater, FL
Posted:
January 11, 2020

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Resume:

Marilyn L. Bates, CPC

**** *. ******* **. #*-**

Clearwater, FL 33764

727-***-****

ada9y1@r.postjobfree.com

Summary of Qualifications

Healthcare Insurance Coding and Billing

CPC Certification

IBCS Certification with specialization on Medicare/Medicaid Coding and Billing

ICD-9-CM, ICD-10-CM and CPT-4 Coding

Abstracting Medical Documents to obtain Diagnosis, and Procedure Codes

Medical Terminology

Anatomy and Physiology

HIPPA Regulations and Compliance Training

Regulation Compliance

Policy and Procedures Development

Confidentiality Assurance

Healthcare Insurance Collections

Governmental Collection Practices and Policies

Utilization Management Review

Third Party Administration

Continuing Education

Certification, Medical Insurance Coding and Billing 2009 from Ultimate Medical Academy (UMA)

Clearwater, FL. Education in Healthcare Administration and Financial Services. MIBCS Certification,

CPC Certification.

Employment History

3/2019-11/2019 Metro Inclusive Health

Coder, A/R Specialist, Working Insurances, tasks include: Coding new charges as

well as fixing denials due to incorrect coding, Preparing new insurance intake

information, Checking insurance eligibility, Billing new claims and refiling claims,

Reprocessing claims over the phone for payments, Working insurance refunds,

1st and 2nd level appeals, Insurance Verification, Handling incoming patient calls

Prepping patients accounts.

7/2016 to 1/2018 Diagnostic Clinic, Clearwater, FL

Coder, A/R Specialist, Working Insurances, tasks include: Coding new charges as

well as fixing denials due to incorrect coding, Preparing new insurance intake

information, Checking insurance eligibility, Billing new claims and refiling claims,

Reprocessing claims over the phone for payments, Working insurance refunds,

1st and 2nd level appeals, Insurance Verification, Handling incoming patient calls

11/2013 to 6/ 2016 Clearwater Cardiovascular Consultants, Clearwater, FL

Coder, A/R Specialist, Working Insurances, tasks include: Coding new charges as

well as fixing denials due to incorrect coding, Preparing new insurance intake

information, Checking insurance eligibility, Billing new claims and refiling claims,

Reprocessing claims over the phone for payments, Working insurance refunds,

1st and 2nd level appeals, Insurance Verification, Handling incoming patient calls.

7/2009 to 10/2013 Medenet, St. Petersburg, FL

A/R Specialist, Working Insurances, tasks include: Coding new charges as

well as fixing denials due to incorrect coding, Preparing new insurance intake

information, Checking insurance eligibility, Billing new claims and refiling claims,

Reprocessing claims over the phone for payments, Working insurance refunds,

1st and 2nd level appeals, Insurance Verification, Handling incoming patient calls. 2nd team lead.

Honors Honor Roll-GPA 4.0-Ultimate Medical Academy, Clearwater, FL 2009. Consistent

Honor Roll Status in Studies and Preparations.

Skills Microsoft Office XP, Microsoft 8.0, Word, Excel, INGENIX Caretracker PM & Physician

EMR Software, Medenet Billing Software, Gemms Software. eCW EMR Typing speed: 65 WPM,

10-Key 150 KPM, Manual & WEB-Based Coding Techniques on ICD-9-CM, ICD-10-CM, CPT-4.

Accounting Principles, Office Supervision, Analytical/Critical Thinking Processes. Member

American Academy of Professional Coders.



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