CCS Billing Specialist
Resume:
CASSANDRA
HURT
CCS MEDICAL BILLING SPECIALIST
PHONE
**********@*****.***
WORK EXPERIENCE
Lake Oconee Urgent and Primary Care 12/2014 - Until now Eatonton, GA
Billing Specialist
•Establishes guidelines for proper coding/billing for providers.
•Work hand in hand with front office staff to ensure that the proper information was received for claims processing.
•Oversees and runs necessary reports to ensure that all statuses were worked in a timely manner and helped in any capacity necessary.
•Maintains and updates all files including insurance companies, diagnosis, procedure, fees/profiles.
•Run, process and ensures accuracy of patient statements on a bi-monthly basis.
•Works collections which included mailing of correspondence, working with patients to establish promissory notes for payment and if necessary forwarded accounts to collection agency.
•Resolves billing issues identified by insurance carriers and patients.
•Reviews claim denials and payer requirements for corrective action and prevention in the future.
•Researches and replies in a timely manner to insurance, patient, and internal customer inquiries.
•Keeps accurate records of all activity and conversations for each file.
•Posts payments to patient's accounts and verified medical insurance.
•Researches and resolves denials and EOB rejections within standard billing cycle timeframe.
•Arranges Medical files in numerical order and schedule appointments.
•Reviews billing edits and provided insurance company with correct information. RYSE Wellness Clinic & Spa 06/2015 - 01/2017
Buckhead, Georgia
Medical Billing & Coding
•Collected, posted, and managed patient account payments, and prepared and submitted claims forms to insurance companies and other third-party payers.
•Performed insurance verification, pre-certification, and pre-authorization.
•Entered procedure and diagnosis codes, and requisite patient information into billing software to streamline invoicing and account management; added modifiers, verified diagnosis, and coded narrative diagnosis.
•Responded to staff and client inquiries regarding CPT and diagnosis codes. EDUCATION
Bachelor's Degree in Healthcare Administration 06/2015 Kaplan University
Associate's Degree in Medical Office Management 12/2014 Kaplan University
Associate's Degree in Banking and Finance 12/2012
Kaplan University
Diploma in Accounting
SUMMARY
Motivated medical billing and
coding specialist with over
5years experience in health
operations management,
billing, and coding. Expertise in
ICD-9 and ICD-10, CPT coding.
Highly skilled in analyzing and
validating patient information,
diagnoses, and billing data.
Demonstrated leadership skills
that enable the processing of
high volumes of patient
information to achieve revenue
generation goals.
REFERENCES
Cherita Mallory
Certified Medical Coder
Alvina Christian
Teacher
Vicky Brown
Director
Kirby Robbins
Certified Medical Assistant
Diploma in Accounting 06/2003
Central Georgia Technical College
COURSES & CERTIFICATIONS
Certified Coding Specialist - Ahima 04/2019
SKILLS
ICD-9 and ICD-10 Coding HMOs, Medicare, & Medicaid Quality Assurance and Auditing CPT Coding
Medical Billing Medical Records Management
Patient Confidentiality
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