Medical Billing
Resume:
RB
REBECCA BOYD
**********@*****.*** 417-***-**** West Point, NE 68788
Analytical-thinking Medical Biller/Coder proudly offering over 15 years experience in reviewing accounts and maintaining patient records. Driven professional with a background in medical terminology, billing, credentialing, contracting, and coding. Offering task prioritization expertise in fast-paced environments. Billing procedures
Database management
Insurance Verification
Insurance billing
Analytical
MS Office
Healthcare claim coding
Medical record security
Medical terminology
Contract negotiations and administration
Surgical Billing Solutions, LLC
Springfield, MO
Business Owner
2002 - 2017
Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
Assigned additional diagnosis codes based on specific clinical findings
(laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
Verified proper coding, sequencing of diagnoses and accuracy of surgical procedures.
Interpreted medical reports to apply appropriate ICD-10, CPT, and HCPCS codes.
Reviewed account information to confirm patient and insurance information is accurate and complete.
Received, organized and maintained all coding and reimbursement periodicals and updates.
Read through patient health data, including histories, physician diagnoses and treatments to gain understanding for coding purposes. Interpreted medical terminology and pharmacological information to translate information into coding system.
Thoroughly reviewed remiĴance codes from EOBS/AR's. Sought clarification from physicians and other hospital personnel for answers to any needed coding interpretations prior to abstracting records. Reviewed and abstracted relevant clinical data from electronic medical records to select appropriate code for procedures. Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Coded medical observations and professional services delivered for each Summary
Skills
Experience
patient.
Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
Acted as liaison between business department, billers and third party payers in resolving billing and reimbursement accuracy. Communicated with healthcare personnel, including practitioners to promote accuracy.
Assigned Physician Quality Reporting System (PQRS) codes appropriately.
Maintained accurate and timely charge submissions utilizing electronic charge capture practices, including billing and account receivables (BAR) system and medical billing clearinghouse accounts. Investigated denials and collaborated with internal team members and third-party representatives to identify solutions. Flagged return claims and dealt with insufficient payments. Reviewed received payments for accuracy and applied to intended patient accounts.
Completed and submiĴed appeals.
Wyndham Hotels Dallas, TX
Convention Services Director
06/1998 - 06/2002
Managed all aspects of convention event details and related activities. Facilitated smooth and successful communication between client, hotel departments and external resources to meet expectations for exceptional guest experiences.
Leveraged talents to capitalize on emerging sales opportunities and consistently achieve target revenue goals for convention services. Listened actively and responded quickly to client needs to handle any associated challenges.
Exercised understanding of hotel offerings to plan, masterfully sell and detail all aspects of event orchestration for optimal guest experience. Synchronized planning and execution of simultaneous events at
[Number] square foot convention center.
Maintained close communication with clients to mitigate service issues. Designed and maintained spreadsheets documenting vendor, facility and guest information.
Organized corporate luncheons, dinners, conferences and special events. Recommended money-saving strategies for events to bring costs within budget.
Managed catering services, audio-visual services and housekeepers. Assessed events planning services and related costs. AĴended and participated in industry events.
Designed contracts, collected fees and booked venues for events. Organized venues, budgets, guest lists, catering and event timelines. Southwest Baptist University Bolivar, MO
Associate of Science in Nursing
12/2007
Loma Linda University School Of Nursing Loma Linda, CA Some College (No Degree) in Nursing
California State University San Bernardino, CA
Education and Training
Bachelor of Science in Biology
06/2002
Purdue University West LafayeĴe, IN
Bachelor of Science in Marketing/Management
08/1979
Member, Alumni Association - Purdue University
Member, Small Business Association (2005 - 2017) - Springfield, MO Activities and Honors
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