Medical Billing Specialist
Resume:
Robin Fabian
Berwick LA 318-***-**** ************@*****.***
Professional Summary
Knowledgeable Medical Billing Specialist specializing in coding and medical terminology knowledge and health insurance. Talented at correcting and resubmitting claims, preparing patient charts for registration and reviewing health records to identify proper relationships between procedure and diagnosis codes. Offering 22-year background in reviewing, analyzing and managing medical record information to identify appropriate coding.
Skills
Medical Billing
CPT Coding
Billing
HIPAA Compliance
Payment Processing
Insurance Knowledge
Medical Records Management
Medical Coding
Spreadsheets
Medical Records Review
Billing Systems
Claims Adjustments
Billing Inquiries
Work History
Medical Billing Specialist, 09/2014 to Current
ACS Services – Lafayette, LA
Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
Researched CPT and ICD-10 coding discrepancies for compliance and reimbursement accuracy.
Located errors and promptly refiled rejected claims.
Precisely completed appropriate claims paperwork, documentation and system entry.
Posted and adjusted payments from insurance companies.
Prepared billing correspondence and maintained database to organize billing information.
Identified and resolved patient billing and payment issues.
Performed billing and coding procedures for ambulance, emergency room, impatient and outpatient services.
Precisely evaluated and verified benefits and eligibility.
Pre-certified medical and radiology procedures, surgeries and echocardiograms.
Printed and reviewed monthly patient aging report and solicited overdue payments.
Medical Billing Coder, 04/2009 to 09/2014
Med Express Ambulance Svc – Palmetto, LA
Reviewed outpatient records and interpreted documentation to identify all diagnoses and procedures.
Assigned appropriate medical codes with 98% percent accuracy rate.
Resourcefully used various coding books, procedure manuals and on-line encoders.
Reviewed patient charts to better understand health histories, diagnoses and treatments.
Used Meditech to assign procedure and diagnostic codes to patient records for billing purposes.
Verified signatures and checked medical charts for accuracy and completion.
Applied charges and updated patient records by using MediTech .
Performed billing and coding procedures for ambulance, emergency room, impatient and outpatient services.
Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Updated patient financial information to guarantee accuracy.
Guarded against fraud and abuse by verifying all coded data accurately reflected services provided.
Education
Diploma: 05/1985
New Iberia Senior High School - New Iberia, LA
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