Certified Professional Coder (CPC-A)
Resume:
Shelby Hernandez
AAPC Certified Professional Coder (CPC)
Highly motivated and knowledgeable professional with more than three years of experience in insurance and medical billing. High attention to detail in order to maximize efficiency and accuracy in medical billing.
ado0jk@r.postjobfree.com
Cedar Park, TX
linkedin.com/in/shelbyh-001
SKILLS
CPC ICD-10-CM CPT-4 HCPCS Level II Data Entry Microsoft Word Microsoft Excel Insurance Denials Insurance Claims Insurance Predeterminations Dentrix Dental EHR Accuracy Verbal Communication Written Communication
WORK EXPERIENCE
Insurance Coordinator
Blue Ridge Family Dentistry
04/2017 - 11/2020,
Accurately and efficiently posted insurance payments to patient ledgers with use of the Explanation of Benefits
(EOB).
Resolved outstanding insurance claims and denials by communicating with insurance companies to provide any needed medical necessity or additional documentation. Verified patient's insurance benefits and worked with insurance companies to provide treatment plans and estimated out-of-pocket expenses to the patient.
Regularly researched payer guidelines for claim submissions and learned about any changing Current Dental Terminology (CDT) codes/HCPCS Level II "D" codes.
Assisted in educating dentists and dental hygienists on payer guidelines for various procedures to ensure they accurately captured proof of medical necessity to ensure maximum reimbursement. Excelled in dental anatomy and terminology and used this knowledge to educate patients and communicate effectively with insurance companies.
EDUCATION
Step-By-Step Coding 2021
Ozark Coding Alliance LLC (AAPC Accredited Institution) 12/2020 - 08/2021, Bentonville, AR
Step-By-Step CPC Exam Preparation Course (Key
Concepts: ICD10-CM Coding Guidelines, CPT Coding
Guidelines, HCPS)
Medical Anatomy & Terminology for Coding
Pharmacology for Nursing Care
High School Diploma/Dual-Enrollment Student
Roane State Community College
08/2015 - 05/2017, GPA 3.48
Principles of Accounting I Principles of Accounting II Computer Applications Completed 25 college credit hours Achievements/Tasks
Courses
Courses
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