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Reimbursement Specialist Medical Biller

Location:
Church Point, LA
Posted:
August 26, 2021

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Resume:

PROFESSIONAL SUMMARY

SKILLS

EXPERIENCE

BARBARA

BOUDREAUX

B

Church Point, Louisiana 70525, 337-***-****, adod5n@r.postjobfree.com

***Capable and well-versed in examining records and assessments to make accurate tax determinations and collect correct payments. Accomplished in obtaining payments without involving the courts wherever possible. Knowledgeable about conducting detailed reviews and audits.

***Dependable employee seeking opportunity to expand skills and contribute to company success. Considered hardworking, ethical, and detail-oriented.

***Stays on top of demands in fast-paced environments by effectively using slow periods. Maintains organized, clean and safe work areas with diligent attention to important details. Dedicated professional with demonstrated strengths in customer service, time management, and trend tracking. Good at troubleshooting problems and building successful solutions. Excellent verbal and written communicator with strong background cultivating positive relationships and exceeding goals. Surgery Coding and Clinic

Coding

Analytical Thinking Multitasking

Compliance

Regulations/HIPPA, OSHA

Standards

Medical Revenue Cycle Manager / Medical Biller and Coder July 2020 - Current MedXcel Occupational Medicine Abbeville, La

Bill commercial and Worker's Comp claims with appropriate CPT codes along with proper payable diagnosis codes

Claim rejections

Clinic Charges

Accounts Receivable

AR Follow up

Accounts Payable

Insurance Follow up

Posting of EFT and paper checks

Payroll

Hippa Compliance and OSHA regulations

Medical Coding and Billing Specialist / Full Revenue Cycle for 2 Spine November 2013 - May 2020 Surgeons

Lousiana Orthopedic Specialists Lafayette, la

Confirmed all coded data accurately reflected service provided, guarding against fraud and abuse. B

Ensured healthcare providers met specific documentation requirements essential in proper record-keeper and claim reimbursement.

Recorded, stored, and reported medical coding information to create statistics of healthcare encounters. Consulted with physicians to ensure optimal reimbursements. Utilized correct coding for all insurance policies and state law requirements. Coded medical claims to obtain reimbursement from various insurance companies and governmental health programs.

Assigned patients to diagnosis-related groups using [Software]. Secured patient information according to HIPAA protocols by following strict procedures. Compiled, classified and coded high volumes of patient data each day. Insurance follow up

Appeals

Collections

Coding Review

AR

Refunds

Collections

Posted EFT and Paper checks

Billed Clinic and Surgery Charges

Medical Reimbursement Specialist / Medical Insurance Biller and Coder January 2000 - June 2013 Dr. Randy Lavesphere Maurice, La

Filed all clinic claims to insurance

Insurance claims rejections

Appeals

Insurance Follow up

Accounts Receivable

Payment Posting

Payroll

Managed front office staff of 6

Medical Biller / Insurance Reimbursement Specialist March 1989 - January 2000 Dr. Haii Lee Abbeville, LA

Assisted Dr in exam rooms

Notated Dr's findings in ;paper chart

Filed all claims to commercial insurance

Accounts Receivable

Insurance follow up

Took vitals on all patients before being seen by physician Assisted in preparing and maintaining personnel records and handbooks. Kept all areas clean, organized and in line with company professional standards. Completed all tasks promptly and with minimal oversight. Assisted with tasks and work duties during slow periods to maintain team productivity. Completed accurate work tasks by carefully reviewing every order. EDUCATION

Medical Coding and Billing / Health Information Technology: Healthcare Medical Coding March 2010 and Billng

Remington College, Lafayette, LA

Graduated with honors

Member of AAPC professional coders and billers

Member of AHIMA professional coders and billers

Keep up with CE continuing education seminars with ever changing and evolving CPT codes and ICD 10 dx along with guidelines



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