Kelly Ward
************@*******.***
Objective: To obtain a part-time position in a reputable organization to expand my learnings, knowledge and skills.
Qualifications
Working Knowledge of ICD-10 and CPT coding references
Experience working with Nextgen Software, Viatrack and Waystar/Navicure Clearing House
Education
Carnegie Institute Troy, MI
Medical Insurance Billing and Coding Program
GPA 4.0
378 Contact Hours
33.5 Credit Hours
Deans list all Semesters at Carnegie Institute
Experience
2006-2021 Medical Insurance Biller, Infinity Primary Care
•Upload claims into Navicure/Waystar Clearinghouse.
•Accurately review and resolve assigned claim, clearinghouse edits and payer rejections.
•Provide prompt attention to edit trends and identified root causes.
•Check eligibility to accurately update patient demographics.
•Initiate support calls to the Clearinghouse help desk as needed to gain clarification on clearinghouse edits.
•Partner with Statusers to achieve timely resolution of coding-based claims, clearinghouse edits and payer rejections.
•Register newly credentialed providers with clearing house.
2005-2006 Medical Insurance Biller, Harbor Oaks Hospital
•Complete a daily census report for residential, partial adult and adolescent patients.
•Verify insurance coverage for patients with Commercial, Medicare, BCBS or Medicaid.
•Admit patients into system using MD Versa Form software.
•Copy, fill out deposit slips and prepare spreadsheets for patient’s payments, operational expenses and lockbox checks.
•Prepare and file patient charts.