Medical Billing Data Entry
Resume:
Kimberly Smith
Whitney TX *6692
email ************@*****.***
OBJECTIVE
To obtain a position that will enable me to use my past experience, education, life and job skills. This challenging position will provide an opportunity to utilize my collections and billing skills.
QUALIFICATIONS
I have over 20 years of experience in collections and billing, excellent problem solving skills and the ability to work well under pressure.
EDUCATION
Carrington College of CA
Associates of Science in Health Information Technology
3/20/2011-12/16/2012
Park Plaza Nursing Home
CNA program
2/16/2015 – 3/1/2015
March 1, 2015 – May 27. 2015
Park Plaza Nursing Home
CNA Student
Assisted residents with daily living activities, served residents meals assisted with setting up trays and if needed helped residents with feeding needs, assisted with elimination needs, assisted resident with mobility issues (but not allowed to transfer), made sure residents were comfortable, helped maintain resident safety and environmental cleanliness, maintained departmental policies and procedures, environmental and infection control standard
May 2020 to Present
Girling Healthcare
Personal Care Attendant
Help client with his daily living activities
Housekeeping light cooking making appointments for him laundry and running errands for him
April 2013 – May 2020
Outreach Healthcare
Personal Care Attendant
Helped client with daily living activities, housekeeping, and home health care
June 16, 1999 – March 5, 2008
Medical Billing of North Texas
Billing Clerk
Examined patients’ insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable. Updated patient financial information to guarantee accuracy. Treated all patients, their families, visitors, peers, staff and providers in a pleasant and courteous manner. Compiled and tracked outstanding balances Accurately posted surgeries, hospital visits and payments for assigned carriers. Printed and reviewed monthly patient aging report and solicited overdue payments. Precisely completed appropriate claims paperwork, documentation and system entry. Correctly coded and billed medical claims Thoroughly researched newly identified diagnoses and/or medical procedures to expand skills and knowledge. Assisted in the maintenance of medical charts and/or electronic medical record (filing, Op Reports, test results, home care forms).Determined prior authorizations for outpatient procedures. Pre-certified medical procedures, surgeries . Performed qualitative analysis of records to ensure accuracy, internal consistency and correlation of recorded data. Researched questions and concerns from providers and provided detailed responses Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information. Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received. Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses. Analyzed and interpreted patient medical and surgical records to determine billable services. Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes. Thoroughly reviewed remittance codes from EOBS/AR's. Confirmed patient information, verified insurance. Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature. Completed appeals and filed and submitted claims. Posted charges, payments and adjustments.. Carefully prepared, reviewed and submitted patient statements. Ensured timely and accurate charge submission through electronic charge capture, including the billing and account receivables system and clearing house. Efficiently performed insurance verification and pre-certification and pre-authorization functions. Performed full-cycle medical billing in a fast-paced medical billing company. Adeptly managed a multi-line phone system .Verified patients’ eligibility and claims status with insurance agencies. Entered orders into the EMR system efficiently and without errors Diligently filed and followed up on third party claims. Accurately selected the proper descriptive code when more than one anatomical location was indicated. Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records. Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy. Maintained strict patient and physician confidentiality. Resourcefully used various coding books, procedure manuals and on-line encoders.
May 1985 thru June 1999
Medical & Retail Adjustments
Secretary/Assistant Manager
Performed secretarial work, plus followed up with patients in order to get their claims resolved, did skip tracing, data entry, customer service, turned accounts over to credit bureau, monthly statements, final notices, posted payments,
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