Medical Billing and Coding Specialists

TRACEYANN CHIN

*** ****** **** **• Rural Hall NC, 27045 •201-***-****• **********@*****.***

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Objective: To obtain a position with growth potential where my discipline, positive attitude, professionalism, untiring efforts and interest can be utilized to motivate team members and increase productivity.

Certification: CBCS

Skills: Medical Coding, Staff Management, Problem Solving Skills, MS Word, PowerPoint, Excel, Excellent Verbal and Written Communication Abilities, Detail Oriented, Bio Term, Emdeon, OnBase, Xifin, Time Management. Team Player Profession Experience:

North Carolina Central University Durham, NC

Administrative Assistance- Curriculum and Instruction Department January 2022- Present

● Manage the day-to-day activities of the office; maintain files, telephone and mailing lists, and necessary office supplies; monitor office expenditures to assure purchases are within budget.

● Initiate and process forms such as purchase orders, requisitions, travel forms, printing requests, and travel expense reimbursements. Attend to travel arrangements for the divisions as requested.

● Prepare divisional reports, board reports and grant reports as needed, within established deadlines.

● Prepare minutes, formal reports, and other documents for internal and external groups and organizations in which the Deans are involved.

● Collaborate with the Security Department in contacting students regarding Lost & Found items.

● Act as a receptionist for the Program(s)

● Provide information to students, faculty, staff, alumni, other offices and the public as required

● Other duties assigned

Xifin-Located at Bioreference Laboratories, Elmwood Park, NJ Manager-Cash Posting/Recoupments Department July 2019- July 2021

● Reviews weekly payer recoupments for accuracy and validity

● Approves patient refunds

● Monitors offshore team work and conducts weekly status calls on credits balances, open payment batches and correspondence received in lockbox

● Provides weekly reports in Xifin for offshore team to work and monitors for QA and accuracy

● Handles any patient calls that have been escalated regarding outstanding refunds

● Oversees the return mail process workflow in Xifin and hardcopy returned in the office Bioreference Laboratories Elmwood Park, NJ

Assistant Manager – Denials Department March 2018 – July 2019

● Monitor denials, appeals, and resolutions from insurance carriers

● Oversee all activities of Denial Representative/Billers

● Manage denials process to ensure timeliness of collections

● Assist in personnel development of staff members

● Conduct interviews for prospective new hires

● Manage on-boarding process of new hires and facilitate training sessions

● Resolve Field Operators and Customer Service escalated issues

● Actively participated in the implementation of the new billing system

● Perform special projects as required and any other duties as assigned Bioreference Laboratories Elmwood Park, NJ

Coding/Billing Specialist Team Leader March 2014- March 2018

● Responsible for submitting electronic claims and paper claims to primary, secondary and third-party insurance companies.

● Corrected denial claims with correct information and resubmit to the proper payer.

● Processed and reviewed all patient information for accurate and complete insurance information

● Reviewed information to ensure that it meets the medical and billing criteria

● Follow-up on missing information

● Review patient requisition and lab reports for diagnosis and ordered test

● Make and received calls from various doctor’s office for patient information

● Make and received calls from various insurance companies for claim information

● Send appeals and medical records when needed

● Correct claim when needed (modifiers, dx etc.)

● Obtain EOBs on various Insurance websites

● Adjust payment

Breast Rehabilitation & Healing Center Westwood, NJ Medical Receptionist November 2013- January 2014

● Welcome patients, family and visitors

● Responsible of checking in patients

● Verified and filled in essential information in the medical record

● Confirmed appointments

● Notified the medical assistant when a patient is ready

● Maintained appointment schedules

● Answered telephone

● Took messages and provide routine information

● Entered charges as patients exit the office

● Reviewed charges for exactness

● Collected co-pays from patients, and correctly recorded information

● Screened calls

Hackensack University Medical Center Hackensack, NJ Dietary Aide June 1997- December 2011

● Customer Service Activities

● Performed cashier transactions

● Monitored and arranged merchandise presentation

Education: Lincoln Technical Institute - Paramus, NJ June 2013

● Medical Coding & Billing

● Health Information System (Electronic Medical Records – MEDCIN Software)

● Medical Terminology

● Anatomy & Physiology 1 and 2

● Billing and Reimbursement CMS-1500

● (LYTEC & MEDISOFT v16 Software)

● International Classifications of Diseases Coding 1 (ICD-9-CM) Coding Systems

● International Classifications of Diseases Coding 2 (CPT-4) HCPCS Coding System

● Health Administration and Records Management

● Computer & Information Literacy

● Student Success Strategies

Upsala College, East Orange, NJ 1994-1997

Business Management

Externship Program: Redi Diagnostics, Elmwood Park, NJ

● EMR

● Filing/Charting

● EOB’s

● Follow up

Achievements: Lincoln Tech’s Recognition Award for Perfect Attendance Lincoln Tech’s Recognition Award for Executive Director’s List

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