Medical Billing Cycle Specialist

MIA OAKS

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Professional Summary

I am a proven problem solver with an ability to adapt to new situations and learn new processes and procedures with ease. I am reliable, hardworking and a dedicated team player who works well under pressure, also have an effective communication skill with a desire to provide optimal patient satisfaction.

Skills

Medical Terminology Medicaid

Anatomy & Physiology Insurance Claims Billing & Processing

HIPAA Regulations Managed Care (HMO, PPO< POS)

Facility Billing. Diagnosis Coding from Medical Records

Reimbursement Systems Scheduling Appointments

Administrative Support Medical Office Procedures

Government & Third-Party Payers Keyboarding & Word Processing

Electronic Medical Records (EMR) Medical Practice Mgmt Systems

Tricare CPT—4/HCPCS/ICD-9

Medicare MOSS/MEDISOFT/ATHENA

Education

Associate Of Science: Medical Billing and Coding December 2013

Ultimate Medical Academy – Tampa, FL

Diploma: Medical Billing and Coding June 2012

Ultimate Medical Academy – Tampa, FL

Work History

Receipt Poster/Revenue Cycle Specialist April 18, 2016 – April21, 2022

Cooperative Health Center – Columbia, SC

Posted payments to patient accounts

Reviewed insurance payments from daily log for correct posting to patient claims

Completed Billing Deposit Summary Sheets to ensure payment accuracy

Answer telephone to correct any discrepancies with patient accounts

Directed denials/claims on hold to proper biller according to insurance type

Uploaded any missing remittances to Athena system for payment posting

Assisted patients with statements/outstanding accounts

Assisted co-workers with incorrect insurance payment posting and verifying payments for patient claims

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