Medical Billing Service Representative
Resume:
Stephanie Stallings
Covington, GA 30014
******@*****.***
SKILLS
● Healthcare & Case
Management
● Medical Billing
● Multitasking & Time
Management
● Written & Oral
Communication
● Organized
● Service Oriented
● Microsoft Suit
● Leadership & Teamwork
● Medical Filing
● HIPAA Compliance
● ICD-9/ICD-10/CPT Coding
● Electronic Medical Software (EMR)
EXPERIENCE
United States Postal Service, Grayson, GA- Mail Carrier DECEMBER 2019 - PRESENT
● Sequence other a thousand pieces of mail for specified daily route.
● Accurately delivers multiple pieces of mail to corresponding addresses.
● Collects outgoing mail from residential and commercial mailboxes in compliance with state and federal law.
● Collects signatures from recipients to be filed upon return to the Postal Headquarters.
United Parcel Service, Bogart, GA- Delivery Service NOVEMBER 2019 - DECEMBER 2019
● Delivers up to 150 packages daily to correct addresses.
● Maps out route for most efficient delivery time.
● Ensures packages arrive on time and in pristine condition.
● Updates tracking information for recipient and sending personnel. Walton County School District, Monroe, GA- School Bus Driver APRIL 2017 - NOVEMBER 2019
● Transports children of Elementary, Middle and High School to and from school.
● Provide additional driving assistance for sporting events, field trips, classes, and all including school board regulated events.
● Implements consistent safety rules and procedures for all passengers.
● Complies with traffic regulations and laws.
● Adapts to multiple routes ensuring students are on time and arrive safely.
Premier Kids Care, Monroe, GA- Case Manager/ReAuthorization Coordinator
NOVEMBER 2014 - NOVEMBER 2016
● Verify patient information for medical records.
● Record and file patient data and medical records.
● Strategically review medical records for accuracy and completion within requirements of insurance companies.
● Acquire insurance authorizations for medications ordered by physicians.
● Assign additional diagnosis codes based on specific clinical findings.
● Complies with and demonstrates HIPAA privacy and security regulations.
● Efficiently performs insurance verifications, pre-certifications and pre-authorization functions.
Pruitt Health, Norcross, GA- Certified Billing/Authorization Coordinator APRIL 2014 - OCTOBER 2014
● Accurately records diagnosis codes, patient information and supporting documents into billing software.
● Assigned diagnosis codes based on specific clinical findings.
● Strictly follows all federal and state guidelines for release information.
● Examines all records, including but not limited to, diagnosis codes, specificity, accuracy, and appropriateness according to services rendered.
● Acquired insurance authorization for medical services.
● Complies with medical and legal JCAHO standards.
● Communicates financial responsibility and managed care with patients.
● Prepares, reviews and submits patient statements. Home Medical Systems, Lawrenceville, GA- Customer Service Representative
APRIL 2008 - MARCH 2014
● Verify, record and file patient confidential information.
● Proficiently service all patients and ensure their needs are met.
● Maintain communication with patients in regards to copays prior to service rendered.
● Monitor and address all shared email inboxes and inquiries.
● Accurately enter procedure and diagnosis codes and patient information into billing software.
● Complies with medical and legal JCAHO standards.
● Analyze and interpret patient medical records to determine billable services.
● Interpret medical records to apply appropriate ICD-9, CPT-4 and HCPCS codes.
● Prepare and attach all required claim documentation including referrals, treatment plans and corresponding documentation to reduce insurance denials.
● Verify insurance and collect patient copays.
● Submit refund requests for claims paid in error.
● Help Respiratory Therapist and CPAP/Bipap set ups.
● Schedule deliveries.
● Enter Payroll.
EDUCATION
Newton High School, Covington, GA- General Education
● High School Diploma Received
CERTIFICATIONS AND LICENSES
● Class B CDL
● DOT Medical Card
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