Data Entry Medical Billing
Resume:
Teresa Fair
Mobile, AL *****
***********@*****.***
Well-regarded professional with the knowledge, skill and competence that comes from 11+ years of medical coding and medical administrative experience. Provides timely and accurate data to ensure reimbursement for patient services. Accustomed to working in fast-paced hospital environments.
* Highly skilled in translating codes into insurance company preferred coding systems.
* Able to perform charge review, claim, submission, claim follow-up, payment posting and patient statements.
* In depth knowledge of preparing appropriate claim documents.
* Proficient in assigning appropriate medical codes to diagnosis and services.
* MS Office Suite (Word, Excel, PowerPoint) and Spreadsheets.
* Five years of administrative experience and delegation of office duties.
* Expert Computer Medical Terminologist.
Work Experience
Receptionist/CSR
1st Heritage Credit - Mobile, AL
April 2021 to August 2022
I take customers payments. I make collection calls when customers have missed their payment. I help with checks and balances. I take cash, checks, money order payments when the cusomters comes into the office. I take loan applications when a customer calls or when they come into the office. Recruiter
NHS MANAGEMENT, LLC - Mobile, AL
July 2021 to April 2022
• Schelling Interviews for Paid Traning program ( Certified Nursing Assistance)
• Handling patient care
• Entering data entry into the computers
• Scheduling meetings with each facility ( Gulf Coast Health and Rehabilitation, Ashland Place, Palm Gardens)
• Setting up orientation for the Paid Traning Nursing Assistance. Insurance Clerk
Alta Pointe Health Care Systems - Mobile, AL
October 2020 to April 2022
• Submit Prior Authorization and follow up on procedures from Leading Healthcare Clients.
• Help Care Teams (RNs, NPS, Pas and MDS) with authorizing procedures prior to their services being performed.
• Enter patient demographics into a computer using therapy appointment and Medisoft software programs. Entering patients into Avatar systems. Submitting Medicaid prior authorizations Medical Administrative Assistant / Medical Coding Support Carolyn L. O'Brien, PhD - Mobile, AL
February 2017 to July 2017
* Entered patient demographics into a computer using therapy appointment and Medisoft software programs.
* Scheduled appointments, verified insurance coverage, and communicated with insurance companies regarding authorizations, explanation of benefits (EOB) and payment statuses.
* Processed payments, collected co-payments, and reviewed appeals and denials.
* Assisted with ICD-10 coding, adjusted, and handled reimbursements.
* Helped to balance and reconcile day sheet by calculating balances through an excel spreadsheet.
* Handled accounts receivable and assisted with accounts payable functions by paying rent and other office bills.
* Determined payment adjustments, answered phones, and faxed, scanned, and made copies of medical documents.
Medical Billing Specialist / Receptionist
Mobile Infirmary Medical Center - Mobile, AL
September 2016 to February 2017
* Abstracted clinical data to assign ICD-9 and ICD-10 codes.
* Ensured accurate assignment of diagnosis, procedures, and modifiers and prepare claim documents.
* Entered data into charge capture system for export to billing system.
* Researched and made corrections to denied or rejected claims from third party payers.
* Answered a 6-line phone system, verified insurances, accepted co-payments, administered new patient application.
Medical Coder
Providence Medical Hospital - Mobile, AL
May 2013 to May 2016
* Coded records by following prescribed coding standards such as ICD-9 and ICD-10.
* Reviewed physician notes and obtained necessary clarifications where necessary.
* Assigned appropriate medical codes to all diagnosis and services.
* Prepared claim documents and contacted insurance companies to ensure all claims come to fruition. Medical Coder
Urgent Care Services - Asheville, NC
May 2008 to March 2012
* Performed day to day functions associated with coding, abstracting and revenue cycle.
* Reviewed patient records for proper documentation.
* Assigned ICD-9-CM codes for procedures and diagnoses; entered and verified abstract data elements. Education
Associate of Science degree in Health Science
Ultimate Medical Academy
2017
Diploma in Medical Office and Billing Specialist
Ultimate Medical Academy
2016
None
Central Piedmont Community College - Charlotte, NC 2003
General in General
Colorado Technical University - Denver, CO
August 2001 to December 2001
Skills
• Medical Billing (4 years)
• Medical Coding (4 years)
• Medical Administrative (5 years)
• Patient Registration (5 years)
• Medical Terminology Medical Records Management (4 years)
• Medical Practice Management Systems (Less than 1 year)
• Introduction to CPT ICD-9-CM (5 years)
• ICD-10-CM Coding (5 years)
• Charge Entry (1 year)
• Payment Posting
• Denials
• Appeals
• Referrals Accounts Receivable
• Electronic Health Records (EHR)
• Electronic Medical Records (EMR)
• Greenway Prime Suite Insurance Verification (2 years)
• Reimbursement Systems
• Medical Basics and Healthcare Claim Cycle Healthcare Payers
• Managed Care (HMO, PPO, and POS)
• Medicare / Medicaid Government Payers Third Party Payers (2 years)
• HIPAA Compliance (5 years)
• Medical Charts (2 years)
• Basic Anatomy & Physiology
• Medical Office Experience (3 years)
• Medical Scheduling (3 years)
• Data Entry (3 years)
• ICD Coding (5 years)
• Epic (4 years)
• Phone Etiquette (6 years)
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