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Customer Service Medical Billing

Location:
Los Angeles, CA
Posted:
August 09, 2022

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Resume:

Holly Winzenburg

Thousand Oaks, CA *****

Phone: 805-***-**** Email: adr2cr@r.postjobfree.com

Summary

Leadership ability and positive work ethic. Desire for excellence, motivated and results driven. Customer focused, team oriented and professional; excellent people skills. Excellent verbal and written communication skills. Ability to troubleshoot and problem solve. Ability to handle multiple tasks easily. Detail oriented, conscientious, thorough and reliable. Demonstrated success in a leadership role in sales and management. Proven exceptional customer service skills. Evaluate the accuracy of provider charges, including dates of service, procedures, level of care, locations, patient identification and provider signature. Assigned additional diagnosis codes based on specific clinical findings

(laboratory, radiology and, pathology reports in support of existing diagnoses. Provide administrative support for multiple medical practices. Quickly respond to staff and client inquiries regarding CPT & ICD-10-CM codes. Verify and abstract all medical data to assign appropriate codes for hospital inpatient/out-patient records. Analyze and interpret patient medical and surgical records to determine billable services. Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses. Ensured timely and accurate charge submission through electronic charge capture, including the billing and account receivables (BAR) system and clearing house. Carefully reviewed medical records for accuracy and completion as required by insurance companies. Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered. Strictly followed all federal and state guidelines for release of information. Provided administrative support for multiple physicians & mid-level providers. Experience/Accomplishments

Extensive anatomy/physiology knowledge, Electronic Medical Record (EMR), CPT and HCPCS coding, ICD-10-CM coding, Surgery coding, PQR, CEHRT, HIPAA compliance, Multiple billing softwares (Athenia, Claimtek, Medisys, etc.) Patient-focused care, Strong work ethic, Knowledge of HMOs, Medicare, Maintains strict confidentiality, Patient-oriented, Relationship and team building, Personal and professional integrity, Cultural awareness and sensitivity.

● Experienced in Medicare Insurance, Credentialing, Property Management, Accounting and Administrative duties handling accounts receivable, accounts payable and reconciliation knowledge.

● Extensive background in customer service effectively analyzing and resolving problems, in person and over the phone, including strong follow–up.

● EPIC ● Software experience with Zinc, ACS, AIMS, ASCS, Beacon, CallCare Browsing, Cosmo, Citrix, CPM System, Doc Delivery, Facets, Main Frame, Medisys, On Demand, Adobe, Retail Programs,

● Experience with several property management software programs: Rent Roll, Yardi, AMSI, Quickbooks, Quicken, Property Boss, Field Comm, and In Field Express.

● Accounting experience with CAM Reconciliations, A/P, A/R, General HR.

● Detailed in financial reporting and understanding expectations as they pertain to the owner’s goals. ● Proficient in Microsoft Word, Excel, outlook, and the ability to type 55+ words per minute. Professional Employment:

Practice Focus Billing - Vascular Surgery Coding (Michigan Clinic) - Part-time - Current Sansum Clinic, Santa Barbara, CA

February, 2018 - Current Certified - Professional Medical Coder - NCCT

● Coding of professional medical claims according to the appropriate coding guidelines ● Work together with the entire Revenue Cycle Team to maximize reimbursement

● Work closely with the Billing and Accounts Receivable Departments to make sure our claim submissions are clean and accurate

● Liaison between physicians and Coding Department

● Specialties: E/M, Family Practice, Internal Medicine, Pediatrics, Podiatry & Dermatology. Robert Half International, Westlake, CA January, 2018 - February 2018 Temporary Assignment Marketing Department

Harbor Freight, Calabasas, CA

● Marketing with Excel

● Meet weekly deadlines for distribution

● Participated team marketing for 900 Stores Marketing Flyers Aisle 9 Group, Thousand Oaks, CA February, 2017 - May, 2017 Material Process Specialist, Contract position for Amgen

● Zinc Maps, BU MAC, MAC Portal, Adobe

● Network File Shares

● FDA, Medical, Legal, Regulatory Reviews

● Material Approval Compliance (MAC) File Standards New Dawn Counseling, Oxnard, CA

Consulting Contract: February, 2016 - December, 2016 ● Set up Business Plan and Proposal for Ventura County Behavioral Health

● Set up Lease Space

● Assisted with systems of unit billing

● Assisted with securing $700k contract with the Oxnard school district

● Implement support for document sharing

● Software Support / Quality Assurance in Valant for Medical coding and reporting for therapist on client intakes, Adobe

● Loan support for start up of business

Anthem, Inc., Newbury Park, CA

Anthem is a large, U.S. based Health Insurance Company and the largest member of the BlueCross BlueShield Association

Agency Service Rep- Medicare Programs Sales Support October 9, 2013 to January, 2016 ● Working with twenty (20) plus software systems such as aims, adobe, citrix, callcare browser, facets, medco, mainframe, medisys, licensing, certifications, and call tracking.

● Researching benefits related to Medicare, billing, claims, commissions and application processes ● Documenting and facilitating correct information for Senior Brokers

● Customer service with strong phone experience and follow through

● Help brokers with credentialing and training with online broker portal support

● Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPPA) ● Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers, and brokers

● Ability to maintain attendance to support required quality and quantity of work

● General knowledge of industry related issues, including Medical Billing and Claims Education

Williston High School, Williston, ND

● High School Diploma

Southern University of New Hampshire,

NH ● Health Administration 2 yrs.

Conejo Adult School, Thousand Oaks, CA

Billing and Medical Coding Specialist

● NCCT #1012494

● EHR Certified

Compensation

$45K - $65K+



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