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Medical Billing Insurance Specialist

Location:
Summerville, SC
Salary:
70,000
Posted:
September 23, 2022

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Resume:

Wendy R. Henderson

*** ***** *****

Summerville SC 29485

adspgb@r.postjobfree.com

843-***-****

EMPLOYMENT Tidewater Neurology September 2020 - present Medical Billing Specialist

Lowcountry Orthopaedics & Sports Medicine December 2018- August 2020 Workers Compensation Coordinator

Dr. James Spearman, Dr. David Johannesmeyer,

Dr. Keith Santaigo, Dr. William Corey, Dr. Eric Stem Savannah Spearman FNP, Juliana Smith FNP,

Tony McCurry Jr PA

Atlantic Coast Physical Medicine September 2016- September 2018 Lead Case Manager

Carolina MedBill Services LLC September 2009- August 2016 Medical Office & Billing Consultant / Owner

Back 2 Health LLC January 2012- August 2014

Office Manager

Insurance/Financial Manager/Case Manager

Integrated Physical Medicine Specialist

Quality Control Specialist

Gray’s Pain Relief Center October 2008- August 2009 Office Manager/Case Manager

Carolina Hand Therapy, Inc May 2006-August 2008

Office Manager

Charleston Hand Group LLC June 1998-May 2006

Surgery Coordinator & Precertification/

Insurance Specialist/Workers Compensation

COMPUTER Extensive multi computer software experience AND OFFICE Posted charges, payments and necessary write offs concerning provider OPERATIONS contracts with various insurance carriers Scheduled appointments and updated accounts

Loading of practice fee schedules and insurance types Generated refunds

Processing of claims

Trained new claim processors

COMMUNICATION

Payroll, hiring, employee training and scheduling

Compliance Officer, recruitment, interviewing and hiring of MD’s, PA’s and FNP’s Corresponded with providers, therapists concerning coordination of patient care, correct CPT, ICD-10, and HCPC coding for charges posted

Communicated with various insurance carriers regarding EOBs and Breakdown of fees paid on claims for insurance tracking Processed patient statements, payment plans and collections Coordinated surgeries, verified insurance benefits, obtained Workers Compensation authorization for treatment and attorney agreements HIPAA officer for therapy practice

EDUCATION

PBS workshops and training on integrated practice compliance and case management David Singer workshops on case management

OSHA training and implementation of employee OSHA training and compliance with all employees National Certified Coding and Billing Specialist

various courses, seminars and workshops concerning compliance SPECIAL

ACCOMPLISHMENTS

Created DME accreditation manual based on Medicare guidelines Created policy manual for procedures on processing health insurance claims Assisted in creating new policy and procedures; implementation of new policies



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