Diane O’Connor

845-***-**** adt2uj@r.postjobfree.com

Professional Experience:

Efficient Medical billing Professional with over 5 years’ experience in inpatient, outpatient and physician medical Billing. Specialize in filing accurate claims, adjusting rejected claims, and understanding insurance contracts and appeals. Also have 5 years’ experience working for a major insurance company as a liaison between the Insurance company, doctors, and patients.

Skills:

Fluent in Spanish and English ICD-9 and ICD-10 coding.

Invoice and Claim Preparation Strong Knowledge of Medical Terminology

Excellent Numerical Ability Written and Verbal Communication

HMOs and Medicare CPT and HCPCS coding.

Medical billing Medical Records Management.

Patient confidentiality Remote Experience

Professional Experience

Advanced Medical New City, New York

Medical Billing Specialist 2019-2022

Review bills to ensure accuracy and liaise with Medicaid and private insurance companies to resolve discrepancies

Gather information from healthcare providers to assign the correct medical code

Answer queries from healthcare providers, insurers, and patients via email and telephone

Work collaboratively with colleagues to code and bill medical services promptly and efficiently

Examine patients’ encounter forms to verify diagnosis codes and reconcile codes against services rendered.

Accurately input procedure and diagnosis codes into billing software to generate invoices.

Follow up on past due invoices and delinquent accounts to reduce number of unpaid and outstanding balances.

Document patient data and medical records and perform routine medical record audits to comply with insurance company requirements.

Uphold and reinforce compliance with hospital policies and federal regulations such as HIPAA.

Oversee daily Billing Department functions, including medical coding, charge entry, claims, payment posting, and reimbursement management.

Used electronic charge capture practices such as billing and account receivables.

Education

KB Institute

Paralegal

Washingtonville High School

High School Diploma

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