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Data Entry Medical Billing

Location:
Santee, CA
Posted:
December 18, 2022

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Resume:

Objective

A proactive self-driven professional who is seeking a position in the medical field that is fast paced and challenging. Proven to excel in fast paced environments that require quick thinking, action, and interpersonal skills. Life- long learner willing to challenge myself to explore new opportunities.

Qualifications

16 years’ experience in Medical Settings (Office and Clinical)

Surgical coordinator (orthopedics) working under the direction of one of the top orthopedic surgeons in San Diego

Excellent patient relation Skills

Building trust by being committed to providing caring support and education to the patient throughout their surgical experience.

Experience in Medical billing

Medical Coding

oICD10

oCPT

•In depth knowledge of appropriate claims documents

•HIPPA compliant

Accomplishments

Scheduled 200+ In-patient and out-patient Surgeries monthly

Initial consult

Schedule Pre-op

Pre-op orders

Schedule surgery with hospital

Order post-op DME

Schedule post op appointment

Excelled at learning new technologies

NextGen

Athena

Effectively appeal denied insurance claims for a favorable resolution

•Acknowledged top producer successfully managed a 900-account queue

•Ranked number 1 for successful insurance appeals and private pay collection efforts

•Managed high level

Experience

April 2013-October 2020 ARCH Health Partners – Poway, CA

Surgical Coordinator

Managed Dr’s Surgical Schedule

Assisted patients in obtaining surgical referrals and pre-authorization

Scheduled patient surgeries and other ancillary tests as directed by physician, ensuring all paperwork is complete; verifying insurance arrange and coordinate pre-testing and surgical dates

Schedule & confirm patient appointments (new visits, follow-up, and post-ops)

Coordinated Surgical schedule with hospitals and OP surgical facilities

Managed patient post op appointments

Advanced Medical Imaging – Denver, CO

June 2012 – February 2013

Scheduler

•Schedule patients for imaging procedures

•Prepare patients for imaging procedures

•Verify insurance coverage

July 2009 – June2012

Advanced Medical Imaging – Denver, CO

Billing Specialist, Representative

•Submit insurance claims

•Insurance follow-up

•Insurance claim appeals

•Collection private pay accounts

•Process payments

July 2006-June 2009 Advanced Medical Imaging – Denver, CO

Medical Receptionist

•In-bound patient calls

•Check in patients for procedures

•Compile medical records, data entry, filing

•Prepare and edit radiology reports

Education

July 2005-September 2005 University of Phoenix, Denver, CO

Criminal Justice

August 2004 – May 2005 Westwood College, Thornton, CO

Criminal Justice

2004 Northglenn High school Northglenn, CO

General High school

Diploma

References available upon request



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