Medical Assistant Billing
Resume:
Kelly A. Campetti
610-***-**** • *************@****.*** • 1070 J Cold Stream Circle. Emmaus, PA 18049 OBJECTIVE
To obtain a Coding/Billing position at a medical office, where I can utilize my skill set to help both doctors and patients. PROFESSIONAL EXPERIENCE
2000-October 2022
Medical Insurance Coordinator and Authorizations Specialist — LVPG, Allentown PA Medical Coder and Biller— Allentown Anesthesia Associates, Allentown PA
● Worked for pain specialist, physiatry, and orthopedics after our firm, Allentown Anesthesia Associates, was acquired by Lehigh Valley Physicians Group (LVPG).
● Reviewed patient records using medical coding procedures.
● Examined claims and verify insurance eligibility as well as record any medical changes.
● Monitored and tracked patient authorizations, informing supervisor of expired dates of authorizations and referrals.
● Ensured payment for services by verified benefits with insurance providers.
● Obtained, reviewed and inputted insurance authorization and referrals prior to patient services.
● Coded diagnosis codes and procedure codes according to doctor’s transcriptions and op notes.
● Used coded data to produce and submit claims to insurance companies.
● Reviewed and appealed unpaid and denied claims.
● Answered patient billing questions in a timely manner, ensuring accuracy of information.
● Previously managed facility’s account’s receivable reports. 1999-2000
Medical Assistant/Secretary— Office of Dr. John Gray, Bethlehem PA
● Operated four-line phone system, handled scheduling of all patients. In charge of checking all patients in and out and the collection of their co-pays.
● Responsible for all patients scheduling for outpatient diagnostic tests.
● Processed new patient paperwork and verified insurance information.
● Coordinated with Billing Specialist co-pay and insurance checks and balanced them into daily day sheets.
● Processed referrals for specialist ad hospitals and obtained pre-authorization from insurance companies when cooked.
1999-2000
Medical Billing Specialist, Team Leader— Professional Rehabilitation Associates, Nazareth PA
● Handled high-volume billing and collections in the rehabilitation field. Experience in first and third party billing.
● Produce reports for insurance companies and legal parties.
● Billed Medicare electronically.
● Coordinated authorization numbers with physical therapists.
● Reviewed and coordinated claim appeals with insurance companies.
● Accurately kept records of collections, billing transmittals, projected patient outlooks, case litigation’s, etc.
● Trained new employees on computerized billing systems. 1997-1999
Office Manager— Office of Dr. David Peyroux, Allentown PA
● Primary activities included billing, collection, and litigation with insurance companies and legal parties.
● Scheduling of patients with other institutions and supervision of referral cases in a paramount duty.
● Produced reports and information as required by insurance, attorneys, and peer review companies.
● Kept accurate records of collection, billing transmittals, projected patient outlooks, case litigations, etc.
● Assisted doctors with manipulation of the patients. Efficiently processed patients X-rays in accordance with the doctors identified diagnosis.
● Instructed and guided officer personnel to complete their daily activities and scheduled tasks. SKILLS
● Proficiency in programs GE Centricity and Allscripts Tiger
● Great communication skills
EDUCATION
● Associates Degree: Radiology. Northampton Community College, PA 1995-1997
● High School Diploma. Phillipsburg High School, NJ 1983-1986
*REFERENCES AVAILABLE UPON REQUEST
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