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Medical Assistant Billing

Location:
Philadelphia, PA
Posted:
November 01, 2022

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Resume:

Kelly A. Campetti

610-***-**** • adtagt@r.postjobfree.com • 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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