Medical Billing Coding
Resume:
Patricia Pitts
Mount Olive, AL *****
**********@*****.***
Resourceful, caring and results-oriented Medical Office Professional with over nineteen-years of combined experience including accounts payable/receivable, verifying & billing patients' insurance information, patient files - both manually and electronically, collections, daily and end of the month financial reports.
Exceptional knowledge of behavioral healthcare clinical policies, procedures and medical records management.
Knowledgeable on coding, sequencing, and procedures’ best practices and updates. Proficient at proprietary medical software and learning new reporting applications. Work Experience
Accounts Receivable/Payable Clerk
Hill Crest Behavioral Health Services - Birmingham, AL July 2000 to Present
• Oversee daily Billing Department functions, including medical coding, charge entry, claims, payment posting, reimbursement management and prepared and submitted claims forms to insurance companies and other third-party payers. Ensure the effective day-to-day administrative operations of community mental health clinic.
• Use electronic charge capture practices such as billing and account receivables (BAR) system and medical billing clearinghouse accounts to submit codes and invoices on time.
• Document patient data and medical records and perform routine medical record audits to comply with insurance company requirements. Respond to staff and client inquiries regarding CPT and diagnosis codes.
• 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.
• Uphold and reinforce compliance with hospital policies and federal regulations such as HIPAA.
• Prepare and execute purchase orders and releases. Resolve purchase order, invoice, receiving issues and maintain system of ordering materials and supplies.
• Maintain vendor and clinic department relationships through daily communications.
• Engages with management for approval of purchase orders exceeding established dollar thresholds and manages the approval process to minimize delays.
• Follow up on past due invoices and delinquent accounts to reduce number of unpaid and outstanding balances.
Education
High School Diploma
Tarrant High School - Tarrant, AL
Skills
• Strong planner and problem solver who readily adapts to change, works independently, and exceeds expectations. Able to multi-task effectively and meet tight deadlines without compromising quality. Diversified skills include patient relationships, administrative support and accounts payable/ receivable. Flexible and dependable self-starter who thrives independently and collaboratively within a fast-paced environment. Highly skilled in analyzing and validating patient information, eligibility, verification and authorizations of insurance coverage, diagnoses, and billing data. Demonstrated knowledge of contracting process, behavioral health provider relations, Medicaid fee schedules, financial terms, and metrics. Demonstrated leadership skills that enable the processing of high volumes of patient information to achieve revenue generation goals.
• Organizational Skills
• CPT/HCPCS Coding for Mental Health
• Medical & Psychiatric Terminology
• Time Management
• Written & Verbal Communication
• Accounts Payable/Receivable
• HIPPA Compliance
• Teambuilding & Collaboration
• Cash & Expense Reports Reconciliation
• Medical Coding
• Medical Billing
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