April Stephens MCBC – Medical Billing Specialist

Fort Worth, TX 76131 682-***-**** adzvik@r.postjobfree.com PROFESSIONAL SUMMARY

Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information. Skilled at accurately auditing patient charts and billing corresponding parties. PROFESSIONAL SKILLS

● Identify major laws, regulations and guidelines related to medical billing

● Understand various insurance types, carriers and plans and appropriate rules for coverage determination

● Recognize ICD-10-CM, CPT, HCPCS and modifiers and how to utilize them for billing

● Accurately complete and submit heal insurance claims for reimbursement

● Comprehend payment adjudication, various claim statuses and the resubmission process

● Gather, review, and verify crucial patient information and documentation

● Audit medical billing and prevent fraud and abuse assigning diagnostic and procedure codes and how to submit clean claims for reimbursement

● Submit reimbursement claims to insurers and optimize healthcare providers maximum payment for medical procedures performed

EDUCATION

MedCerts Livonia, MI Oct 2022 – Dec 2022

Medical Billing Specialist Program: AMCA - MCBC Certified (Apr 2023) American National University Louisville, KY Aug 2009 – Nov 2011 Associate of Applied Science, Registered Medical Assistant Program PROFESSIONAL EXPERIENCE

Department of Veteran Affairs Ann Arbor, MI and Louisville, KY Jan 2018 – Present Program Support Assistant

● Effectively develop and maintain working professional relationships with customers, always adopting a customer focused attitude within the Health Benefits Unit.

● Interpret conditions of warranties, contracts for repair, or replacement of medical assistive devices or accessories.

● Evaluate orders for accuracy and timeliness by verifying the shipping address, distribution method, and/or associated billing information.

Medical Technician

● Ensured test-result validity before recording/reporting results, earning a reputation for meticulous attention to detail.

● Demonstrated the ability to communicate test results effectively with physicians, pathologists, and nursing staff as a member of interdisciplinary team focused on providing exemplary quality of care.

● Evaluated quality control within laboratory using standard laboratory test and measurement controls, and maintained compliance with CLIA, OSHA, safety, and risk-management guidelines. Medical Support Assistant

● Responsible for assisting patients with referrals and setting up appointments with specialists.

● Provided superior support to administrative and medical personnel, managed databases, and maintained confidentiality of files.

● Prepared check-ins and releases, follow-up appointments, labs, and exams. American Paramedical Portamedic Service Perrysburg, OH July 2017 – Dec 2017 Certified Medical Assistant

● Triaged patients, took vital signs, and verbally explained procedures and courses of treatment to patients, while maintaining HIPAA.

● Assisted with the creation of a Risk Management Plan/Assessment, identifying the correct five areas of elevated risk.

● Maintained medical inventory and ensured the proper sterilization and storage of surgical tools and supplies, which resulted in a 12% reduction in cleaning time.

Quest Diagnostics Louisville, KY Jan 2013 – July 2017 Phlebotomist

● Collected specimens in a timely manner for specified analysis and disposed of biohazardous materials according to prescribed schedules and procedures.

● Ensured accuracy of labeling for all samples, centrifuges, and splits and froze the specimens as required by test order with precision.

● Maintained all appropriate PSC/phlebotomy logs, filed, and organized daily manifests for database tracking.

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