Medical Billing Grand Rapids

MOHONA WAHAB

Grandville, Michigan ***** Cell: 616-***-**** Email: ******.*****@*****.***

CAREER PROFILE

A hardworking and highly motivated Medical Billing professional, with almost 3 years of experience at Corewell Health, and a Certified Billing and Coding Specialist, is actively looking for a job opportunity in the relevant field, where the skills and experience can be utilized to deliver positive results, and personal development can be achieved at the same time.

SKILLS

EPIC

Insurance billing, filing and reimbursement procedures

Medical Terminologies, Anatomy & Physiology

Electronics Health Records & Medical Practice Management Software

ICD-10, CPT, and HCPCS coding

Excellent written and verbal communication skills

Ability to work under pressure

Good team player

Computer expertise includes MS Office applications, internet browsing, research, email and fax transmission

EDUCATION

Ross Medical Education Center, Grand Rapids, MI May 2022

Diploma in Medical Insurance Billing and Office Administration

Medical Terminologies

The disorders and medical procedures common to the human body system

Legal, ethical, and regulatory concepts, including HIPAA compliance and third-party guidelines for filing insurance claims

The main coding manuals: ICD-10-CM, CPT, and HCPCS Level II

The fundamentals of medical billing & coding

Medical Office Administration like scheduling appointments, processing insurance requests, maintaining records, and corresponding with patients

Southeast University, Bangladesh, Dhaka, Bangladesh August 2013

Bachelor in Computer Science and Engineering

WORK EXPERIENCE

Corewell Health, Grand Rapids, MI (Remote) July 2022 - February 2025

Medical Billing/ Collection Specialist

Reviewed and corrected medical billing documents for accuracy prior to submission.

Analyzed patient records, insurance information, and medical coding data to ensure proper reimbursement from insurance companies.

Worked collaboratively with providers, coders, billers as needed.

Identified areas of improvement within current workflows to increase revenue cycle efficiency.

Applied HIPAA privacy and security regulations while handling patient information.

Communicated with insurance representatives to complete claims processing or resolve problem claims.

Reviewed account information to confirm patient and insurance information is accurate and completed.

Performed insurance verification, pre-certification, and pre-authorization.

Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.

Participated in workshops, seminars, and training classes to gain stronger education in industry updates and federal regulations.

OAM Now Urgent Care, Grand Rapids, MI April 2022 - May 2022

Extern

Collected co-pays and other fees required prior to the office visit or treatment.

Scheduled and confirmed appointments.

Reviewed accounts for insurance or patient follow up.

Checked-in and checked-out patients.

Reviewed patient bills for accuracy and completeness, and obtaining any missing information.

Walmart Supercenter, Grandville, MI February 2021 - September 2021

Cashier/ Customer Host

Met personal and team sales targets and call handling quotas.

Handled complaints, provided appropriate solutions and alternatives within the time limits, and followed up to ensure resolutions.

Followed communication procedures, guidelines, and policies.

Researched answers and solutions to issues as needed.

CERTIFICATIONS

CBCS (Certified Billing and Coding Specialist), National Healthcare Association (NHA) May 2022

Basic Life Support Certification (BLS), Ross medical Education Center Kentwood March 2022

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