Denise Crocker
Jefferson, GA *****
************@*****.***
Work Experience:
Billing Department - Athens Heart Center, Athens, GA
Conducted daily audits of medical charges to ensure accuracy and compliance prior to claim submission.
Investigated and resolved denied or rejected claims to optimize reimbursement and reduce accounts receivable days. Maintained up-to-date knowledge of CMS and payer-specific guidelines to ensure accurate billing, coding, and regulatory compliance.
Supported end-to-end revenue cycle management processes, contributing to efficient cash flow and improved financial performance.
Administrative Assistant – Executive Turf Care, Lawrenceville, GA
February 2024 to Current
Organized and detail-oriented Administrative Assistant with over 20 years of experience in office management, scheduling, and providing administrative support. Adept at handling multiple tasks simultaneously in fast-paced environments while maintaining accuracy and professionalism. Strong communication and interpersonal skills, with a proven ability to handle confidential information and interact effectively with clients, colleagues, and executives. Proficient in relevant software or tools, e.g., Microsoft Office Suite, Google Workspace, etc., with a commitment to ensuring smooth office operations.
Reimbursement Specialist/HIPAA Compliance Officer North Georgia Eye Care, LLC.-Winder, GA
February 2021 to December 2023
Claims submission for Medicare, Medicaid, and commercial payers· Claims follow up· Appeal denied claims for all payers· Posting payments and daily medical charges· AR management and collections· Maintain HIPAA compliance within the office and staff.
Medical Billing/Coding Instructor North Georgia Nursing Academy-Flowery Branch, GA
August 2017 to October 2019
Medical Billing and Coding Instructor· Instructed students in Medical Terminology· Instructed students on Front Office procedures· Instructed students how to code using ICD-10 CM, CPT, and HCPDC coding manuals· Instructed students in Medicare guidelines, HIPAA, fraud, and compliance
Office Manager Hardison Family Chiropractic-Watkinsville, GA
May 2016 to June 2017
· General office duties· Insurance verification· AR/AP· Attorney correspondence
Accounts Receivable Collections Representative Premier Kids Care, Inc.-Monroe, GA
April 2015 to May 2016
· Documenting payer specifics for DME billing· Appeals· AR management and collections· Confirming orders
Posting Supervisor Clinical Laboratory Services-Winder, GA
January 2015 to March 2015
· Claims follow up· Appeals· Posting payments
Billing Coordinator North Georgia Eye Care, LLC.-Winder, GA
August 2013 to December 2014
Claims submission for Medicare, Medicaid, and commercial payers· Claims follow up· Appeal denied claims for all payers· Posting payments and daily medical charges· AR management and collections.
Education
Undergrad in Medical Billing & Coding
DeVry University-Chicago October 2021 to July 2023