Billing Specialist Data Entry
Resume:
Cindy whiddon
Montgomery, Alabama 36106
904-***-**** **************@*****.***
Core Qualifications
ICD-9 and ICD-10 Coding
CPT and HCPCS Coding
Electronic Records Management
Quality Insurance
Data Entry
Medical Terminology
Physician Communication
Insurance Plan Knowledge
Follow up Claims Not Paid
Submitting Corrected Claims for Payment
Following Compliance Rules when Billing
Professional Experience
Billing specialist, thriveworks wfh position Feb 2023-Current
Run payment plan payments on AMD
Follow-up on unpaid accounts
Set up payment plans for balances
Follow-up with i surances on u paid claims on websites
Ar specialist, tek solutions (change healthcare) WFH position May 2023-Feb 2024
Followed-up unpaid claims
Worked denials
Worked off spread sheets
Rebilled corrected claims
Verified insurance was correct on payer websites
Billing Specialist, Envision Physician Services, Anesthesia Division, Jacksonville, FL Aug 2018-Dec 2023
Reviewing anesthesia records
Going in the EMR pulling all corresponding documentation for the case
Making sure things corresponds
Pulling insurance information
Sending to the billing office accurately
AR Specialist, Physicians Group Services, Jacksonville, FL Aug 2011 - Jul 2018
Used electronic charge capture practices such as billing and account receivables (BAR) system and medical billing clearinghouse accounts to submit codes and invoices on time.
Provide administrative support to physicians and interpret medical reports and data to assign ICD-9 and ICD-10 codes; enter diagnosis codes and patient information into billing software.
Update and manage diagnosis lists, coordinate routine documentation and coding audits, and execute qualitative analysis of discharged charges.
Examine patients encounter forms to verify diagnosis codes and reconcile codes against services rendered.
Review and validate accuracy of charges, including dates of service, services provided, location, patient identification, and provider signature.
Uphold and reinforce compliance with hospital policies and federal regulations such as HIPAA.
Accurately input procedure and diagnosis codes into billing software to generate invoices.
Follow and maintain currency on coding, sequencing, and procedures best practices and updates.
Collected, posted, and managed patient account payments, and prepared and submitted claims forms to insurance companies and other third-party payers.
Follow up on past due invoices and delinquent accounts to reduce number of unpaid and outstanding balances.
Data Entry Specialist, Multi Medical, Jacksonville, FL May 2006 - Aug 2011
Performed insurance verification, pre-certification, and pre-authorization.
Entered procedure and diagnosis codes, and requisite patient information into billing software to streamline invoicing and account management; added modifiers, verified diagnosis, and coded narrative diagnosis.
Responded to staff and client inquiries regarding CPT and diagnosis codes.
Unit secretary,Monitor Tech,Pharmacy tech,Jackson Hospital. 1990-1995
Radiology Billing, Professional billing 1995-1997
AR specialist. Physicians on line Jacksonville FL. 2000-2006 Family Practice,Podiatry,Hospitalist
Education
Hooper Academy, Hope Hull, AL May 1989
Auburn University of Montgomery
Bachelor of Science 2 Years Completed Major: Pre-Nursing
Certifications:
CPB Certified Professional Biller. AAPC
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