Medical Practice Credentialing & Billing Specialist

CATHERINE DENISE AGEE

Medical Practice Management Billing & Coding Provider Credentialing

Mobile, Alabama 251-***-**** ****************@*****.***

PROFESSIONAL SUMMARY

Experienced medical practice professional with 33 years of service to one organization, advancing through clinical, billing, coding, administrative, and practice-management responsibilities. Extensive knowledge of provider credentialing and enrollment, including CAQH, NPI/NPPES, Medicare, commercial insurance, CPT, ICD-9/ICD-10 coding, claims, accounts receivable/payable, patient billing, authorizations, and practice operations. Known for dependability, accuracy, problem solving, and the ability to manage fast-paced medical-office responsibilities.

CORE QUALIFICATIONS

• Provider Credentialing & Re-Credentialing

• CAQH Profile Management & Attestation

• NPI / NPPES Enrollment & Maintenance

• Medicare Provider Enrollment

• Commercial Insurance Enrollment

• CPT, ICD-9 & ICD-10 Coding

• Inpatient, Outpatient & Surgical Coding

• Medical Billing, Claims & Appeals

• Accounts Receivable & Accounts Payable

• Insurance Verification & Authorizations

• Patient Billing & Conflict Resolution

• Practice Management & Staff Administration

PROFESSIONAL EXPERIENCE

Foot and Ankle Center of Mobile Bay, PC — Mobile, Alabama July 22, 1992 – June 21, 2026

Practice Manager 2024–2026

• Managed day-to-day medical practice operations, billing, coding, insurance processes, patient accounts, and administrative workflow.

• Handled provider credentialing, re-credentialing, and payer enrollment; maintained provider demographic and practice information with CAQH, NPI/NPPES, Medicare, and commercial insurance plans.

• Completed and maintained CAQH profiles, attestations, supporting documents, provider updates, and insurance participation information.

• Assisted with Medicare enrollment and provider maintenance and worked with insurance carriers to resolve enrollment, credentialing, billing, claim, and payment issues.

• Applied extensive CPT, ICD-9, and ICD-10 coding knowledge and experience with inpatient, outpatient, and surgical coding.

• Managed insurance and patient payments, billing, accounts receivable, accounts payable, and resolution of coding and patient-account discrepancies.

• Oversaw HR functions including hiring and separation of employees, FMLA, vacation and sick leave, employee and physician payroll, and tax payments.

• Worked directly with patients, providers, insurance companies, and staff to resolve complex billing, coding, authorization, and service concerns.

Medical Assistant 1999–2003

• Assisted physicians with patient care, surgical procedures, injections, casting, orthotic care, and adjustments.

• Performed X-rays and maintained a clean, sterile clinical environment.

• Managed precertifications and authorizations for procedures and communicated with insurance companies regarding patient coverage and requirements.

• Collected and updated patient medical histories and medication information and processed disability paperwork and related requests.

ADDITIONAL STRENGTHS

Long-term employment stability • Medical-office leadership • Coding research and issue resolution • Patient communication • Insurance follow-up • Multitasking • Deadline management • Team collaboration • Adaptable and quick to learn new systems

EDUCATION

Mobile County High School — 1987

University of South Alabama — Studies in Business and Medical

PROFESSIONAL DEVELOPMENT

Extensive hands-on experience in medical billing, coding, credentialing, payer enrollment, and practice management. Willing to obtain professional certification as required by the position.

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