Insurance Home Health
Resume:
JOHN D ROXAS, CPC, HCS-D
ELMWOOD PARK, IL 60707
WORK: 847-***-****
CELL: 708-***-****
OBJECTIVE: TO SECURE A POSITION OF RESPONSIBILITY WHERE I CAN UTILIZE MY EDUCATION, EXPERIENCES, SKILLS AND EXPERTISE IN A GROWTH ORIENTED HEALTHCARE COMPANY.
EXPERIENCE:
NORTHSHORE UNIVERSITY HEALTHSYSTEM
OCTOBER 2005 TO PRESENT
MEDICAL RECORDS CODER – HOMECARE SERVICES
• REVIEWS MEDICAL RECORDS DOCUMENTATION AND OASIS ASSESSMENT
• ASSIGNS ICD 9 DIAGNOSES AND SURGICAL CODES IN ACCORDANCE WITH OFFICIAL CODING GUIDELINES AND CODING CLINIC
• ABSTRACTS CLINICAL INFORMATION FOR BILLING PURPOSES
• ANALYZE OASIS DATA ELEMENTS AND DIAGNOSES TO MAXIMIZE HHRG AND CASE MIX SCORES
MCKESSON CORPORATION ( REVENUE MANAGEMENT SERVICES )
APRIL 2009 TO OCTOBER 2009
MEDICAL CODER - ANESTHESIA & PATHOLOGY DEPARTMENT
• ASSIGN AND LINK ICD 9 DIAGNOSES TO CPT CODES
• ANALYZE AND REVIEW OPERATIVE REPORTS
• CHARGE ENTRY AND POSTING
EVANSTON NORTHWESTERN HEALTHCARE
MARCH 28, 2005 TO MARCH 2009
HOME HEALTH BILLING & COLLECTION SPECIALIST
• HOME HEALTH & HOME INFUSION BILLING
• MEDICARE AND INSURANCE CLAIMS AUDIT
• RESPONSIBLE FOR BILLING ACCOUNT MAINTENANCE
• VERIFIES MEDICARE ELIGIBILITY
• VERIFIES INSURANCE COVERAGE AND BENEFITS
• INSURANCE FOLLOW-UP AND COLLECTION
• RESOLVING ZERO EOB’S AND DENIALS
• VERIFIES CAPITATION ENROLLMENT
• CLAIM FILING AND STATEMENT PROCESSING
• PRECERTIFICATION OF HOME HEALTH SERVICES
HEALTHTRENDS HOME HEALTH
• OASIS CODING AND ABSTRACTION
• ASSIGNING PRIMARY DIAGNOSIS AND OTHER DIAGNOSIS
TAT-KIN TSANG, MD (GASTROENTEROLOGY CONSULTANTS OF THE NORTH SHORE) JANUARY 1999 TO MARCH 2005
WILMETTE, IL
BILLING AND CODING SPECIALIST
• GI PHYSICIAN CODING & CHARGE ENRTY
• INSURANCE FOLLOW-UP AND COLLECTION
• PAYMENT POSTING
• AUDIT ACCOUNTS AND ANALYZE INSURANCE PAYMENTS AND CONTRACTUAL DISCOUNTS
• CLAIMS FILING AND STATEMENT PROCESSING
• PATIENT COLLECTION
• VERIFIES INSURANCE COVERAGE AND BENEFITS
• PROCESS ZERO EOBS AND INSURANCE DENIALS
NORTH SUBURBAN CLINIC- SEPTEMBER 1997 TO DECEMBER 1998
SKOKIE, IL
INSURANCE SPECIALIST/COLLECTION
• INSURANCE FOLLOW-UP AND COLLECTION
• CLAIMS FILING AND STATEMENT PROCESSING
• VERIFIES CAPITATION ENROLLMENT
• PATIENT COLLECTION
• PAYMENT POSTING
• PROCESS ZERO EOBS AND DENIALS
• VERIFIES INSURANCE COVERAGE AND BENEFITS
• AUDIT ACCOUNTS AND ANALYZE INSURANCE PAYMENTS AND CONTRACTUAL DISCOUNTS
MEDI-SYSTEM CORPORATION (NORTHWEST SUBURBAN ANESTHESIOLOGISTS) APRIL 1996 TO AUGUST 1997
INSURANCE BILLER AND COLLECTION
• INSURANCE FOLLOW-UP AND COLLECTION
• CLAIMS FILING AND STATEMENT PROCESSING
• VERIFIES INSURANCE COVERAGE AND BENEFITS
• PROCESS ZERO EOBS AND DENIALS
• AUDIT ANESTHESIA CHARGE COMPUTATION
• PATIENT COLLECTION
EDUCATION
BACHELOR OF SCIENCE IN NURSING
EMILIO AGUINALDO COLLEGE - MANILA, PHILIPPINES
CERTIFICATION
AMERICAN ACADEMY OF PROFESSIONAL CODERS
ASSOCIATION OF HOME CARE CODERS
Contact this candidate