Medical Billing/Coding Specialist
Resume:
Felicia A. Washington, CPC-A
Jacksonville, Florida 32210
**************@*****.***
Objective: To secure a position with a company that will utilize my skills and experience, where advancement is based on initiative and results.
Education & Certification:
2010-2011: Sanford-Brown Institute: Medical Billing and Coding Program- Jacksonville, Florida
2011- AAPC- Certified Professional Coder Apprentice
Work Experience:
06/11-Current Duval County Health Department (Volunteer) Jacksonville, Florida
Claims Specialist:
• Post all payments received into the billing system from EOB’s while maintaining a high level of productivity through speed and accuracy
• Process denials and No-pays
• Risk assessment and logical decision making ability
• Excellent communication skills (Written and Verbal)
• Ability to handle large volume with attention to detail
• Knowledge of HCFA & UB-92 forms, CPT-4 and ICD-9 coding
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations
• Call insurance carriers to question denials
• Obtain status updates on unpaid claims and research lost checks
04/11/-06/11 Hanna Rehabilitation Services (Externship) Jacksonville, Florida
Front Desk:
• Insurance verification ,verification of patient demographics authorizations/pre-certs
• Scheduling, canceling, and rescheduling patient appointment
• Collecting co-pays and cash from patients, getting authorization on credit cards
• Entering charges, payments, and balancing the day in the computer
• Answers questions from patients, clerical staff and insurance companies.
• Identifies and resolves patient billing complaints.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations
• Answering multiple telephones and accurately documenting messages.
• Follow up of outstanding A/R all payers and/or including self- pay and/or including resolution of denials.
• Demonstrates understanding of security and confidentiality of data and information as required for compliance.
08/07-3/11 Duval County Public Schools Jacksonville, Florida
Paraprofessional: Teachers Assistant
• Discussed assigned duties with classroom teachers in order to coordinate instructional efforts.
• Prepared lesson materials, bulletin board displays, exhibits, equipment, and demonstrations.
• Presented subject matter to students under the direction and guidance of teachers, using lectures, discussions, or supervised role-playing methods.
• Supervised students in classrooms, halls, cafeterias, school yards, and gymnasiums, or on field trips.
• Distributed tests and homework assignments, and collect them when they are completed.
• Took class attendance, and maintain attendance records.
• Assisted in bus loading and unloading.
08/04-07/09 Family Practice Association of Jax. Jacksonville, Florida
Administrative Assistant
• Greet and sign all patients, vendors, and visitors
• Verify patient demographics and charges while making necessary corrections
• Schedule patient referral appointments and verify hospitalization insurance coverage
• Handle special administrative projects as well as overflow from other departments and assistants
• Attended staff meetings, and served on committees as required.
• Ability to work in fast paced environment
• Typed, filed, and duplicated materials.
• Compiles and condenses technical and statistical data for reports and records
• Assist in maintaining patient files, records, and other information to contribute to accurate data gathering while maintaining patient confidentiality
10/01-07/04 Amerihealth Administrators Jacksonville, FL Billing/Coding Specialist
• Process claims for PPO, HMO, Workers Comp., Medicare, Medicaid, and commercial insurance companies
• Knowledge of HCFA & UB-92 forms, CPT-4 and ICD-9-coding.
• Denied inappropriate claims following policy guidelines.
• Process claim reversals and corrections.
• Review records and assign the correct ICD-9 code for each diagnosis and procedure to ensure complete and accurate billing for services rendered
• Provided excellent customer service.
• Processed investigations and collection of potential coordination and subrogation of benefits.
• Maintain daily production log of claims denied and suspended.
• Responsible for identifying billing errors and possible fraudulent claims submissions.
• Verification of eligibility and other health insurance.
• Prepared correspondence to return to Provider regarding correct or additional information that is needed for adjudication.
• Responsible for correct manual calculation of benefits when applicable. Maintain productivity and quality in accordance with established guidelines.
• Perform other job-related duties as required.
• Adheres to all company policies and procedures relative to employment and job responsibilities
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