BLP

Education

Marymount Manhattan College - **88

Cornell Nursing School 1970

SUNY/Ulster County Community College, Kingston, NY – Certificate – 02/2011

Via Gatlin Education Services

Objective:

Seek position as an Entry-level Virtual Medical Billing & Coding Specialist

Qualifications

• Experience in physicians’ offices/hospitals: OB/GYN, Internal Medicine, Surgery, Cardiology, Pathology and Geriatrics with surgical nursing background

• Attentive to detail, organized, excellent with medical and financial records; team player

• Strong knowledge of Medical Terminology, Anatomy & Physiology

• Exceptionally knowledgeable in Medical Billing and Coding Guidelines

• Very skillful in physician coding, inpatient/outpatient coding, and facility coding

• Extremely efficient in Microsoft Office, including Word, Excel, Access and PowerPoint and the Internet

• Competent in CPT-5, ICD-9, and HCPCS coding

• Experience in all aspects of insurance: Medicare, Medicaid, and third-party payers

• Knowledge in manual claims: (1500 CMS form), with learning knowledge of electronic claim submission

• Effective communication, interpersonal and organizational skills

• QuickbooksPro 2010 (Certified)

• Type 65+ wpm

Medical Billing daily operation consists of:

Patient data entry

Entering patient’s information with a level of service and diagnosis

Check insurance coverage

Prepare & submit claims to insurance companies, patients and other payers

Follow-up on delinquent accounts

Launch appeals for payments in disputes

Manage all billing cycles

Prepare invoices and review the correctness

Communicate with physicians and insurance companies

Resolve billing complaints

Write appeals for denied claims

Reimburse patients for procedures paid for by insurance company

Secure pre-authorization for particular procedures

Each claim is proofread for accuracy & correct coding

Work Experience

Medical office manager with nursing background in Surgery, Pulmonology, Internal Medicine, OB/GYN. Processed and submitted insurance claims, admissions for surgery, outside lab tests, vital signs, bookkeeping, banking and patient’s history.

Great customer service. Very articulate and professional.

Performed medical transcription in pathology department at Memorial Sloan Kettering Cancer Hospital and worked at NYU Medical Center in Geriatrics’ administration. Administrative duties in rehabilitation medicine at Mount Sinai Medical Center. All performed between the years, 1970-80 – part-time.

References

Contact this candidate