MEDICAL BILLING SPECIALIST Skill Highlights Microsoft Office products Word, Excel, Access, PowerPoint Can type 60 words per minute Experience face-to-face customer service interaction Experience communications external clients via email conference calling Can create maintain detailed records given project task Some experience mailroom machines (envelope cutters, faxes, copiers, scanners) Experience reading medical documents (insurance forms, EOBs, procedure notes, etc.) Strong experience medical coding ICD-9, CPT, HCPCS II, medical terminology Intermediate experience ICD-10 coding Professional Experience July 2014 December 2015 Company Name City State Medical Billing Specialist Run daily report charges ready post claims Able understand CPT, HCPCS II, ICD-9, ICD-10 diagnosis codes Re-code CPT codes specialized billing (i.e., charges Medicare patients) Add appropriate modifiers needed and/or requested contacts facility site Submit charges correct RVU order following NCCI guidelines Work contacts site ensure charges claims submitted cleanly via internal/external emails weekly conference calls Inform site contacts charges nearing timely filing limits Use PrimeSUITE software charge entry Work Insurance AR reps resolve denials/issues submitted claims Some knowledge billing per insurance type (i.e. commercial, state/federal, private insurances) Site multi-specialty, multi-practice operation roughly 25-30 providers Charges submitted range retail clinics hospital procedures/surgeries. Assigned additional diagnosis codes based specific clinical findings (laboratory, radiology and, pathology reports well clinical studies) support existing diagnoses. Examined diagnosis codes accuracy, completeness, specificity appropriateness according services rendered. Provided administrative support multiple physicians. Coded outpatient encounters rate 160 per day 120 complex specialty coding. Accurately entered procedure codes, diagnosis codes patient information billing software. Consistently ensured proper coding, sequencing diagnoses procedures. Quickly responded staff client inquiries regarding CPT codes. Demonstrated knowledge HIPAA Privacy Security Regulations appropriately handling patient information. Added modifiers appropriate, coded narrative diagnoses verified diagnoses. Evaluated accuracy provider charges, including dates service, procedures, level care, locations, diagnoses, patient identification provider signature. Communicated medical transcriptionists regarding patient medical records. Posted charges, payments adjustments. Performed quality control data entry system verify claims payments posted correctly. January 2012 March 2013 Company Name City State Imaging Specialist I Processed payments medical offices, collections agencies, utility companies Sorted counted much mail client received, live payments correspondences Prepared live check payments processing ensuring information legible Scanned checks system ensured quality batches submitting payment processing Scanned correspondences client, ensuring documents legible Prepared mailed rejected payments return mail client every afternoon Maintained logs totals client mail (incoming outgoing) monthly billing purposes. September 2011 January 2012 Company Name City State Cashier Handled customer transactions sales. Responsible handling counting large amounts cash. Offered product insurance customers applicable. Ask and/or offered customer rewards card customers. May 2010 November 2010 Company Name City State Cashier Handled customer transactions sales returns Answered telephones routed calls correct department Responsible handling counting large amounts cash Offered product insurance customers applicable Asked and/or offered customer rewards card customers Directed customers correct department Refilled ink cartridges customers Called customers orders arrived store Maintained cleanliness organization store's front end. April 2006 August 2006 Company Name City State Cashier Handled customer transactions sales returns Greeted customers entered store Answered handled telephone inquiries Responsible handling large amounts cash Responsible counting contents cash register end shift Suggested products customers according contents orders Maintained cleanliness organization store's front end Maintained cleanliness organization store shelves overstock Responsible organizing returns floor associates could restock returns according department. Education Training May 2006 Northgate High School City State High School Diploma Columbus State University City State Presently Attending West Georgia Technical Healthcare Information Technology Management (Associates) Computer Networking (Associates) Carrollton, Georgia Skills AR, Ask, billing, cash register, Computer Networking, CPT, client, clients, customer service, diagnosis, email, faxes, filing, forms, ICD-10, ICD-9, Information Technology, ink, Insurance, notes, medical coding, medical terminology, Access, Excel, mail, Microsoft Office products, PowerPoint, Windows 98, Word, multi-tasking, organizing, payment processing, copiers, coding, quality, Quick learner, reading, retail, sales, scanners, supervision, telephone, telephones, type