Medical Billing Specialist/ Coder Resume

SUMMARY:

To secure a position within the company, that will utilize my current skills, and with growth and development provide for advancement.

Qualifications:

TECHNICAL SKILLS:

Medical Office Systems: All - Scripts Mysis Compu-Systems, All-Scripts Payer Path, Digichart (EHR), and AdvancedMD

Insurance Company Systems: Processing Claims on Medicaid WebTool, Tricare Claims Entry and Medicare FISS Shared System

Confidential Systems: Webport, ITS, Appeals, and I-Flow

Confidential Administrators: OnBase

EMPLOYMENT HISTORY:

Confidential

Medical Billing Specialist/ Coder

Responsibilities:

Posted Office Charges and Hospital Charges
Coded Inpatient and Outpatient charges
Ensured Office and Hospital Charges were coded properly if coded by office staff
Insurance A/R Follow-up

Confidential

J15 Claims Team Lead

Responsibilities:

Confidential

J15 Claims Team Lead

Responsibilities:

Confidential

Claims Processor

Responsibilities:

Review and Work RAC Audit Claims
Respond to Provider Inquiries
Back-Up to Project Administrator, Team Lead, and Management
Run reports for Daily, Weekly, Monthly and Quarterly Metrics
Complete project spreadsheets and prepare them for Senior Management
Lead for the Therapy Cap implementation project for the Claims Department
Assist with Voluntary refunds, correcting provider claims and reviewing timely filing claims

Confidential, PA

Billing Rep.

Responsibilities: