Objective

To be a vital piece of a medical administrative/customer service team by utilizing my skill and knowledge of effective insurance coding and billing practices to assist patients, providers and/or insurance members.

Interest

Motorcycles:  Dirt trail and street riding.

Skills

Skills

Bondable

Medical Insurance Billing

Medical insurance billing including Dental; CPT and ICD-9-CM coding; form CMS-1500; form CDT; Medicare and Medicaid

Medical Terminology Anatomy and Physiology

Knowledge of Anatomy and Physiology and Medical Terminology.

Data Entry Alpha-Numeric

Type 60+ WPM with 100% Accuracy 10-Key by touch 24,000 SPH with 100% Accuracy

MS Office Suite

Certified Professional Coder (Apprentice)

Member of the American Academy of Professional Coders (AAPC); Current on Coding License through the American Academy of Professional Coders (AAPC); Completed required Continuing Education Units (CEUs); Attend Local AAPC Chapter and National meetings and seminars

Education

Education
May 2005 - Jul 2007

Insurance Coding and Billing

Concorde Career Colleges, Inc.

Commendations for Academic Achievement

Perfect Attendance

Completed an Externship in the field of Medical Coding and Billing

Graduated with honors

Joined the American Academy of Professional Coders (AAPC) Passed the exam to become licensed as a Certified Professional Coder's (CPC)

Returned in 2008 to take refresher courses

Tutored students upon request from the program director

Work History

Work History

Accounts Manager

The H Group, Inc.

* Supported two Certified Financial Planners in the Salem branch and relocated to Portland and supported one CFP  with new account set up;

* Input client information into various databases; maintained data integrity;

* Initiated and tracked movement of investment monies;

* Processed reports for client meetings;

* Prevented and resolved problems or discrepancies;* Assisted clients with filling out paperwork;

* Prepared quarter end reports;

* High volume of client service

Accounting Clerk

Cascade Occupational Medicine Physicians Inc.

* Solely responsible for paying all bills incurred at five medical clinics and an administrative office;* Brought delinquent accounts current and mended relationships with vendors;

* Issued all checks including payroll and advances;* Negotiated a contract and established the lowest legally allowable discounted rates with an outsourced X-Ray company

Externship - Billing Assistant

Laurelhurst Physical Therapy Clinic

* Externship for school credit through Concorde Career Colleges;* Daily posting of A/R;

* Verified benefit coverage;

* Tracked prescriptions and pre-authorizations as needed;

* ICD-9 and CPT coding;

* Prepared CMS-1500 forms and required attachments for submission;

* Created new patient files;

* Data entered patient information into industry specific software;

* Scheduled and checked in patients;

* General office duties including multi-line phones,  and all offices machines.

Claims Processor

The GALT Foundation

* Temporary assignment at Department of Human Services’ Breast and Cervical Health program;

* Received and prepared CMS-1500 bills by applying allowable amounts for each CPT and ICD-9 codes;

* Determined which services were/not covered under the guidelines of two grant contract sources;* Gathered the Medicare allowable amounts for each CPT procedure according to demographic/location;* Submitted bills to accounting for payment.

Dec 2009 - Present

Medicare Part D Claims - Contracted Employee

Regence Blue Cross/Blue Shield

*  Correct Medicare pharmacy claims submitted to Regence for a project assigned by CMS;

*  Reverse and reapply correct co-payments and co-insurance;

*  Determined which claims needed to be corrected according to Medicare guidelines;

*  High level of accuracy, data entry, and daily output.

Certifications

Certifications
May 2006 - May 2011

CPC-A

American Academy of Professional Coders