Carissa Cron

An AAPC Certified Professional Coder with 10+ years of medical industry experience. Additionally, AAPC Certified for Home Health and Reimbursement Coding.

Coder - DERM DOX DERMATOLOGY

(2024-01)

• Review coding for all claims prior to sending to carriers
• Correct denials and invalid/rejected claims
• Review provider documentation to ensure compliance with pay-specific requirements
• Work with providers and team to resolve any coding discrepancies
• Knowledge of appeal process
• Knowledge of provider portals
• Cash postings
• Assisted patients with billing issues
• Payment posting

Insurance Specialist/AR Specialist/Biller - ACCLARA/TEGRIA

(2021-01 - 2024-12)

• Assisted insurance companies with reviews/payables
• Researched denials, trends, and short pay from carriers
• Knowledge of handling appeals
• Billed delivery tickets through transmission of claims
• Corrected claims for payments
• Responsible for Home Infusion AR

Insurance Specialist II - GUTHRIE CLINIC

(2011-01 - 2021-12)

• Identified and evaluated denials for assigned payors
• Exported data, prepared spreadsheets to address trends, projects and worklist
• Analyzed complex bill problems, prepared appeals and challenged payor policies
• Reviewed adjustments from specialists
• Assisted management in training and developing internal rejection protocols
• Assisted with audits on accounts
• Assisted training other staff members as needed

Patient Service Specialist - GUTHRIE CLINIC

(2011-01 - 2021-12)

• Scheduled appointments and procedures
• Coordinated patient arrivals
• Responsible for pre certifications on all tests
• Answered phones, filed paperwork, and all other administrative duties