Medical Biller at Whittier Medical Medical Management\Schambach & Associates, Inc. (2007-01 – 2022-08)
- CPT input and ICD-9 coding for multiple specialties including Pulmonary, Critical Care, Infectious Disease, General Surgery, ENT, Family Practice, Neurology, and Internal Medicine.
- Work effectively with physician staffs on coding, billing and insurance issues.
- Excellent guest relations skills with physicians, patients and payers.
- Knowledgeable about HIPAA Guidelines, Medicare Compliance issues, LCD, CCI, and RVRBS, TARS, Authorizations, Medicare 0 pays, medicare redetermination
- Accurately post and balance patient payments
- Effective follow-up on open claims to ensure timely resolution and closure (online, by phone and appeal letters)
- Accurately process medical claims to various insurance carriers to ensure proper and correct payment ( Medicare, Medical, HMO'S, PPO)
- Maintain current working knowledge of CPT, HCPCS, and ICD - government regulations, protocols and third party requirements regarding billing
- Accurately evaluate the accuracy of provider charges, including dates of service, procedures, levels of care, locations, diagnosis, patient identification, and provider signature.
Support Staff at Whittier Medical Medical Management\Schambach & Associates, Inc. (2006-01 – 2007-01)
- Create patient accounts with accuracy including verification of eligibility.
- Provide outstanding customer service to clients
- Successful multi-tasking with various data bases, internet, intranet, telephone, and faxing
- Manage multiple accounts to ensure that preparation is up to date to ensure timely billing
- Obtain authorizations and accurately check eligibility
