February 2016 – present
Center for Advance Orthopaedics
Medical Billing Specialist
· Responsible for medical billing & coding surgeries for Orthopedics surgeons
· I review Op Notes and Office notes when appealing denied claims
· I appeal all claims when applicable will supporting information, such as appropriate modifier(s) and or CPT codes
· I’m responsible for all Medicaid and MCO accounts.
· I called the hospital(s) to get the authorization for our claims when our doctors are on call.
· I take credit card payment and run them thru pay pro system. Mail a copy to patient upon request.
· I worked with our ancillary division if applicable & communicate with our collection agency when patients pay their account in full.
· I alert the posting department if I come across on posting error.
· I speak with the PT on a daily basis regarding their accounts, such as co-pay, deductibles and or
Patient responsibility for surgeries and or office visit.
October 2015 – April 2016
GCOA @ Union Memorial Hospital (closed & merged with hospital)
Medical Billing Representative
· Responsible for medical billing & coding surgeries for Orthopedics surgeons
