Andrea Gray

Andrea Gray wishes to obtain a career that utilizes my skills and abilities in the healthcare field, with the opportunity for development and growth.

Skills:

• Windows 2000/XP, Microsoft Word, Excel, WordPerfect, Typing 60-65 wpm, 15,000 keystrokes;
• Database Claim Processors and Commercial billing;  Medisoft, Expertise with SSI, HBOC, FISS
• Remote with Common Working Files, CUBS, TDH connect and TMHP, e-Clinical, HPF records, PWL and HIS systems, CPT coding, ICD-9-CM coding
• McKesson’s Claims Administrator, Athena, BCA
• Proficient with FISS system for Mutual, Trailblazer, and Tri-span payers

Experience:

• Responsible for all AR
• Correct all coding denials and re-bill for payment
• Post all monies from lock box and patients
• Floater needed for billing and other projects as needed
• Assign appropriate ICD-9 codes for Obstetrics and Gynecology, pathology claims
• Assign appropriate CPT and ICD-9 codes for the Assistant’s surgeries; Obstetrics and gynecology
• Responsible for all billing of pathology and surgery claims
• Responsible for all Medicare collections for GU Oncology, Obstetrics and Gynecology, Internal
• Medicine, Comprehensive Health, Academic Medicine; Physical Medicine and Rehabilitation, CV Surgery, and Diagnostic Imaging clinical departments.
• Correct all coding denials for departments listed above
• Knowledge of posting lock boxes for several clinics within the physician organization 
• Collected A/R from Medicare for claims that were >90 days for several providers within Christus Health through FISS Remote System
• Work coding denials by determining the appropriate CPT and ICD-9 codes for outpatient and inpatient claims to assure maximum reimbursement allowed
• Verified Insurance 
• Billed clean claims to Medicare and commercial insurances through SSI/FISS Remote System that were HIPAA compliant for timely provider payments
• Work coding denials by determining the appropriate CPT and ICD-9 codes for outpatient and inpatient claims to assure the maximum reimbursement allowed
• Worked 72-hour compliance, failed claims, return to provider reports
• Proficient with FISS system for adjustments, late charges and credits, cancels, suspended claims, online reports, medical records request
• Answered patient questions and ensured their CWF is current for correct Medicare secondary billing using the COB line

Certification:

• Certified Professional Coder - American Academy of Professional Coders
• Professional Careers Institute  Medical Billing & Coding