Autumn A. Williams is a billing and coding professional seeking a good role that will allow her to utilize her acquired skills.
Skills:
Administrative Skills: Executive & Administrative support, electronic medical records, telephone etiquette, customer service, filing, database & records management (paper or EMR), produce reports, presentations, spreadsheets, audit patient accounts, and data entry (50 WPM)
Computer Skills: Microsoft Office programs, Outlook Express and the claims processing systems: IDX, TRIMED, Imagine, Med iSOFT.
Experience:
Coding Research Specialist
Maintained coding databases, and set up audit spreadsheets to evaluate coders’ error rates, when needed corrected patient accounts and followed the appeals process for payment corrections to be completed, reviewed day-logs for inconsistencies in procedure and diagnosis codes, conferred with clients, Insurance companies, Hospices, Skilled Nursing Facilities and patients in order to process rejected and denied medical claims for the professional and technical portions, specialized in Medicare, Medicaid, Blue Cross Blue Shield, Cofinity, Hospice, many different TPA organizations and Skilled Nursing Facility claims.
Extra job functions included being part of the research and review team for the collections department by investigating and evaluating new programming (Imagine) that was being introduced and implemented in the processing, researching, and working of medical claims.
Insurance Research Specialist
Located referrals, resolved inconsistencies, and requested further information for documents that were deemed incomplete or had been amended. Located and billed patient insurance, audited patient accounts, calculated benefit payments and approved payment of claims within a certain monetary limit. Reviewed settled insurance claims to determine that payments and settlements have been made in accordance with company practices and procedures and appropriate fee schedules along with posting co pays and deductibles.
Data Prep Clerk
Operated keyboard and other data entry devices in order to research, sort, organize, file and compile data into computer databases and imaging systems. Verified the information, and prepared documents for printing, tracking, and keying demographics, cross checked procedure and diagnosis codes, processed customer information, account information and various other forms of documents by reviewing data for errors.
Education:
Current student at Pima Community College working towards Certification in Health Information Technology (Front Office Support-concentration) and Health Information Technology Associates Degree of Applied Science to be completed by the Fall of 2013.
