VIRGINIA PEEK

VIRGINIA PEEK has 16 years of experience in Clinical Support, Office Management, and Insurance, Certified Professional Coder (CPC), American Academy of Professional Coders (AAPC). She has 6 years of experience in Data Entry and Medical Billing/Coding. She is Proficient in Injections, Venipuncture, EKGs, Halter Monitors, and Vitals. She is Customer service oriented with efficient front-office skills. She has Knowledge of modern clinical and medical practices and procedures. She has diverse organizational experience and productive in team environments

Skills:

• Insurance Claim Billing & Processing Government & Third-Party Payers Managed Care (HMO, PPO & POS)
• TRICARE, Medicare, Medicaid Electronic Medical Records (EMR) CPR, AED, First Aid Certified
• HIPAA Guidelines
• MOSS MEDISOFT
• CPT-4 HCPCS ICD-9-CM
• Insurance Claim Billing & Processing Government & Third-Party Payers Managed Care (HMO, PPO & POS)
• Moss and MEDISOFT Proprietary Software
• Microsoft Excel, MS Word, PowerPoint
• Navision
• Lotus
• DSG
• Medical Terminology
• Medical Office Administration
• Medical Insurance Records
• Appointment Scheduling
• Medical Office Procedures
• Keyboarding 50 WPM
• Computer Medical Billing
• Physiology
• Word Perfect
• Accounting
• Interpersonal Skills
• 10 key
• Confidentiality

Experience:

Medical Biller

• Processed patient's billing, statements, post transaction & data in order to push through DSG
• Ensure coded data accurately reflects service provided based on documentation
• Worked the Bi-weekly reports, inquiry, working up all invoices, claims and ancillaries Responsible for the reports distribution
• Proficient of physician coding, in and outpatient coding and facility coding
• Submit reimbursement claims to insurance companies
• Maintained billing records, Researched and resolved incorrect payments
• Proficient with Lotus Notes 8.5, Navision, DSG, and some Jopari
• Submit reimbursement claims to insurance companies
•  File reports, manage outgoing claims, invoices and statements to be mailed

Medical Specialist/Coder (part-time)

• Part time Medical Specialist coding
• Worked virtually for Regional Pathology
• Reviewed unpaid claims and corrected billing errors and resubmitted for payment
• Communicated with Insurance companies to verify claim.

Manager

• Oversaw daily operations, developed employee schedules, greeted customers, and addressed customer service issues for 3 hotels
• Collect self-pay account balances, work off A/R, review EOBs and establish payment plans
• Prepare Accounts Receivable adjustments for processing and approval
• Researched and resolved incorrect payments, EOB rejections, and other issues with outstanding accounts. Reviewed billing edits and provided corrected information. Provided tenacious follow-up to ensure proper payments were fully collected.
• Trained, mentored, and managed a team of 30+ employees, including employees at 2 remote hotel locations
• Enforced quality customer service practices to promote repeat and referral business
• Handled cash deposits and other forms of payment
• Prepared periodic accounting reports Lead, Guest Service Relations
• Assisted hotel manager in making deposits, ordering supplies, set up for corporate events, and served as backup hotel manager in her absence
• Performed audits, made bank deposits, implemented agendas, trained employees on new procedures, and compiled management reports
• Trained new employees, worked the front desk, answered phones, and handled complaints
• Provided executive assistance to aid committee department heads in achieving objectives
• Prepared correspondence and utilized computer programs in support of hotel operations

Night Audit Manager

• Prepared employee schedules and managed payroll functions
• Provide excellent customer service to guests and ensured corporate procedures were being followed
• Monitored performance of all hotel operational teams to ensure profitability
• Follow up on errors and correct as needed while completing nightly audits

Office Manager

• Performed all billing and coding for office
• Managed all accounts payable and receivable
• Prepared bi-weekly payroll, managed all insurance billing and ordered lab materials needed
• Researched accounts receivable and consult with insurance companies to institute settlement of accounts

Office Manager for General Practitioner and Internist

• Performed all medical billing/coding and managed accounts payable/receivable
• Brought past due accounts to current status. 
• Worked front and back office
• Gave patient injections, venipuncture, EKG’s, halter monitor, took vitals. 
• Organized filing systems and patient charts
• Set appointments, filed paperwork, collected patient data, ordered supplies
• Performed a wide range of clerical tasks in support of clinical objectives

Education:

• Applied Associates of Science Degree & Diploma in Medical Billing & Coding –  4.00 GPA
• CPC Certified, AAPC
• Associates Arts & Science Degree in General Studies, & Medical – 3.98 GPA
• Medical Assistant Diploma – 1983,  3.80 GPA