Hard working, Strong and Energetic, working always above and beyond to achieving Organizations goal and improving on self-actualization * Fully Certified Medical Billing and Coding Specialist with over 7 years' experience in Hospitals, Nursing and Rehab Centers, Physician office and healthcare operations management. * I have strong auditing experience and many years of reimbursement experience. * Ambulatory Care and private physician experience * Strong coding and reimbursement experience * Expertise in ICD-9 and ICD-10, CPT-4, E/M codes, and HCPCS coding and procedures. * Knowledgeable in A/R and A/P, Abstract codes from Dr's notes, procedures codes and diagnoses codes. Ensure claims are properly coded and submitted in timely manner. * Experience in Ambulatory care, Physician coding and billing, Surgery, OBGYN, Ortho, Opthal, Internal medicine, to mention but few. * Review EOB's, COB's, Paper claims with appropriate attached documentations, Referral, Authorizations, Consult notes, Op reports before submitting the claims for payment. * Scheduling appointment for over 50 patients and verifying Insurance eligibility and Co-payments through Insurance Website or by calling Insurance companies, Pre-Certification and Authorization of patient's insurance. * Verifies successful loading and acceptance of electronic files. Resolves online clearinghouse edits for claims to submit to payers. * Posts rejections into the system for claims that cannot be processed by payer. Process daily paper claims run, execute, print, track and records claims form types and ensure they are completed on a daily basis. * Follow up over 55 claims and collecting payments due from insurance and patients daily, working in a fast-paced medical and healthcare environment. * Experience in working on Patient Self-Pay accounts, collections of payment due, payment arrangement, insurance denials, aged claims and payments. * Detail oriented, team worker, friendly, flexible, reliable, Time management and very dependable worker. Leadership skill, experience in processing high volumes of patient's information and time management. * Knowledgeable in patients' medical records confidentialities - HIPAA and other healthcare regulations and policies * Highly skilled in excellent data entry, allows for accurate coding of medical information, providing care, analyzing and validating patient information, diagnoses, and billing data. Strong communication skill, attention to details and Multi-tasker.

Highlights:

Companies I like:

Government Agencies, Physician Billers, Administrative , Hospitals, Doctors Offices, Accounting and Financial services

• ACH
• ALLSCRIPTS
• Amazon Elastic MapReduce
• Applications
• Audit
• Bad Debt
• Billing
• BLS
• Budgeting
• Cardiopulmonary resuscitation (CPR)