Molly Teron
30138 Stoney Creek Dr.
Tollhouse, CA 93667
[Send email to request phone number] 55-5651
To whom it may concern,
My name is Molly Teron, I am seeking employment for a Home-based position in
Medical Coding and/or billing. I have been a certified professional coder for the
past 5 years. I am also a member of the AAPC. In addition to my CPC, I also have
12 years of medical billing experience. My specialty being Medi-cal, CCS, GHPP,
Family Pact, Cancer Detection and all other Medi-cal related programs. I have a
complete knowledge of all ICD-9, CPT, and HCPCS coding and maintain 18 continuing
education credits each year which keeps me updated and informed on all coding
modifications, additions, etc.
I am a leader as well as a team player. I work exceptionally well with others
and adapt easy to change. I have the desire to learn and the will to succeed;
exceptional organizational skills, multi-tasks oriented, excellent customer
service skills, and telephone professionalism skills. I am a self-starter and a
self- Motivator.
I would appreciate you taking a few moments to review my resume and I would like
to thank you in advance for your time and consideration and I look forward to
hearing from you.
Sincerely,
Molly Teron
Molly Teron, CPC
30138 Stoney Creek Rd
Tollhouse, CA 93667
[Send email to request phone number] 55-5651
[Send email using form at bottom]
WORK EXPERIENCE
September 07- Current --Madera Community Hospital (Contractor)
Responsible for all of the Medi-cal billing and follow-up and all billing and
follow-up for any Medi-cal related programs. Such as CCS, Family Pact,
Presumptive Eligibility, Cancer Detection, CHDP, GHPP, etc… Bill all day one
claims via DSG (Data Systems Group) and utilize Medi-tech for all patient and
hospital billing information. Responsible for timely follow-up on all denied
claims which includes submitting CIF’s and Appeals when needed. I also assist
with any coding when needed which includes clinic, lab, ER, radiology, surgery,
etc… Submit 50-1 tars when needed and am also very familiar with
updating/correcting tars on the Medi-cal website. I am also responsible for all
the Medi/Medi billing and follow-up as well. As well as being responsible for all
of the facility Medi-cal billing I am also responsible for all of the rural
health care clinic Medi-cal claims.
Assist with back logged coding (when needed). Code directly from physician
reports which includes: LAB, ER, RAD, OB, O/P, and Clinic visits. Utilizes the 3M
coding software to add codes into the system.
October 07- June 09: Mirrus Corporation, Fresno, CA
Responsible for working all follow-up and daily reports for 2 hospitals in the
bay area. Follow though on accts until paid in full. Work appeals and denials in
a timely and efficient manner. Responsible for Medi-cal, Managed care accounts
which include all sub programs of Medi-cal, CCS, GHPP, BCEDP, etc. Resolve any
eligibility issues by contacting either social worker or patient for updated
information. Familiar with all pt accts types which include: Inpt, out patient,
OB, Psych, Lab, Radiology, ER, Observation, Surgical, etc…
March 06 - September 07 -- THE BUSINESS OFFICE, FRESNO, CA
Making Eligibility determinations and verifying authorizations. Research accts
to make sure payments were correct. Made necessary refunds when overpayments were
received and also appealed for correct payments when underpayments were received.
Responsible for daily productivity reports. Worked accounts from day one until
resolved. Main payor was Medi-cal and managed care and also all medi/medi accts.
Jan. 2002 – March 2006: CERTUS CORPORATION, Fresno, CA
Oct 2005 - March 2006: Supervisor
Supervisor duties: Supervised a staff of 12 employees which included approving
all time off. Maintained electronic time sheets and ensured that employees
followed the organization's policies and procedures, e.g., for sick time,
personal leave, overtime, etc…provided ongoing guidance to employees, answered
any questions and provided training when necessary. Ensured the employees had
appropriate and realistic job goals. Provided ongoing feedback about the
employee's performance to my manager. Assisted in conducting performance
appraisals on a regular basis, including assessing how the employee has performed
and what they can do to improve in their position. Developed performance
improvement plans if an employee's performance was not adequate. Review all CPT
and ICD-9 coding requests and input correct coding information into system when
received from client.
Biller duties:
Responsible for working all follow-up and daily reports. Follow though on accts
until paid in full. Work appeals and denials in a timely and efficient manner.
Responsible for Medi-cal, Managed care accounts for contracted facilities.
Resolve any eligibility issues by contacting either social worker or patient for
updated information. Familiar with all pt accts types which include: Inpt, out
patient, OB, Psych, Lab, Radiology, ER, Observation, Surgical, etc…
Experience:
Over 12 years of billing experience which includes Medicare, Medi-cal and
commercial insurances. Familiar with Medi-Tech, DSG, AS400, Medi.com, Cirius,
Caremedic to name a few. I am very familiar with Word and Excel and can type 45
wpm+ and 10 key by touch. Current member of the AAPC (American Acadamey of
Professional Coders). Certified Professional Coder (CPC) since Oct 2004.
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