Objective:
 

Telecommuting within medical billing and customer serv.


Work Desired:Part Time
Citizenship:US Citizen
Resident Of:State: Connecticut - Area Code: 860
Willing To Relocate:No
Posted By Candidate:06/08/09
Experience:More than 3 years of work-experience
Technical Skills:, Project Management
Work Experience:
			Angela Nelson
			463 Walnut Hill Road
			Thomaston, CT 06787
			 [Send email to request phone number] 83.8360
			203.982.1099 Mobile
			ang0767@optonline.net



10-2007 to Present: American Adjustment Bureau, Waterbury, CT
Medical Billing Coordinator
Medical billing & collections for area hospitals; St.Francis Hospital, Johnsom
Memorial Hospital and Charlotte Hungerford Hospital.  ICD-9, CPT-4 coding,
reimbursements, insurance coverage verifications. Process credit card payments,
handle incoming patient calls.  Review accounts for registration accuracy. 
Review of EOB’s to ensure proper insurance payments have been received and handle
all secondary billing.  Daily contact with insurance carriers regarding
reimbursements and denials. 





07-2006-  Primary Care Center of Thomaston
Medical Assistant & Medical Reception
Greet patients upon arrival, verify insurances.  Answer and triage incoming
calls. 
Prepare patients for MD visit.  Obtain chief complaint and medical history.
Assess and record patient vitals.  Review of current medications and dosage. 12
lead EKG, physicals and data collection. Finger stick blood samples and glucose
testing.  Rx refills and test results.  Administer breathing treatments.
Referrals to specialist and outpatient testing.  Pre-certification for all
outside testing referrals and specialist referral  Insurance verifications. Rx
refills and test results. Check-out patient, schedule follow up appointments.
Discharge patients; review discharge summary and schedule follow up appointments.
Test results, and charge entry utilizing ICD-9 and CPT-4 coding.  Payment
posting.


	


08-2005 to 8-2006:  Physical Therapy & Sports Medicine Centers of Ct.
Billing Coordinator and IT Coordinator
Responsible for all aspects of medical billing and reimbursement.  Staff support
with Microsoft Office products, windows based programs and communication. 
IT liaison; gather and organize information via software carrier to enhance
productivity utilizing more advanced computerized medical software’s.  Created
p-drives and PDF folders as to eliminate paper usage within the organization. 
Created and implemented a new monthly patient statement.  
Handle incoming patient calls regarding account receivables.  Collection of
outstanding insurance claims. 







1-2000 to 8-2005  Phoenix Internal Medicine LLC.  Waterbury, CT
Site Coordinator; Front Office Manager. 
     Management of medical reception staff and medical records staff consisting
of 17 FTE’s.   Interviewed, hired and trained front office and medical records
staff. Work closely with billing manager to ensure proper registration of
patient’s accounts; this ensured clean registration and clean claims, reducing
the number of rejected claims and resubmission. Merit increases, semi- annual and
annual employee reviews.  Report directly to the Practice Administrator. 
Responsible for the well being and patient flow of the Waterbury site. Site
reorganization planning.  Transition staff through new medical management
software.  Charge entry utilizing ICD-9, CPT-4 coding, insurance payment posting
to patient accounts. Appeal down coding, insurance verification process, obtain
pre-certification for outside testing, procedures, CT Scans. MRI, VQ Scans and
specialty referrals. Patient registration process.  Check-In and check-out
patients.  Follow up appointment scheduling.  Managed incoming phone system
consisting of 14 incoming lines.  Planned new communication system to link all
off-sites together. Answered and triaged calls accordingly.  Medical Assisting
when needed; vital signs, cultures, lab testing, prescription refills and test
results.  Trained and supervised and implemented Electronic Medical Records or
EMR through software database.  Scanned and indexed patient paper records onto
electronic charting. Trained staff and physicians.  Multi tasked; filled in for
physician secretaries when needed, preoperative preparation, bank deposits,
maintaining physician’s schedules, medical assisting, supply ordering, complaint
management and follow through.  






10-1996 to 2-1998 Dr. Robert P. Hendrikson, MD PC. Waterbury CT
Medical Billing Supervisor and Medical Reception
All medical billing for orthopedic and plastic surgery specialty office.  Answer
and triage incoming calls. Schedule surgeries and specialty appointments.
Physical therapy scheduling, billing and collections.
Workers Compensation claims, Medicare, Medicaid and commercial insurance claim
filing.  Charge entry utilizing ICD-9 and CPT-4 coding.  V-Coding.
Prepared disability paperwork for patents, personal and work related injury
paperwork.



2-1993 to 10-1996: Waterbury Orthopedics Assoc., Waterbury, CT
Medical Billing Coordinator
Responsibilities included, insurance payment posting to all accounts. Medicare,
Medicaid, HMO, Commercial and Group carrier insurance billing.  Handles all
Workman’s Compensation. Self pay account handling. Monthly patient statements.






Certifications:

Ÿ		EMT certification #990383
Ÿ		EKG and Pulse Ox- Cert award through NVTCC
Ÿ		BCLS- Basic Cardiac Life Support 
Ÿ		D-Fib Certified
Ÿ		CPR Certified * Infant, Child and Adult
Ÿ		CME certificates via Health Stream Continuing Medical      	Education
Ÿ	     Phlebotomy Certification Eligible


*Thomaston Ambulance volunteer 
*Member: National Registry of EMT’s
			

 

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