Certified Professional Coder
Medical Billing, Claim Processor, AR

Certified Professional Coder and continue acquiring CEU’s from AAPC with 7 years experienced in medical billing/claim processing and AR.
Key Skills
• Certified Professional Coder
• ICD10-CM, CPT/HCPCS codes
• Medical Terminology
• Knowledgeable with various Medical Insurance
• A/R and ERA experience
• Claim Entry & Payment Posting
• Records Organization & Management
• Research denied and Aging Claims
• HIPAA Compliance
• CEU through AAPC
Education
Diploma-Health Information Technology, Pima County Community College, Tucson AZ, 2013- 2015
Certified Professional Coder-AAPC 2017-2018
Experience
Barrow Brain and Spine-2910 N 3rd Ave, Phoenix AZ 85013
Revenue Cycle Specialist-7/9/2018-present
Essential Functions:
• Responsible for operations of patient business services, various insurance and workers compensation.
• Responsible for charge capture, coding, charge entry, insurance follow up, reimbursement analysis, or other financial functions.
• In-depth knowledge of billing, invoicing, arranging payment methods, overseeing collections, accounts receivable, and proper financial statements.
• Work with patients to obtain payments for services and provides alternative payment plans to resolve outstanding debt.
• Review denied claim with CPT and diagnosis codes and coordinates changes with coders.
• Balances charge totals when batch is completed.
• Compose and File different level appeals to payers.

Northwest Allied Physicians-NW Medical Center-6200 N La Cholla Blvd, Tucson, 85741
Medical Billing Specialist-7/25/2016-6/30/2018
Essential Functions:
• Performed coding and billing for three PCP offices and specialist which includes, Podiatry, Orthopedic, OB/GYN, and GI.
• Review or update diagnosis, modifiers and CPT codes on claims for accurate billing information and submit within 48 hours.
• Review or update medicine such as vaccines and injections NDC’s and units.
• Review or update claims for correct place of service.
• Review or update claims for global period.
• Documents on system all steps taken on account so that it clearly communicates actions taken.
• Balances charge totals when batch is completed.
• Works the workflow dashboard on a daily basis to ensure claims issues are completely resolved.
• File appeals to various insurance
• Maintains productivity standards on a regular basis as evidenced by ability to complete assigned
tasks and remain current within scheduled hours per week.
• Staying current with medical compliance and guideline as required by local, state, and federal laws.

CODAC Recovery & Wellness-1650 E Ft. Lowell Drive Tucson, AZ 85719
Medical Claim & Billing Processor 12/2013-6/2016
• Experienced billing for General Practice and Mental Health Specialties
• Ensure all insurance are verified, aging claims are researched, corrected and submitted
• Accurately apply payments to patient accounts
• Research and resolve incorrect payments, insurance, EOB rejections, and other issues with accounts
• Contacts payers via phone to secure payment of claims
• Retrieve Electronic Remittance Advice (ERA’s)
• Follow up on insurance and aging claims. Re-submit insurance claims as necessary
• Knowledgeable in timely filing restrictions
Ventana Medical Systems, Inc- 1910 E Innovation Parkway Tucson Arizona AZ
Customer Care Executive-8/2007-2/2011
• Managed incoming and outgoing calls for busy cancer diagnostic company
• Manage customer issues and inquiries related to orders.
• Monitor and audit instrument orders for compliance and accuracy. Provided support to engineers and sales team with non-technical issues. .
• Implemented new processes and systems for improving customer service satisfaction.
• Provided customer service for an average of 30/50 calls per day, answering customer inquiries, solving problems, and providing new product information.
• Organized weekly and monthly standing order for 3 regions.
• Served as main liaison between customers, management, engineers and sales team.
Technology Summary: MS Office (word, excel, outlook) NextGen, Trizetto, SAP, Oracle, Athena, Allscripts, Cerner, Centricity, Navicure, Encoder