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Thanks,
-Kristin
Natalie Grimmer
17 Coral Lane
Levittown PA 19055
Cell Phone: 267-304-7173
Email: [email protected]
Experience
November 2013 to Present- Capital Health Institute for Neurosciences
Pennington, N.J.
Billing Specialist
.Oversee the daily submission of claims sent to the insurance companies for busy Neuroscience practice, including review of proper coding
. Work denied claims for coding and medical necessity issues
. Working knowledge of CPT and ICD10 codes
.Log physician and surgeon inpatient consults into Patient Keeper
.Keep current on doctors credentialing status
July 2012 to November 2014 Performance Spine & Sports Medicine
Newtown, PA
Billing and Claims Representative
.Responsible for all aspects of Accounts Receivable follow up for multiple carriers on an out of network level for a multispecialty provider
.Verification and submission of new claims via Zirmed
.Submit reconsiderations and appeals in a timely manner to ensure payment
.Apply deductibles and payments
March 2010 to July 2012 Northeast Management
Huntingdon Valley, PA
Accounts Receivable Representative
. Responsible for all aspects of A/R follow up for Byberry MRI and Diagnostic Center, Tricounty Pain Care and Tricounty Anesthesia Associates, Valley Pain Center and MR Pain Management
. Responsible for resolving outstanding workers compensation and auto claims through contact with attorneys, insurance companies and claimants in a timely manner
. Working knowledge of CPT and ICD 9 codes as well as HCFA claim forms
November 2008 to March 2010 Perioperative Services, LLC
Newark, DE
Audit and Resolution Representative
.A/R follow up on all Blue Cross Blue Shield accounts for Dynamic Therapy Services including Blue Card, Highmark and Personal Choice.
. Working knowledge of payor contracts to ensure accurate and timely billing and payment
. Knowledge of CPT and ICD-9 codes as well as HCFA forms
.Knowledge of payment posting and insurance/patient refund processes
October 2007 to October 2008 Pro Physical Therapy
Newark, DE
Collections specialist
. A/R collection activities for multiple insurance carriers including Workers Compensation and Auto claims.
. Responsible for resolving outstanding workers compensation and auto claims through contact with attorneys, insurance companies and claimants in a timely manner
. Working knowledge of HCFA forms as well as CPT and ICD-9 Codes
January 2005 to October 2007 Pharmerica Pharmacy
Newark, DE
Billing Coordinator
.Ensure accurate billing for multiple long term care and assisted living facilities on a monthly and weekly basis.
.Work discrepancy reports for billing errors and maintain spreadsheets for corporate accounts
.Utilizing the AS400 system for updating resident accounts, along with censuss and face sheets that the facilities send to the business office.
July 1999 to September 2004 Benefit Concepts
Warminster, PA
Medical Claims Repricer
.Accurate repricing of physician and hospital bills for multiple PPOs using the FACTS and RIMS systems as well as the internet based programs
.Troubleshoot any inaccuracies timely
.Knowledge of CPT and ICD-9 codes
.Working knowledge of HCFA and UB92 forms
Education: Bucks County Community College 1993-1994 Newtown, PA
Bishop Conwell High school 1989-1993 Levittown, PA
Certificates: Diploma
Memberships: Active member and student of the AAPC (American Academy of Professional Coders)
Currently working towards CPC Certification
References: Upon Request
Salary Expectation: $ 53-55,000 Annually
Can a nurse place an unna boot at the request of the physician and bill for 29580 under the physician? Does he have to be in the buidling? Or whether in the building or not if he has not done the change himself can we bill 29580 or only 99211?
Can a nurse replace an unna boot at the PA’s request and bill 29580 under the PA? Or does the PA have to do the replacing himself? And if the nurse can do the change does the PA need to be in the building or available electronically? I do not think a nurse can do an unna boot change under a PAs orders whether or not he is in the building??
Or can we only bill 29580 if the physician himself does the unna boot change? And all others can only bill 99211?
I have found so much conflicting information regarding this issue. Any advice would be very helpful. Thanks 
A Detroit-area medical biller was recently sentenced to 50 months in prison for helping with a $ 7.3 million Medicare and Medicaid fraud scheme where services were billed but not rendered. Dawn Bentley, 56, of Oakland County, Michigan, was also ordered $ 3,253, 107 in restitution with her co-defendants for one count of conspiracy to commit healthcare […]
AAPC Knowledge Center
I presently am working part-time for a Anesthesiology/Pain Management doctor. I also have a full-time job and so it became to much for me. He needs an EXPERIENCED biller with charge posting, insurance and patient payment posting and strong A/R follow up. W.C. and No Fault experience is a must! Commercial and Managed care insurance experience also.Knowledge of Anesthesiology and Pain Management required. He is looking for 3 days a week (neg. for full-time) Salary to be discussed with the doctor. Please only send resume if you meet all the criteria mentioned. Please send your resume to: [email protected] Please put in the subject line ‘CPC Biller’
Position is in Deer Park, Long Island and is not a remote position.
Thank You.