Spencer, Patricia_MBC
2
PATRICIA SPENCER 7410 North Tryon Street Charlotte, NC 28213 704-352-0474 [email protected] Medical Billing and Coding Professional Detailed, Accurate & Professional Accurate Medical Billing and Coding Specialist possesses educational training and 10+ years of customer service experience, seeks a company that will, allow the opportunity to enhance my talents and skills in the healthcare profession. Hard-working professional demonstrates the ability to work well in fast-paced environment maintaining patient accounts, accurately ensuring that all patients for medical services and procedures, collecting co-payments, processing claims, and verifying insurance to increase the productivity of the medical practice and hospital. Detailed oriented individual possesses the ability to assist with audits and billing on a daily basis. Core Competencies Performed 200 externship hours in a medical office Studying for CPC (Certified Professional Coders) Exam through AAPC Knowledge of ICD-9, ICD-10 CM, CPT-4, and HCPCS diagnosis coding Medical terminology, anatomy, and physiology, and pharmaceutical drugs Excellent patient analytical, organizational, and communication skills Ability to answer phones, schedule appointments, and register patients Experienced in accounts receivable, billing, collections, insurance follow-up, and denials Ability to enter patient data into EMR (Electronic Medical Record) and Practice Management Software, such as NCTRACKS Measure and record patient vital signs, and medical charting Familiarity with the Health Insurance Portability and Accountability Act (HIPAA) Experience preparing termination letters, update patient ledgers, and calculating deductibles Interpret billing guidelines surrounding private/managed care insurance plans in a medical office, hospital, and healthcare facility Experienced in insurance reimbursement, preparing and filing insurance claim forms, and organizing medical record Ability to analyze patient accounts, performing the appropriate step/action, and handling inquiries regarding patient accounts, closing and balancing at the end of the month Accurate and efficient in the completion of the CMS-1500 and UB-04 forms, pre-authorization, obtain pre-certification, direct deposit authorization forms, and EFT/ERA forms Knowledgeable of Medi-Soft, Allscripts, Pacware and Optum software Education Medical Billing and Coding Diploma Kaplan College, Charlotte, NC April 2015 First Aid/BLS/CPR Certification American Heart Association, Charlotte, NC November 2013 GED Central Piedmont Community College December 2012 Professional Experience Aon Hewitt/Randstad Staffing CSR for Home Depot and Bank of America September 2015 – December 2015 Handle inbound and outbound calls doing Annual Enrollment Increase/Decrease Health Coverages for employees Gave general information to employees about health and life insurance coverage Carolina Medical Billing Inc. Medical Billing Externship – Charlotte, NC March 2015 - April 2015 Added notes and made changes to patient accounts Applied payment to patient accounts Maintained CMS-1500 form and verified medical codes
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PATRICIA SPENCER7410 North Tryon Street Charlotte, NC 28213 704-352-0474 [email protected]
Medical Billing and Coding ProfessionalDetailed, Accurate & Professional
Accurate Medical Billing and Coding Specialist possesses educational training and 10+ years of customer service experience, seeks a company that will, allow the opportunity to enhance my talents and skills in the healthcare profession. Hard-working professional demonstrates the ability to work well in fast-paced environment maintaining patient accounts, accurately ensuring that all patients for medical services and procedures, collecting co-payments, processing claims, and verifying insurance to increase the productivity of the medical practice and hospital. Detailed oriented individual possesses the ability to assist with audits and billing on a daily basis.
Core Competencies
Performed 200 externship hours in a medical office Studying for CPC (Certified Professional Coders) Exam through AAPC Knowledge of ICD-9, ICD-10 CM, CPT-4, and HCPCS diagnosis coding Medical terminology, anatomy, and physiology, and pharmaceutical drugs Excellent patient analytical, organizational, and communication skills Ability to answer phones, schedule appointments, and register patients Experienced in accounts receivable, billing, collections, insurance follow-up, and denials Ability to enter patient data into EMR (Electronic Medical Record) and Practice Management Software, such as NCTRACKS Measure and record patient vital signs, and medical charting Familiarity with the Health Insurance Portability and Accountability Act (HIPAA) Experience preparing termination letters, update patient ledgers, and calculating deductibles Interpret billing guidelines surrounding private/managed care insurance plans in a medical office, hospital, and healthcare facility Experienced in insurance reimbursement, preparing and filing insurance claim forms, and organizing medical record Ability to analyze patient accounts, performing the appropriate step/action, and handling inquiries regarding patient accounts, closing and balancing
at the end of the month Accurate and efficient in the completion of the CMS-1500 and UB-04 forms, pre-authorization, obtain pre-certification, direct deposit authorization
forms, and EFT/ERA forms Knowledgeable of Medi-Soft, Allscripts, Pacware and Optum software
Education
Medical Billing and Coding Diploma Kaplan College, Charlotte, NC April 2015First Aid/BLS/CPR Certification American Heart Association, Charlotte, NC November 2013GED Central Piedmont Community College December 2012
Professional ExperienceAon Hewitt/Randstad Staffing CSR for Home Depot and Bank of America September 2015 – December 2015
Handle inbound and outbound calls doing Annual Enrollment Increase/Decrease Health Coverages for employees Gave general information to employees about health and life insurance coverage
Carolina Medical Billing Inc. Medical Billing Externship – Charlotte, NC March 2015 - April 2015 Added notes and made changes to patient accounts Applied payment to patient accounts Maintained CMS-1500 form and verified medical codes Created payment ledgers Researched patient accounts Performed billing, coding, and accounts receivable functions Performed collections and ensured proper payment of accounts
Kaplan College Administrative Assistant Work-Study – Charlotte, NC September 2014 – November 2014 Maintained, organized, and filed confidential paperwork Created Financial Aide/Admission Packets for future students Assisted in helping future Kaplan students with the Financial Aide process
ESS General Cleaner – Charlotte, NC June 2011 – August 2012 Maintained clean and organized environments of the public area, restrooms, and cubicles Washed and spot-cleaned furniture, blackboards, mirrors, windows, wastebasket and garbage can
Sprint PCS Telephone Specialist – Charlotte, NC October 2006 – August 2009 Answered inbound calls for existing and future cell phone customers Provided accurate and appropriate information to response to customers inquiries, with mandatory upselling
McDonald’s Drive-Thru Cashier- Charlotte, NC May 2005 – November 2006 Provided exceptional customer service experience and greeted guest Operated touch screen cash register, handled cash and credit transactions and balance register
