c847f494-1c53-441e-a0ff-c14750ae5906

Andrew Smith

287 Custer Street, Hopewell, PA 00000
[email protected]
(000) 000-0000

Professional Summary

Hard working and fully trained Medical Coding Specialist has a full understanding of ICD-10-CM and CPT coding procedures. Excellent data entry skills allows for accurate coding of medical information and provided care.Has a Medical Billing and Coding Certification and a Bachelor’s Degree in Business Management.

Employment history

Billing Representative, Balistreri, Gorczany and Parisian. North Judyborough, Colorado
Jul. 2019 – Present
  • Protect the security of medical records to ensure that confidentiality is maintained.
  • Retrieve patient medical records for physicians, technicians, or other medical personnel.
  • Process and prepare business or government forms.
  • Identify, compile, abstract, and code patient data, using standard classification systems.
  • Resolve or clarify codes or diagnoses with conflicting, missing, or unclear information by consulting with doctors or others or by participating in the coding team’s regular meetings.
  • Post medical insurance billings.
  • Manage the department or supervise clerical workers, directing or controlling activities of personnel in the medical records department.
  • Provide assistance for customers with special billing requests.
  • Contact customers to respond to inquiries or to notify them of claim investigation results or any planned adjustments.

Customer Service Representative II, Mohr, Gorczany and Glover. Littelshire, Colorado
Aug. 2009 – Dec. 2009
  • Listen to customer requests, referring to alphabetical or geographical directories to answer questions and provide telephone information.
  • Observe signal lights on switchboards, and dial or press buttons to make connections.
  • Suggest and check alternate spellings, locations, and/or listing formats to customers lacking details or complete information.
  • Perform clerical duties such as typing, proofreading, and sorting mail.
  • Promote company products, services, and savings plans when appropriate.
  • Resolve customer complaints or answer customers’ questions regarding policies and procedures.
  • Provide employees with guidance in handling difficult or complex problems or in resolving escalated complaints or disputes.
  • Interpret and communicate work procedures and company policies to staff.
  • Check to ensure that appropriate changes were made to resolve customers’ problems.
  • Protect the security of medical records to ensure that confidentiality is maintained.
  • Review records for completeness, accuracy, and compliance with regulations.
  • Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or treatment into computer.
  • Release information to persons or agencies according to regulations.
  • Resolve or clarify codes or diagnoses with conflicting, missing, or unclear information by consulting with doctors or others or by participating in the coding team’s regular meetings.
  • Post medical insurance billings.

Education

Fritsch College, New Carl, Vermont
Certificate, Medical Coding & Billing, Sep. 2017

Northern Wisoky, Herzogshire, Montana
Bachelor of Science, Business Management, Aug. 2010

East Bauch, Haleytown, Nebraska
Associate of Science, Business Administration, Sep. 2008

Northern West Virginia Academy, Othachester, Idaho
High School Diploma, Business, Oct. 1998

Western Abbott University, Clairshire, Maine
Vocational, Computer Information Processing I & 2, May. 1998

Skills

Billing
Experienced

Medical Records
Experienced

Accounts Receivable
Skillful

Customer Service
Expert

Coding
Experienced

66b4cfba-98ee-4d9e-8dbf-328efbe02e8e

Andrew Smith


287 Custer Street, Hopewell, PA 00000

(000) 000-0000

Professional Summary

Proactive, friendly customer service specialist dedicated to meeting and exceeding expectations at every interaction.  Timely and professional with extraordinary communication skills and ability to build and cultivate relationships to drive business retention. Computer savvy fast learner who is eager to learn new skills and refine existing ones.

Employment history

Billing Representative, Windler, Pfeffer and Thiel. West Ericland, Arkansas
Oct. 2016 – Dec. 2016
  • Provide assistance for customers with special billing requests.
  • Calculate and quote charges for services such as long-distance connections.
  • Resolve customer complaints or answer customers’ questions regarding policies and procedures.
  • Confer with customers by telephone or in person to provide information about products or services, take or enter orders, cancel accounts, or obtain details of complaints.
  • Check to ensure that appropriate changes were made to resolve customers’ problems.

Intern, Hoppe, Dach and Friesen. Joaquinaburgh, Alabama
May. 2015 – Aug. 2015
  • Work under strict time constraints.
  • Deal with audio and video issues.
  • Work with VIP guests and managers.

Education

West Daugherty, Port Joan, Georgia
Associate of Science, Computer Science, Present

Eastern Connecticut University, Port Deandreshire, Kentucky
High School Diploma, Jan. 2014

Skills

Customer Service

Video and Audio Editing

Sales

billing representative

  • Contact clinic to verify, and or update patient information.
  • Request appropriate documentation from clinic

billing representative

  • Review medical treatment records, or medical bills, to determine the extent of liability.
  • Correspond with agents, and claimants to correct errors, and to investigate questionable claims.
  • Refer questionable claims to investigator, or claims adjuster for investigation or settlement.
  • Examine patients accounts are up to date.
  • Review EOR for reason of non-payment, and contact carrier, or adjuster for 2nd review.
  • Bill out claims along with clinical notes for payment. 
  • Obtain Authorization for CPT codes.

billing representative

  • Performed quality assurance evaluations of processes and previous bills.
  • Received incoming information and entered into database system.
  • Kept vendor files accurate and up-to-date to expedite payment processing.
  • Represented and interpreted agency’s functions and services to other institutions, public, government agencies and other organizations.

billing representative

  • Interpret and resolve charge and claim edits.
  • Update and verify insurance coverage.
  • Examine medical records to determine if a claim is work or accident related. 
  • Review and correct any identifying patient information, per HIPPA guidelines.
  • Review all claims prior to submission to ensure a clean claim goes out. 
  • Work closely with other departments to identify trending issues and new billing policies. 
  • Ability to manage multiple priorities.

billing representative

  • Processed over 70 outpatient surgeries for a multiple of surgeons
  • Managed and resolved claim errors in RealMed software
  • Processed electronic and paper claims, sending out secondary claims with attached EOB’s 
  • Assisted in all areas of administrative duties, including data entry, filing and research and development

billing representative

  • Correctly coded and billed medical claims for various satellite offices
  • Entered orders into the EMR system efficiently and without errors
  • Accurately posted and sent out all medical claims
  • Posted and adjusted payments from insurance companies
  • Submitted electronic/paper claims documentation for timely filing

billing representative

  • Was responsible for proper entry of expense bills in the system
  • Cab arrangements for Employees or Senior Level Person from other travel company
  • Responsible for installation of new equipment’s such as A/C, office furniture, computers, printers, fax machine, CCTV camera etc. at new Branches
  • Was responsible for verification of expense bills
  • Managed entire fleet of the company to ensure maximum optimisation was achieved.