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Evans Georges CPC
2727 NW 47 LN Lauderdale Lakes FL (754) 204-3435
Objective: To obtain a position as a Medical Coder where I can utilize my previous skills and education to further my career
Qualifications:
AAPC Certified Professional Coder
Aggressive collection of outstanding accounts
Able to initiate the billing process and follow it through the accounts receivable resolution.
Proficient at insurance billing and claims processing (Medicaid, Commercial and Managed Care organization)
Working knowledge of medical terminology with related anatomy and physiology.
Knowledge of medical coding concepts and methodology.
Excellent customer service skills.
Able to work independently or with a team.
Able to post from EOB to patients accounts.
Able to read and interpret A/R reports
Computer applications (Medical Manager, Mysis, MS Word/works MBI).
KAIZEN trained for change.
Education:
08/99 - 4/00Concorde career Colleges, Inc. Lauderdale Lakes, FL
Insurance Coding and Billing Specialist Diploma-Certified Professional Coder
06/97 - 06/99Atlantic Technical Center Coconut Creek, FL
Certificate: Electricity
Experience:
09/13- Present Caledonia Financial Services Plantation, FL
05/06 - 09/13 Sheridan Healthcorp, Inc. Sunrise, FL
Process Leader
Responsibilities & Results: (Sheridan)
Update CPT & Dx codes along with adding modifiers to accounts
Improved revenue for most assigned payer(s), (BCBS, Humana, NHP, Coventry)
Multiple State(s) Collection Knowledge ( VA, FL, GA & NJ)
Accurately apply payments to patient accounts to help ensure monthly closing
Research and resolve incorrect payments, EOB rejections, and other issues with outstanding accounts
Reviewed denial related simple coding issue and ensured the correct ICD-9 and CPT were billed prior to requesting a second coding review.
Worked clearinghouse edits
Retrieve Electronic Remittance Advice (ERA's)
Send secondary claims upon processing of primary insurance.
Follow up on Insurance and patient aging. Re-submit insurance claims as necessary.
Knowledgeable in timely filing restrictions
Insure office practices are in compliance with HIPAA regulations
12/04 -11/05 Optionmed Miramar, FL
Reimbursement Specialist
customer service
Bill and follow up on patient balance
Work aging reports
Process and bill insurance claims
04/00- 12/04 Pediatric Associates Lauderdale Lakes, FL
Medical Biller/Team Leader/Medicaid Insurance Collector
Process and bill insurance claims
Claims follow up
Post insurance payment to patient accounts
Working aging reports
Customer service
Special Achievements:
Certified Professional Coder
Claims processor, promoted to Team Leader
Promoted to insurance collector
Promoted to Medicaid Department. (2002-2004
Made Team Captain (2007)
Promoted to Process Leader (2008)
Reference: Furnished Upon Request.
2727 NW 47 LN Lauderdale Lakes FL (754) 204-3435
Objective: To obtain a position as a Medical Coder where I can utilize my previous skills and education to further my career
Qualifications:
AAPC Certified Professional Coder
Aggressive collection of outstanding accounts
Able to initiate the billing process and follow it through the accounts receivable resolution.
Proficient at insurance billing and claims processing (Medicaid, Commercial and Managed Care organization)
Working knowledge of medical terminology with related anatomy and physiology.
Knowledge of medical coding concepts and methodology.
Excellent customer service skills.
Able to work independently or with a team.
Able to post from EOB to patients accounts.
Able to read and interpret A/R reports
Computer applications (Medical Manager, Mysis, MS Word/works MBI).
KAIZEN trained for change.
Education:
08/99 - 4/00Concorde career Colleges, Inc. Lauderdale Lakes, FL
Insurance Coding and Billing Specialist Diploma-Certified Professional Coder
06/97 - 06/99Atlantic Technical Center Coconut Creek, FL
Certificate: Electricity
Experience:
09/13- Present Caledonia Financial Services Plantation, FL
05/06 - 09/13 Sheridan Healthcorp, Inc. Sunrise, FL
Process Leader
Responsibilities & Results: (Sheridan)
Update CPT & Dx codes along with adding modifiers to accounts
Improved revenue for most assigned payer(s), (BCBS, Humana, NHP, Coventry)
Multiple State(s) Collection Knowledge ( VA, FL, GA & NJ)
Accurately apply payments to patient accounts to help ensure monthly closing
Research and resolve incorrect payments, EOB rejections, and other issues with outstanding accounts
Reviewed denial related simple coding issue and ensured the correct ICD-9 and CPT were billed prior to requesting a second coding review.
Worked clearinghouse edits
Retrieve Electronic Remittance Advice (ERA's)
Send secondary claims upon processing of primary insurance.
Follow up on Insurance and patient aging. Re-submit insurance claims as necessary.
Knowledgeable in timely filing restrictions
Insure office practices are in compliance with HIPAA regulations
12/04 -11/05 Optionmed Miramar, FL
Reimbursement Specialist
customer service
Bill and follow up on patient balance
Work aging reports
Process and bill insurance claims
04/00- 12/04 Pediatric Associates Lauderdale Lakes, FL
Medical Biller/Team Leader/Medicaid Insurance Collector
Process and bill insurance claims
Claims follow up
Post insurance payment to patient accounts
Working aging reports
Customer service
Special Achievements:
Certified Professional Coder
Claims processor, promoted to Team Leader
Promoted to insurance collector
Promoted to Medicaid Department. (2002-2004
Made Team Captain (2007)
Promoted to Process Leader (2008)
Reference: Furnished Upon Request.
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