Ivy Clark
New
IVY VICKERS
601 N Twin Oaks drive | Temple, TX 76504 | 254-423-6042
Ivickers26@yahoo.com
OBJECTIVE
Seeking a position with a company which will require me to utilize my skills, abilities and experience in the Medical field to ensure the company's success.
SKILLS PROFILE
- CPC-A Certified Professional Coder (AAPC).
- Proficient in Microsoft Word, Excel, and PowerPoint.
- Knowledge of Medical Terminology, Anatomy and Physiology.
- Skilled at learning new concepts quickly, working well under pressure, and communicating ideas clearly and effectively.
- Broad medical experience also includes billing, reimbursement, HIPPA rules, insurance verification, scheduling, and reporting.
- Read and interpret Explanation of benefits and claim denials.
- Ability to utilize my HCPCS, CPT and ICD-9 manuals with ease.
EMPLOYMENT HISTORY
Claims Examiner 2 , Scott & White Health Plan 2/15/2012 ? 11/20/2012
Temple, TX
-Worked claims inventory from assigned queues to ensure all claims process within established turnaround time as directed by department policy and procedures.
-Processed and adjusted uncomplicated professional and facility Rx claims according to claims processing guidelines.
-Pend claims as directed by departmental policies and procedures, follow up for resolution and process pended claims immediately following a benefit/payment determination.
-Performs follow up and takes all necessary actions required to resolve all errors and findings assessed by the Quality Review Team.
Medical Billing Specialist Extern, Healthcare Reimbursement Services 12/1/2011 ? 12/31/2011
Austin, TX
-Data entry of patient?s demographic/patient intakes and verification of medical benefits, coding patient?s diagnosis.
-Utilizing CPT/ICD-9/HCPCS to enter charges and submission of electronic and paper claims to insurance companies.
-Working claims of denials and or rejections, processing patient statements, and posting insurance/ patients payments.
-General Knowledge of Medicare/Medicaid and Workers Compensation.
Medical Coder/Biller Extern, NeuroTexas Institute 11/1/2011 ?11/30/2011
Austin, TX
-Pre-worked Physician schedules and surgeries and applied payments to insurance and patients accounts
-Defined diagnostic treatment and procedures for patients using the appropriate modifiers and numeric codes.
-Submission of various paper and electronic insurance claims for reimbursement of services rendered according to payer specification.
Sales Associate, Ross 3/10/2010 ? 8/25/2010
Temple, TX
-Assists customers in any way necessary by cashiering, helping with merchandise and answering questions in a polite and knowledgeable manner.
-Takes accurate markdowns, counts and inventories as scheduled department assist customer an performs daily recovery to ensure a neat, clean and organized
Replenishment Associate, Sears 7/17/2009 ? 2/25/2010
Killeen, TX
-Read, comprehend and generate all markdown reports for the store
-Assist in conducting audits of assigned areas, mark out of stocks and locate merchandise that is not priced or damaged and report to upper management as needed.
-Assist in processing and replenishing merchandise and monitoring floor stock.
MEMBERSHIPS
-(AAPC) American Academy of Professional Coders
-Coding Certification.Org
601 N Twin Oaks drive | Temple, TX 76504 | 254-423-6042
Ivickers26@yahoo.com
OBJECTIVE
Seeking a position with a company which will require me to utilize my skills, abilities and experience in the Medical field to ensure the company's success.
SKILLS PROFILE
- CPC-A Certified Professional Coder (AAPC).
- Proficient in Microsoft Word, Excel, and PowerPoint.
- Knowledge of Medical Terminology, Anatomy and Physiology.
- Skilled at learning new concepts quickly, working well under pressure, and communicating ideas clearly and effectively.
- Broad medical experience also includes billing, reimbursement, HIPPA rules, insurance verification, scheduling, and reporting.
- Read and interpret Explanation of benefits and claim denials.
- Ability to utilize my HCPCS, CPT and ICD-9 manuals with ease.
EMPLOYMENT HISTORY
Claims Examiner 2 , Scott & White Health Plan 2/15/2012 ? 11/20/2012
Temple, TX
-Worked claims inventory from assigned queues to ensure all claims process within established turnaround time as directed by department policy and procedures.
-Processed and adjusted uncomplicated professional and facility Rx claims according to claims processing guidelines.
-Pend claims as directed by departmental policies and procedures, follow up for resolution and process pended claims immediately following a benefit/payment determination.
-Performs follow up and takes all necessary actions required to resolve all errors and findings assessed by the Quality Review Team.
Medical Billing Specialist Extern, Healthcare Reimbursement Services 12/1/2011 ? 12/31/2011
Austin, TX
-Data entry of patient?s demographic/patient intakes and verification of medical benefits, coding patient?s diagnosis.
-Utilizing CPT/ICD-9/HCPCS to enter charges and submission of electronic and paper claims to insurance companies.
-Working claims of denials and or rejections, processing patient statements, and posting insurance/ patients payments.
-General Knowledge of Medicare/Medicaid and Workers Compensation.
Medical Coder/Biller Extern, NeuroTexas Institute 11/1/2011 ?11/30/2011
Austin, TX
-Pre-worked Physician schedules and surgeries and applied payments to insurance and patients accounts
-Defined diagnostic treatment and procedures for patients using the appropriate modifiers and numeric codes.
-Submission of various paper and electronic insurance claims for reimbursement of services rendered according to payer specification.
Sales Associate, Ross 3/10/2010 ? 8/25/2010
Temple, TX
-Assists customers in any way necessary by cashiering, helping with merchandise and answering questions in a polite and knowledgeable manner.
-Takes accurate markdowns, counts and inventories as scheduled department assist customer an performs daily recovery to ensure a neat, clean and organized
Replenishment Associate, Sears 7/17/2009 ? 2/25/2010
Killeen, TX
-Read, comprehend and generate all markdown reports for the store
-Assist in conducting audits of assigned areas, mark out of stocks and locate merchandise that is not priced or damaged and report to upper management as needed.
-Assist in processing and replenishing merchandise and monitoring floor stock.
MEMBERSHIPS
-(AAPC) American Academy of Professional Coders
-Coding Certification.Org