debbiesom
Networker
Deborah A Sommers
2 N 7th St
Coplay, PA 18037
H-610-261-9095
C-610-509-4025
debbiesom2004@yahoo.com
PROFESSIONAL EXPERIENCE
Urology Specialists of the Lehigh Valley, Allentown, PA (established 3/1/08)
(Fetzer-Clair Urology Associates/merged with USLV 3/1/08)
2/17/1997 to present
Achievements:
Certified Professional Coder certification December 2008
Certified Urology Coder certification February 2013
Responsibilities:
Surgical Coding and Hospital Billing for 7 physicians
Accurate computer entry of charges from office and lab
Insurance Company Appeals for maximum reimbursement
Accurate & timely claims follow up
Insurance aging report review for efficient collection
Insurance Plan file set up for paper & electronic claims
Auditing of patient records for correct coding and E/M levels
Physician education in regards to coding compliance & audit finds
Prepare written reports of audit findings
Excellent knowledge of Insurance plans
Maintaining computer files of referring doctors, facilities, CPT, ICD9 codes, fee schedules,
insurance files, practice management
Report generating of productivity, receivables, account management
Knowledge of CPT, ICD9, HCPS, Modifiers, POS, TOS codes
ICD10 Training
Previous responsibilities prior to merger for 3 physician practice
Transmission of electronic insurance claims & paper claims
Posting Insurance & Patient Payments
Patient Billing & Collections
Responsible for patient demographics & insurance information
Maintaining insurance fee schedules, plans, CPT, ICD9 codes, facility, referring doctor,
Closely work with physicians in all aspects of billing & coding
Daily, Monthly and Yearly closes and reporting
Daily Deposits
Financial and Productivity reporting to physicians
LEHIGH VALLEY ORTHOPEDICS
September 1988 to February 1997
Responsibilities:
Posting hospital, surgery and office billing charges
Maintaining computer files, insurance plans, CPT, ICD9, facility, referring doctor
Knowledge of Insurances, including HMO, Work Comp and Auto Insurance
Transmission of Insurance Claims
Processing Patient Statements
Entering patient demographics and insurance
Daily, monthly, and yearly closes
Patient check in and check out
Surgery Scheduling
Patient payment collection
Personal secretary to Dr Barry Ruht
Therapy and test scheduling
Call in prescriptions to pharmacy
Answer phones for appointments, patient concerns & physician messages
EDUCATION:
American Academy of Professional Coders
Whitehall High School
Business Course
SKILLS:
Strong organizational skills
Capable of working independently
Effectively multi task
Attention to detail
REFERENCES:
Charlene Hallman Manager 215-536-1238
Arthur Fetzer, MD Employer 610-882-9098
Jonathan Bingham, MD Employer 610-841-1421
SALARY:
Negotiable
2 N 7th St
Coplay, PA 18037
H-610-261-9095
C-610-509-4025
debbiesom2004@yahoo.com
PROFESSIONAL EXPERIENCE
Urology Specialists of the Lehigh Valley, Allentown, PA (established 3/1/08)
(Fetzer-Clair Urology Associates/merged with USLV 3/1/08)
2/17/1997 to present
Achievements:
Certified Professional Coder certification December 2008
Certified Urology Coder certification February 2013
Responsibilities:
Surgical Coding and Hospital Billing for 7 physicians
Accurate computer entry of charges from office and lab
Insurance Company Appeals for maximum reimbursement
Accurate & timely claims follow up
Insurance aging report review for efficient collection
Insurance Plan file set up for paper & electronic claims
Auditing of patient records for correct coding and E/M levels
Physician education in regards to coding compliance & audit finds
Prepare written reports of audit findings
Excellent knowledge of Insurance plans
Maintaining computer files of referring doctors, facilities, CPT, ICD9 codes, fee schedules,
insurance files, practice management
Report generating of productivity, receivables, account management
Knowledge of CPT, ICD9, HCPS, Modifiers, POS, TOS codes
ICD10 Training
Previous responsibilities prior to merger for 3 physician practice
Transmission of electronic insurance claims & paper claims
Posting Insurance & Patient Payments
Patient Billing & Collections
Responsible for patient demographics & insurance information
Maintaining insurance fee schedules, plans, CPT, ICD9 codes, facility, referring doctor,
Closely work with physicians in all aspects of billing & coding
Daily, Monthly and Yearly closes and reporting
Daily Deposits
Financial and Productivity reporting to physicians
LEHIGH VALLEY ORTHOPEDICS
September 1988 to February 1997
Responsibilities:
Posting hospital, surgery and office billing charges
Maintaining computer files, insurance plans, CPT, ICD9, facility, referring doctor
Knowledge of Insurances, including HMO, Work Comp and Auto Insurance
Transmission of Insurance Claims
Processing Patient Statements
Entering patient demographics and insurance
Daily, monthly, and yearly closes
Patient check in and check out
Surgery Scheduling
Patient payment collection
Personal secretary to Dr Barry Ruht
Therapy and test scheduling
Call in prescriptions to pharmacy
Answer phones for appointments, patient concerns & physician messages
EDUCATION:
American Academy of Professional Coders
Whitehall High School
Business Course
SKILLS:
Strong organizational skills
Capable of working independently
Effectively multi task
Attention to detail
REFERENCES:
Charlene Hallman Manager 215-536-1238
Arthur Fetzer, MD Employer 610-882-9098
Jonathan Bingham, MD Employer 610-841-1421
SALARY:
Negotiable