DBoop87
Contributor
DENISE PIGFORD-FRAZIER, CPC
7323 Howard Circle, Jonesboro, GA 30236
(678) 458-9775 dboop1223@yahoo.com
OBJECTIVE: Medical Billing/Coding/Collections
EXPERIENCE/TRAINING
Billing Manager
Pain Management Specialist of Atlanta, Stockbridge, GA April 2009 to Present
- Manage Payment poster, Billing/Collections Specialist, Patient Accounts Representative, Insurance Verification Specialist and Charge Poster.
- Process and update records and billing information for new and established patients' accounts.
- File primary and secondary insurance claims.
- Assist insurance companies with patient billing information.
- Follow up with coordination of benefits; review aging reports, account balances, denied claims and claim status.
- Post insurance company payments and adjustments and patient payments daily.
- Document and retrieve billing information related to patient and insurance company account transactions.
- Verified insurance and claim status by telephone and online.
- Responsible for keeping current fee schedules and update fee schedules in system.
Insurance Billing Agent
Quality Physician Services, Stockbridge, GA May 2007 to April 2009
- Process and update records and billing information for new and established patients' accounts.
- File primary and secondary insurance claims for family practice and pain management clients
- Obtain pre-certifications for out patient procedures for pain clinic client.
- Assist patients' with account balances and insurance companies with patient billing information.
- Post office visits, procedures and diagnoses for pain management from superbills for billing.
- Follow up with coordination of benefits; review aging reports, account balances, denied claims and claim status.
- Post insurance company payments and adjustments and patient payments.
- Process transaction reports, balance system daily, and process monthly patient statements.
- Complete medical records request for insurance companies.
- Document and retrieve billing information related to patient and insurance company account transactions.
Insurance Billing Specialist
A Kids World Pediatrics, Fayetteville, GA April 2005 to May 2007
Atlanta Urological Institute, Stockbridge, GA March 2004 to April 2005
Dr. Subrahmanya Bhat, Riverdale, GA December 2000 to April 2002
- Processed and updated records and billing information for new, established, and hospital patients' accounts.
- Filed primary and secondary insurance claims.
- Posted office and hospital visits, procedures and diagnoses from encounter forms and doctors' notes for billing.
- Assisted patients' with account balances and insurance companies with patient account information.
- Followed up with coordination of benefits; reviewed aging reports, unpaid accounts and denied claims.
- Posted insurance company and patient payments; balanced, prepared and made bank deposits.
- Completed medical records request for insurance companies.
- Audit records for missed procedures and medication charges.
- Verified insurance and claim status by telephone and online.
- Obtained referrals from primary care physicians.
- Documented and retrieved billing information related to patient and insurance company account transactions.
- Mailed patient statements.
- Scheduled appointments; pulled medical records for appointments.
Southern Regional Medical Center, Riverdale, GA January 2003 to March 2004
Emergency Room Lead/Patient Access Associate
- Provided direction to departmental employees on assigned areas and responsibilities.
- Assisted in management of patient complaints; ensured consistent and timely patient flow.
- Entered patient demographics for registration; reviewed registration forms to ensure accuracy and completeness.
- Maintained working knowledge of registration procedures and policies.
- Assisted Team Leader and Supervisor in the stability of the department; participated in all departmental meetings.
- Provided coverage in other areas as needed, such as Labor & Delivery and Cashier.
Technical Skills: Notary Public, MS Office Software, Outlook, Basic Accounting, Basic Transcription, Keyboard 60 wpm, 10 Key, MediSoft, Windows NT/XP, JP Medical, Delphi, HBOC, GroupWise, Medical Manager, StarNavigator, Tiger Mysis, Lytec, NaviCure, Encounter Pro, Centricity, Logician, SRS, FileZilla, CustomCoder/Decision Health
EDUCATION/CERTIFICATION
AAPC Certified Professional Coder March 2009
Clayton State University, Morrow, GA
Bachelor of Applied Science Administrative Management Present
Associate of Applied Science Medical Office Administration-Medical Coding Dec 2005
7323 Howard Circle, Jonesboro, GA 30236
(678) 458-9775 dboop1223@yahoo.com
OBJECTIVE: Medical Billing/Coding/Collections
EXPERIENCE/TRAINING
Billing Manager
Pain Management Specialist of Atlanta, Stockbridge, GA April 2009 to Present
- Manage Payment poster, Billing/Collections Specialist, Patient Accounts Representative, Insurance Verification Specialist and Charge Poster.
- Process and update records and billing information for new and established patients' accounts.
- File primary and secondary insurance claims.
- Assist insurance companies with patient billing information.
- Follow up with coordination of benefits; review aging reports, account balances, denied claims and claim status.
- Post insurance company payments and adjustments and patient payments daily.
- Document and retrieve billing information related to patient and insurance company account transactions.
- Verified insurance and claim status by telephone and online.
- Responsible for keeping current fee schedules and update fee schedules in system.
Insurance Billing Agent
Quality Physician Services, Stockbridge, GA May 2007 to April 2009
- Process and update records and billing information for new and established patients' accounts.
- File primary and secondary insurance claims for family practice and pain management clients
- Obtain pre-certifications for out patient procedures for pain clinic client.
- Assist patients' with account balances and insurance companies with patient billing information.
- Post office visits, procedures and diagnoses for pain management from superbills for billing.
- Follow up with coordination of benefits; review aging reports, account balances, denied claims and claim status.
- Post insurance company payments and adjustments and patient payments.
- Process transaction reports, balance system daily, and process monthly patient statements.
- Complete medical records request for insurance companies.
- Document and retrieve billing information related to patient and insurance company account transactions.
Insurance Billing Specialist
A Kids World Pediatrics, Fayetteville, GA April 2005 to May 2007
Atlanta Urological Institute, Stockbridge, GA March 2004 to April 2005
Dr. Subrahmanya Bhat, Riverdale, GA December 2000 to April 2002
- Processed and updated records and billing information for new, established, and hospital patients' accounts.
- Filed primary and secondary insurance claims.
- Posted office and hospital visits, procedures and diagnoses from encounter forms and doctors' notes for billing.
- Assisted patients' with account balances and insurance companies with patient account information.
- Followed up with coordination of benefits; reviewed aging reports, unpaid accounts and denied claims.
- Posted insurance company and patient payments; balanced, prepared and made bank deposits.
- Completed medical records request for insurance companies.
- Audit records for missed procedures and medication charges.
- Verified insurance and claim status by telephone and online.
- Obtained referrals from primary care physicians.
- Documented and retrieved billing information related to patient and insurance company account transactions.
- Mailed patient statements.
- Scheduled appointments; pulled medical records for appointments.
Southern Regional Medical Center, Riverdale, GA January 2003 to March 2004
Emergency Room Lead/Patient Access Associate
- Provided direction to departmental employees on assigned areas and responsibilities.
- Assisted in management of patient complaints; ensured consistent and timely patient flow.
- Entered patient demographics for registration; reviewed registration forms to ensure accuracy and completeness.
- Maintained working knowledge of registration procedures and policies.
- Assisted Team Leader and Supervisor in the stability of the department; participated in all departmental meetings.
- Provided coverage in other areas as needed, such as Labor & Delivery and Cashier.
Technical Skills: Notary Public, MS Office Software, Outlook, Basic Accounting, Basic Transcription, Keyboard 60 wpm, 10 Key, MediSoft, Windows NT/XP, JP Medical, Delphi, HBOC, GroupWise, Medical Manager, StarNavigator, Tiger Mysis, Lytec, NaviCure, Encounter Pro, Centricity, Logician, SRS, FileZilla, CustomCoder/Decision Health
EDUCATION/CERTIFICATION
AAPC Certified Professional Coder March 2009
Clayton State University, Morrow, GA
Bachelor of Applied Science Administrative Management Present
Associate of Applied Science Medical Office Administration-Medical Coding Dec 2005