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Lois Armstrong, CPC
General Delivery Box 70,000, Peterson AFB, Colorado 80914
Tel: (520) 490-5016
E-Mail: Loiskarnold@gmail.com
Education
? AAPC: Professional Medical Coding Curriculum, 2013
? AAPC: Anatomy/Physiology/Medical Terminology, 2012
? Edmonds Community College: Medical Terminology, 2001
? Matthew Arnold Senior School, Oxford, England, 1988
Skills/Certification
? Certified Professional Coder (CPC, AAPC)
? Medical anatomy and terminology training
? CMS 1500 and UB claim forms
? Computer literate
? Accurate keyboard skills
? Office machinery proficient
Personal Qualities
? Continuously strives to maintain high quality production.
? Quickly understands information and enjoys learning new tasks.
? Instantly identifies more efficient ways of completing work tasks.
? Energetic, responsible, easygoing person who prefers keeping busy.
? Excels working as part of a team and independently.
? Excellent attention to detail.
Work Experience
Dependable Medical
Equipment, Inc. February 2007 ? June 2014
1120 S Swan Road, Tucson, AZ 85711
(520) 721-3822
MEDICAL BILLER, DME:
Responsible for billing Medicare, Medicare Advantage Plans, Commercial Insurance Companies (Blue Cross Blue Shield, Tricare, United Healthcare etc.) and several AHCCCS plans (Medicaid). Also have worked with Workman?s Compensation claims, and Commercial Facility accounts. This includes paper claims and the use of an electronic billing system. Responsibilities include auditing orders taken by the Customer Service Department for durable medical equipment rental/sales, consumable/disposable medical supplies, power mobility devices and special order mobility equipment. This process includes diagnosis and correct procedure code/modifier verification. Confirm the presence of valid detailed written order/medical documentation and required patient signatures, and completion of various Conditions of Admission, Plan of Care and Patient Orientation packages. Review medical documentation and ensure that all requirements have been met to enable accurate submission of claims to each insurance company depending on their specifications and requirements. Apply payments received from insurance companies and private parties to the specific patients? accounts. Payments are bundled in batches that require posting and balancing daily. Follow up on denied claims, underpayments and problem accounts on a daily basis. Review/work Medicare audits and track accounts using Excel spreadsheets. Submit corrected claims and appeals as required to obtain correct payment of claims. Organize and balance daily accounts receivable deposits utilizing specific guidelines set out by Dependable Medical Equipment, Inc.
Langley Financial Services/Tax Office January - April 2006 (Seasonal)
1055 W Mercury Blvd, Hampton, VA 23666
(757) 838-7561
CLERICAL:
Responsible for scanning/copying all pertinent documents regarding preparation of clients? tax returns. Gathering and assembling all documentation for tax returns in the specific order required, and gathering all documents that are to be returned to the client. Scheduling appointments for clients with the tax preparer, processing payments from clients for filed returns, and answering basic questions regarding tax preparation, via the telephone and in the office.
Roberts Home Medical August 2003 - June 2005
700 Thimble Shoals Blvd, Newport News, VA 23606
(757) 599-9080
BILLING/CLAIMS REPRESENTATIVE:
Responsible for billing Commercial Health Insurance companies for patients? accounts. The services included, but not limited to, rental/purchase of Home Medical Equipment, Oxygen systems, and other disposable/consumable medical supplies as needed. Required rebilling and issuing corrected claims, and following patients? accounts to ensure timely and full payment of claims from insurance companies.
Premera Blue Cross July 1997 - August 2002
3900 E Sprague Ave., Spokane, WA 99202
(509) 252-7020
CLAIMS SPECIALIST:
Began employment as a claims adjuster in the Other Party Liability Department. Responsible for a daily workload consisting of many different tasks including medical claims coding, correcting claims in edit and releasing claims from various suspenses. Also involved reprocessing and corrected claims already processed. Engaged regularly with other insurance companies to coordinate and determine order of benefits.
After two years moved to the Managed Care Claims Department as a Claims Specialist. This position assumed responsibility for working a higher level and more complicated pended claim codes, claims adjustments and reprocessing requests forwarded on phonelogs from the Customer Service Department. Also involved processing corrected billings submitted by providers and completion of medical decision requests returned from the Care Management nurses. Relied on regularly to train and supervise new and temporary employees in their tasks such as claims data entry, working pending claim codes, entering and correcting referrals. Ensured production and accuracy levels were consistently above and beyond the required standards.
Western Farmer-Stockman
Insurance Service August 1992 - July 1997
999 W Riverside Ave., Spokane, WA 99201
(509) 459-5000
CLAIMS EXAMINER:
Employed originally to work the outgoing and incoming mail desk in the Claims Department. Routine tasks involved opening all incoming mail, preparing patient files for claims adjudication and re-filing after processing. Other responsibilities included ordering and printing reports in the claims adjudication process and mailing all payments/correspondence to policyholders and providers.
Promoted in January 1995 to Claims Examiner. Responsible for all correspondence in connection with insurance claims, adjudication and payment of insurance benefits. Provide skilled service to policyholders; both over the telephone and in person. Trained new employees on mail desk responsibilities, and ordering and printing of reports in the claims processing system.
Co-Operative Insurance Society 1989 - March 1992
Oxford, England
INSURANCE CLERK:
Trained in several lines of insurance including Automobile and Home Owner?s. Responsible for processing agents? accounts, appointed as office cashier, balancing accounts weekly and accomplished daily collection of office moneys. Also provided service to policyholders both over the telephone and in person as needed.
General Delivery Box 70,000, Peterson AFB, Colorado 80914
Tel: (520) 490-5016
E-Mail: Loiskarnold@gmail.com
Education
? AAPC: Professional Medical Coding Curriculum, 2013
? AAPC: Anatomy/Physiology/Medical Terminology, 2012
? Edmonds Community College: Medical Terminology, 2001
? Matthew Arnold Senior School, Oxford, England, 1988
Skills/Certification
? Certified Professional Coder (CPC, AAPC)
? Medical anatomy and terminology training
? CMS 1500 and UB claim forms
? Computer literate
? Accurate keyboard skills
? Office machinery proficient
Personal Qualities
? Continuously strives to maintain high quality production.
? Quickly understands information and enjoys learning new tasks.
? Instantly identifies more efficient ways of completing work tasks.
? Energetic, responsible, easygoing person who prefers keeping busy.
? Excels working as part of a team and independently.
? Excellent attention to detail.
Work Experience
Dependable Medical
Equipment, Inc. February 2007 ? June 2014
1120 S Swan Road, Tucson, AZ 85711
(520) 721-3822
MEDICAL BILLER, DME:
Responsible for billing Medicare, Medicare Advantage Plans, Commercial Insurance Companies (Blue Cross Blue Shield, Tricare, United Healthcare etc.) and several AHCCCS plans (Medicaid). Also have worked with Workman?s Compensation claims, and Commercial Facility accounts. This includes paper claims and the use of an electronic billing system. Responsibilities include auditing orders taken by the Customer Service Department for durable medical equipment rental/sales, consumable/disposable medical supplies, power mobility devices and special order mobility equipment. This process includes diagnosis and correct procedure code/modifier verification. Confirm the presence of valid detailed written order/medical documentation and required patient signatures, and completion of various Conditions of Admission, Plan of Care and Patient Orientation packages. Review medical documentation and ensure that all requirements have been met to enable accurate submission of claims to each insurance company depending on their specifications and requirements. Apply payments received from insurance companies and private parties to the specific patients? accounts. Payments are bundled in batches that require posting and balancing daily. Follow up on denied claims, underpayments and problem accounts on a daily basis. Review/work Medicare audits and track accounts using Excel spreadsheets. Submit corrected claims and appeals as required to obtain correct payment of claims. Organize and balance daily accounts receivable deposits utilizing specific guidelines set out by Dependable Medical Equipment, Inc.
Langley Financial Services/Tax Office January - April 2006 (Seasonal)
1055 W Mercury Blvd, Hampton, VA 23666
(757) 838-7561
CLERICAL:
Responsible for scanning/copying all pertinent documents regarding preparation of clients? tax returns. Gathering and assembling all documentation for tax returns in the specific order required, and gathering all documents that are to be returned to the client. Scheduling appointments for clients with the tax preparer, processing payments from clients for filed returns, and answering basic questions regarding tax preparation, via the telephone and in the office.
Roberts Home Medical August 2003 - June 2005
700 Thimble Shoals Blvd, Newport News, VA 23606
(757) 599-9080
BILLING/CLAIMS REPRESENTATIVE:
Responsible for billing Commercial Health Insurance companies for patients? accounts. The services included, but not limited to, rental/purchase of Home Medical Equipment, Oxygen systems, and other disposable/consumable medical supplies as needed. Required rebilling and issuing corrected claims, and following patients? accounts to ensure timely and full payment of claims from insurance companies.
Premera Blue Cross July 1997 - August 2002
3900 E Sprague Ave., Spokane, WA 99202
(509) 252-7020
CLAIMS SPECIALIST:
Began employment as a claims adjuster in the Other Party Liability Department. Responsible for a daily workload consisting of many different tasks including medical claims coding, correcting claims in edit and releasing claims from various suspenses. Also involved reprocessing and corrected claims already processed. Engaged regularly with other insurance companies to coordinate and determine order of benefits.
After two years moved to the Managed Care Claims Department as a Claims Specialist. This position assumed responsibility for working a higher level and more complicated pended claim codes, claims adjustments and reprocessing requests forwarded on phonelogs from the Customer Service Department. Also involved processing corrected billings submitted by providers and completion of medical decision requests returned from the Care Management nurses. Relied on regularly to train and supervise new and temporary employees in their tasks such as claims data entry, working pending claim codes, entering and correcting referrals. Ensured production and accuracy levels were consistently above and beyond the required standards.
Western Farmer-Stockman
Insurance Service August 1992 - July 1997
999 W Riverside Ave., Spokane, WA 99201
(509) 459-5000
CLAIMS EXAMINER:
Employed originally to work the outgoing and incoming mail desk in the Claims Department. Routine tasks involved opening all incoming mail, preparing patient files for claims adjudication and re-filing after processing. Other responsibilities included ordering and printing reports in the claims adjudication process and mailing all payments/correspondence to policyholders and providers.
Promoted in January 1995 to Claims Examiner. Responsible for all correspondence in connection with insurance claims, adjudication and payment of insurance benefits. Provide skilled service to policyholders; both over the telephone and in person. Trained new employees on mail desk responsibilities, and ordering and printing of reports in the claims processing system.
Co-Operative Insurance Society 1989 - March 1992
Oxford, England
INSURANCE CLERK:
Trained in several lines of insurance including Automobile and Home Owner?s. Responsible for processing agents? accounts, appointed as office cashier, balancing accounts weekly and accomplished daily collection of office moneys. Also provided service to policyholders both over the telephone and in person as needed.