Coder_Rick
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L. Richard Bernhardt, CPC-A
707 SE 13th Terrace
Homestead, FL. 33033
305-433-0881
l.r.bernhardt@gmail.com
Objective:
Motivated Medical Insurance Coding and Billing Specialist, seeking a rewarding, challenging opportunity to utilize my knowledge and application of billing, coding, and collections in a team oriented environment.
Education:
Jan 2009 - Sept 2009 Concorde Career Institute. Miramar, FL
Insurance Coding and Billing Specialist - Diploma
Dec 2005 - Apr 2006 Pro-Dive Academy. Ft. Lauderdale, FL
Master Scuba Diver Instructor - Certificate
Skills:
* Knowledge and use of both Misys Tiger PM and Medical Manager software.
* Knowledge and use of HIPAA compliance standards.
* Collection calls to patients and third party payers in an effort to resolve unpaid A/R balances.
* Able to initiate the claims process and follow it through to the A/R resolution.
* General knowledge of Medicare, Medicaid, HMO, PPO, and W/C third party guidelines for reimbursement.
* Ability to code from source documents, i.e. Operative reports, History reports, Radiology reports,
Pathology and Lab reports: utilizing CPT, HCPCS and ICD-9CM coding guidelines and methodology.
* Able to review, interpret and process EOB's by posting charges, payments and adjustments to patient accounts.
* Familiar with hospital reimbursement schemes i.e. DRG, APC's and Medicare's OPPS systems.
Employment:
July 2009 - Sept 2009 Compass Health Systems. North Miami, FL
Insurance Coding and Billing Specialist Externship.
* Updated patient's insurance and account information.
* Performed patient eligibility verification of Medicare, Medicaid, and Managed Care Accounts.
* Communications with third party payers regarding denied / rejected claims, correction of required codes,
completed resubmission of corrected claims resulting in reimbursement.
Sept 2007 - Jan 2009 Ocean Divers Inc. Key Largo, FL
Sales Associate / Instructor.
* Instructed Scuba , Specialty, and CPR /BLS courses.
* Performed consultations, and booked group and individual dive charter reservations.
* Management of daily operations at north location facility.
* Certified regulator and repair technician.
* Sales of scuba equipment and supplies.
Aug 2006 – Sept 2007 Atlantis Dive Center. Key Largo, FL
Operations Manager / Instructor.
* Scheduled employee shifts, completion of company payrolls.
* Overseeing daily business operations, including boat and compressor maintenance.
* Equipment sales and air fills.
* Resolved customer complaint issues.
* Worked with vendors, Coast Guard and Law Enforcement officials when requested.
Nov 1992 – Oct 2004 Federal Express Corporation. Bangor, ME
Courier. Station Operations, D.G.O.
* Transportation and delivery of priority overnight packages.
* Sales, and account maintenance resulting in customer service satisfaction.
* Performance of logistical problem solving for customers.
Certifications:
* AAPC Certified Professional Coder A 01120830
* CPR/BLS certified.
References available upon request.
707 SE 13th Terrace
Homestead, FL. 33033
305-433-0881
l.r.bernhardt@gmail.com
Objective:
Motivated Medical Insurance Coding and Billing Specialist, seeking a rewarding, challenging opportunity to utilize my knowledge and application of billing, coding, and collections in a team oriented environment.
Education:
Jan 2009 - Sept 2009 Concorde Career Institute. Miramar, FL
Insurance Coding and Billing Specialist - Diploma
Dec 2005 - Apr 2006 Pro-Dive Academy. Ft. Lauderdale, FL
Master Scuba Diver Instructor - Certificate
Skills:
* Knowledge and use of both Misys Tiger PM and Medical Manager software.
* Knowledge and use of HIPAA compliance standards.
* Collection calls to patients and third party payers in an effort to resolve unpaid A/R balances.
* Able to initiate the claims process and follow it through to the A/R resolution.
* General knowledge of Medicare, Medicaid, HMO, PPO, and W/C third party guidelines for reimbursement.
* Ability to code from source documents, i.e. Operative reports, History reports, Radiology reports,
Pathology and Lab reports: utilizing CPT, HCPCS and ICD-9CM coding guidelines and methodology.
* Able to review, interpret and process EOB's by posting charges, payments and adjustments to patient accounts.
* Familiar with hospital reimbursement schemes i.e. DRG, APC's and Medicare's OPPS systems.
Employment:
July 2009 - Sept 2009 Compass Health Systems. North Miami, FL
Insurance Coding and Billing Specialist Externship.
* Updated patient's insurance and account information.
* Performed patient eligibility verification of Medicare, Medicaid, and Managed Care Accounts.
* Communications with third party payers regarding denied / rejected claims, correction of required codes,
completed resubmission of corrected claims resulting in reimbursement.
Sept 2007 - Jan 2009 Ocean Divers Inc. Key Largo, FL
Sales Associate / Instructor.
* Instructed Scuba , Specialty, and CPR /BLS courses.
* Performed consultations, and booked group and individual dive charter reservations.
* Management of daily operations at north location facility.
* Certified regulator and repair technician.
* Sales of scuba equipment and supplies.
Aug 2006 – Sept 2007 Atlantis Dive Center. Key Largo, FL
Operations Manager / Instructor.
* Scheduled employee shifts, completion of company payrolls.
* Overseeing daily business operations, including boat and compressor maintenance.
* Equipment sales and air fills.
* Resolved customer complaint issues.
* Worked with vendors, Coast Guard and Law Enforcement officials when requested.
Nov 1992 – Oct 2004 Federal Express Corporation. Bangor, ME
Courier. Station Operations, D.G.O.
* Transportation and delivery of priority overnight packages.
* Sales, and account maintenance resulting in customer service satisfaction.
* Performance of logistical problem solving for customers.
Certifications:
* AAPC Certified Professional Coder A 01120830
* CPR/BLS certified.
References available upon request.