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
* Presidents’ Honor Roll
* National Technical Honor Society
* Terminology Awards
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.
* Knowledge of insurance and healthcare plans.
* 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.
* Updating of patient’s insurance and account information.
* Patient eligibility verification of Medicare, Medicaid, and Managed Care Accounts.
* Contacting third-party payers with regard to delinquent claims resulting in payment.
Sept 2007 - Jan 2009 Ocean Divers Inc. Key Largo, FL
Sales Associate.
* Staff and Specialty Instructor.
* Regulator and repair technician
* Emergency Response CPR, AED, and O2 Instructor
Aug 2006 – Sept 2007 Atlantis Dive Center. Key Largo, FL
Operations Manager / Instructor
* Heavy emphasis on sales.
* Overseeing daily business operations including payrolls.
Nov 1992 – Oct 2004 Federal Express Corporation. Bangor, ME
Courier.
* Transportation and delivery of priority overnight packages.
* Heavy emphasis on customer service satisfaction.
* Performance of logistical problem solving for customers.
Certifications:
Certified Professional Coder A 01120830
HIPAA certified.
OSHA certified.
CPR 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
* Presidents’ Honor Roll
* National Technical Honor Society
* Terminology Awards
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.
* Knowledge of insurance and healthcare plans.
* 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.
* Updating of patient’s insurance and account information.
* Patient eligibility verification of Medicare, Medicaid, and Managed Care Accounts.
* Contacting third-party payers with regard to delinquent claims resulting in payment.
Sept 2007 - Jan 2009 Ocean Divers Inc. Key Largo, FL
Sales Associate.
* Staff and Specialty Instructor.
* Regulator and repair technician
* Emergency Response CPR, AED, and O2 Instructor
Aug 2006 – Sept 2007 Atlantis Dive Center. Key Largo, FL
Operations Manager / Instructor
* Heavy emphasis on sales.
* Overseeing daily business operations including payrolls.
Nov 1992 – Oct 2004 Federal Express Corporation. Bangor, ME
Courier.
* Transportation and delivery of priority overnight packages.
* Heavy emphasis on customer service satisfaction.
* Performance of logistical problem solving for customers.
Certifications:
Certified Professional Coder A 01120830
HIPAA certified.
OSHA certified.
CPR certified.
References available upon request.
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