Denise Fallows
15 Jewel Rd
Millville, NJ 08332 (856-506-0016)

Qualifications: Offering comprehensive experience and expertise in the following areas of responsibility;

• Well versed in the applications of medical coding by utilizing ICD-9's , CPT, HCPCS and medical terminology. Comprehensive knowledge of the usage of a Superbill, HCFA 1500, UB92 as well as the explanation of medical benefits (EOB) along with insurance verification in the application of medical billing/follow-up, collections and payment posting policies and procedures for Primary, Secondary and Third party payees including but not limited to HMO’s, and PPO’s.

• Extensive knowledge of reimbursement and practices with Medicare, Medicaid, NJMVA (pre-certification,
letters of protection etc...), Workers Compensation, and Managed Care as well as FDCPA guidelines.

• Fundamental accounting knowledge of various financial reports and statements with an emphasis on accounts
receivable projections and analysis which allows me to demonstrate my strong analytical and problem solving

Computer skills: ClaimGear, Perfectcare, Dr. com, (NEIC & Medicare-Telix), Certified in Medical Manager,
PTOS Operating systems, Medisoft 7.0, Windows 95, 97, 98, Microsoft(Office-Word, Access,
Excell, PowerPoint and Publisher) Internet browsers (Netscape, Explorer)
Owner/Medical Biller
Alpha & Omega Medical Billing Services 5/00 to date
Medical Billing-Restore Physical Therapy- 01/01/08 to date
Medical Billing - Star Physical Therapy- -Medical billing 11/2004 to date
Medical Billing for Shine Medical P.C. –Dr. Farid Noor M.D. Specialty (Physiatry-MVA & HI)
Pre-certifications and Collections for ABY Rehab. P.T. Center-Ibrahim Soliman R.P.T 1/03 to 6/07.

Medical Billing Instructor/Adjunct (1 semester) 1/27/03 to 5/15/03
Camden County College -Instructing Employees of Virtua Physicians Association of The West Jersey Health system (Camden, NJ) on all facets of medical billing and reimbursement

Medical Billing Instructor 2/00-4/02
MCITC (Medical Consultants Instructional Training Center)Cherry Hill, NJ
Instructed Students on all facets of Front desk procedures and Medical billing/coding/follow-up and collections

Patient Accounts Director 4/99 to 12/01
Springfield Rehabilitation & Associates Mount Laurel, NJ
• Incorporated and overseen all facets to both the billing (hardcopy and electronic/NEIC ) collections and payment applications
with regards to various insurance carriers and products for a PM&R facility focusing on Physiatry and Physical Therapy.

Medical Billing and Collections Supervisor 10/97 to 4/99
The Center for Aquatic Rehabilitation & Fitness Center Cherry Hill, NJ
• Responsible for all facets of medical billing and collections of various insurance products including, but not limited to Workers Compensation, Managed Care, HMO’s & PPO’s as well as MVA (specializing in Physical therapy/Orthopedics)

Medical Billing & Collections Representative 10/95 to 2/96
Atlantic Rehabilitation & Sports Medicine Vineland, NJ
• Performed all phases of patient & facility (LTC) billing including verification, and coordinating benefits with
various carriers such as Medicare Pt. B, and Medicaid.

Billing & Collection Supervisor 5/91 to 6/95
Management & Recovery Consultants Charlotte, NC
• Specialized in the collections of delinquent medical and commercial accounts by utilizing various collection tools such as skip-tracing, credit reports, and personal expertise while staying within the guidelines of the FDCPA.
Strengths: Highly motivated, accurate, thorough, and precise in attention to details, excellent analytical and organizational skills. Major strength is completing multi-faceted tasks within the time constraints allotted.
Skilled in public relations, loyal, honest and dependable.

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Denise Fallows
15 Jewel Rd
Millville, NJ 08332 (856)506-0016


MCITC-Certified Professional Coder Course – Certificate 8/2005 to 12/2005
12/2005 to date CPC awarded by AAPC

MCITC-Medical Billing and Coding 10/2000 Cumberland County Community College, NJ 1999
Glassboro, NJ -Certificate Medical Terminology, Medical Office Accounting
Medical Office Administration- Certificate

Star Technical Institute, Vineland, NJ 1989 Cumberland Regional High School, NJ 1983
Computer Programming/Accounting concentration Business Administration/Accounting Courses
Certificate Diploma