Highly skilled, knowledgeable, and proficient Medical Biller/Coder bringing extensive, specialized experience working in medical billing, coding, collections, patient accounts management, and customer care capacities. Key qualifications:

Medical Billing
Skilled with a demonstrated knowledge of medical terminology, ICD-9/CPT codes
Recognized for a proven ability to efficiently process medical claims for major and private insurance carriers including HMO/PPO, Blue Cross/Blue Shield, Medicaid/Medicare


2011-Present Optum In Sight CareTracker Providence, RI
A/R Denial Associate/Medical Biller/Coder
Processing denials/Correction of claims
Working unbilled procedures/Verify payments
Communicating with providers
Creating/Sending appeals
Processing of inactive claims
Proficient in CareTracker
Review of Medical notes to ensure proper coding/billing

2009-2011 Sarah Brayton Nursing Care Center Fall River, MA
Receptionist/Admissions/Medical Billing
Customer Service Care.
Updated all resident/patient information in the computer system (PCC).
Managed and maintained resident/patient accounts through RFMS.
Reviewed patient screens/insurance information for new admissions/patients.
Determined new admissions and bed availability.
Entered IC9-CM diagnosis codes in the computer system.
Billed individual accounts for each individual service.
Filed medical information within resident/patient records.

2007–2009 Kids Just Want to Have Fun Somerset, MA
Certified Daycare Assistant
Certification in CPR and First Aid
Assisted children with daily routines such as dressing, toileting, eating and sleeping while maintaining a record of children’s growth, development and behavior.

2006 Bristol Community College Fall River, MA
2010-Present MTTI Seekonk, MA
Candidate for Medical and Dental Office Management
Candidate for CPC
Software: Windows operating systems, Microsoft Word, Excel, PowerPoint, Outlook, and Keyboarding. With a 75 wpm typing average.
Strong ability to multi-task.
Proficient in front desk medical office management for a large, busy general practice medical office.
Working knowledge of computerized processes and data entry procedures.
Maintain a working knowledge of medical terminology exercised to record and interpret patients’ information.

Available Upon Request