Durham, NC

Position Desired

Administrative & Clerical, Healthcare, Healthcare Administration, Healthcare Administrative & Clerical, Healthcare Data Analysis/Management, Other Healthcare Administration
Raleigh, NC


MEDNAX Services, Inc, Raleigh, North Carolina
Team Lead, Imaging Support, Jun 2014 – Aug 2018
Coordinate daily workflow assignments and activities with the Billing Operations Manager and/or Supervisor
Provide general daily workflow guidance to Imaging Support Administrators by coordinating activities with other team members to ensure timely distribution and completion of work
Interface with other departments and/or facilities, as may be required, to resolve issues/errors
Verify patient information and record completion using links to hospital and web based sites
Remain knowledgeable and current on third party requirements and regulatory guidelines at the federal, state, and local levels

Medical Management Services, Raleigh, North Carolina
Medical Billing Specialist, May 2013 – Jun 2014
Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or treatment into computer.
Review and interpret explanation of benefits (EOB) from insurance carriers to post appropriate payment and denial codes
Receive charges, payments, and adjustments and post amounts paid to customer accounts.
Verify accuracy of billing data and revise any errors.
Contact insurance companies to check on status of claims payments and write appeal letters for denial on claims.
Collection report generation

Wake Ear, Nose and Throat, PLLC, Cary, North Carolina
Front Office Coordinator, Apr 2011 – May 2013
Participate in implementation of electronic health records including data migration
Answer telephones and direct calls to appropriate staff.
Schedule and confirm patient diagnostic appointments or medical consultations.
Greet visitors, ascertain purpose of visit, and direct them to appropriate staff.
Retrieve patient medical records for physicians, technicians, or other medical personnel.
Receive charges, payments, and adjustments and post amounts paid to customer accounts.
Resolve or clarify codes or diagnoses with conflicting, missing, or unclear information by consulting with doctors or others.
Post medical insurance billings.
Receive and route messages or documents, such as laboratory results, to appropriate staff.
Obtain prior authorization for and schedule surgeries
Transmit correspondence or medical records by mail, e-mail, or fax while adhering to HIPAA guidelines.
Maintain medical records, technical library, or correspondence files.
Transcribe recorded messages or practitioners' diagnoses or recommendations into patients' med...

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