Medical billing, coding, transcription, and medical chronologies

Posted on: 2006-08-07

Kelly J. Montgomery Administrative Assistant & Medical Office 910 S. Walden St. #207 Management (Billing, Coding, Transcription) Aurora, CO. 80017 (303) 337-9158 • (303) 668-4191 [email protected] Objective Contract/Employment for a telecommuter position in medical transcription, billing, coding, auditing/consulting or administrative duties. Profile Meticulous, well organized, dependable professional with 10+ years of extensive experience in Medical Billing, Coding and Transcription. Areas of experience include: • Outpatient/In-Patient visits • Emergency room visits • Prescriptions • Laboratory • Pathology • Radiology • Anesthesia • Physical/Occupational/Speech Therapy Technically proficient in MS Word/Excel, Internet and various electronic and manual billing & transcription software programs. Expertise Computers: ♦ Microsoft Word ♦ Microsoft Excel ♦ Microsoft Outlook ♦ EDI Software (Electronic billing) ♦ Numerous Billing Software programs ♦ 3M Coding Software ♦ Windows ’95, ’98 operating systems Office: ♦ Billing office Management/ Supervision ♦ Typing-60+ WPM (9236 Keystrokes per hour) ♦ Ten-Key by touch (12400 Keystrokes per hour) ♦ Scheduling ♦ Customer Service ♦ Professional Correspondence/ Report Writing Professional Experience Professional Experience Continued… 2003 – Present Enterprise Nurse Consultants Independent Contractor Medical Transcriptionist/Admin. Assistant Responsible for transcribing medical reports for the Law Department from physician notes and verbal tapings. Prepare these notes as follows: • Arrange files in chronological order • Labeling of each page with pertinent medical information high-lighted for review by an R.N. • Edit the file after the R.N. has reviewed/notated file • Return file to proceed with litigation These notes consist of various practices and specialties. Able to decipher physician’s writings and multiple accents. 2001- 2003 Veteran’s Administration Medical Center Program Support Assistant Medical billing, coding and auditing of all Veteran’s claims to various insurance companies. Duties also include: • Chart review to correspond with services being billed as accurate and comply with State/Federal laws. • Review of records for abstraction of billable services and conversion of those services into CPT/ICD-9 codes. • Review and analyzing of patients’ conditions/symptoms to determine service connected illnesses/injuries deemed non-billable. • Input billable services into PC for claims production/submissions (Electronic and Paper) • Reconcile denials/rejections from third party carriers and making appropriate adjustments if necessary. • Accepting and responding to all patient/insurance correspondence and preparation of invoices and/or resubmissions. • Verification of insurance to include pre-authorization, eligibility and referrals following individual insurance guidelines, procedures and policies. • Extensive use of HCPCS, ICD-9, CPT and all billing/coding manuals for the completion of HCFA 1500, Colorado 1500 and UB-92 forms. 1999-2001 Valley Home Health Services, Inc. Billing Office Manager Medical billing, coding and auditing of all home health claims to various insurance companies. Duties also include: • Input all billable orders/deliveries/services into PC and converting services into HCPCS/ICD-9 codes. • Correspondence, invoicing, verification, prior authorization, certificates of medical necessity and follow-up on all claims to include: ° Appeals ° Refunds ° Adjustments ° Discrepancies • Managing/maintenance of aged receivable reports for recovery of billed claims • Audit Physicians for various documentation requirements and educate the physicians and management of those findings. 1995-1999 Respiratory Services Inc. Billing Office Manager Started and operated the in-house billing department for home health care and durable medical equipment. Recovery doubled with-in four (4) months of operation. Position consisted of: • Entry of all patients’, services, coding and databases into system • Created, coded & audited all bills prior to submission via EDI or paper submission. • Posting and reconciling of all payments from patients, insurance companies and vendors. • Handled all disputes, appeals, resubmissions, and complaints either verbally or in writing as deemed appropriate. • Training of branch managers, new employees and management of changes or modifications when necessary. • Negotiated pricing with various companies/vendors/Insurance companies and compiling contracts reflecting these agreements. Also negotiated settlements/payment arrangements with patients/vendors. • Filing and other administrative duties as needed. • Month end closing, receivable and sales reports for the President. Education & Training 1990-1992 Parks Junior College 1989-1990 University of Northern CO Coursework: Training: • Business Administration • Billing/Coding/Transcription Courses • Paralegal • Medicare/Medicaid Workshops