Instructor, Medical Billing and Coding Resumes in US-Florida-St. Petersburg: Michael

Instructor, Medical Billing and Coding Resume

Contact Candidate

Name:

Michael

Location:

US-Florida-St. Petersburg

Experience:

Most Recent Job Title:

Instructor, Medical Billing and Coding

Objective:

To utilize my backround in Health Information Management to gain a position in medical coding in a certified coding position.

Resume Text:

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Michael L. Carter

mikecarter07@yahoo.com

Career Objective

Highly experienced Health Information Specialist targeting a challenging and rewarding position in medical coding or administration utilizing my skills, training, and abilities.

Summary of Qualifications

Qualifications include 17 years in Health Information Management including experience in medical and patient administration with working skills, experience, instruction, and training in report and project management, medical billing and coding, customer service, medical collections, and medical claims administration.

Professional Experience

Instructor, Insurance Billing and Coding 2008-2009

Ultimate Medical Academy Clearwater, FL

Position includes hands-on training and lectures to students in medical insurance and coding to include teaching courses in medical insurance, medical law and ethics, medical billing, advanced medical coding, anatomy and physiology, and medical software training for adult students at post secondary vocational school. Assist students in professional development for employment in the health information management field.

Medical Benefits Representative 2005-2006

Abel Temps/Capital Blue Cross Harrisburg, PA

Position included verify medical benefits, claim status inquiries, pre-authorization and referrals for plan members, physicians, hospitals and DME offices, updated members medical plan to include updating and adding doctors to members insurance plans, determined eligibility and plan co-payments for specialist, hospital and doctors offices, calculating pharmacy benefits allowances for Medicare, Capital Blue Cross, and Keystone Health Plan members.

Medical Claims Analyst 2003

Synertech/JFC Pro Temps Harrisburg, PA

Applied Coordination of Benefits for Independence Blue Cross and Medicare plan members to claims to include verifying type and payment of claims, determined and applied payments to accounts for members insurance, adjudicated and processed claims for Medicare, Blue Cross, and other third party liability insurances, calculated benefit amounts and type of payment for medical services. Determined payment liability by verifying diagnosis and procedures codes related to Workers Comp, Auto, and medical services.

Medical Billing Manager 2001-2002

Planned Parenthood (PPSV) Harrisburg, PA

Managed and supervised billing operations for Planned Parenthood’s five clinics, responsible for all aspects of medical insurance billing. Maintained database of diagnosis and procedural code changes and corrections based on CPT, HCPCS, and ICD-9 coding manuals including updating fee schedules based on coding changes and guidelines. Diagnosis and procedural coding for office visits related to GYN, physical exam, and infectious disease conditions. Coded pharmacy prescription drugs and supplies for submission of claims to prescription benefit companies. Completed A/R to include HMO, Blue Cross, Medicare, Medicaid and patient collections.

Medical Billing Coordinator 2000-2001

ACSYS, Inc Atlanta, GA/Harrisburg, PA

Responsible for organizing departments electronic claims report for correct resubmission of rejected and denied claims also effectively managed patient accounts including processing insurance payments and collection of overdue accounts for hospitals and central billing offices including posting payments, corrected ICD-9,CPT, and HCPCS codes on claims, completed claims follow-up for account receivables, determined and made contractual adjustments for insurance payments including processing claims for primary, secondary and patient insurance. Submitted and corrected revenue codes for Medicare and Medicaid hospital claims.

PatientRepresentativeII/TeamLead 1996-1998

The Emory Clinic, Inc Atlanta, GA Responsibilities included Team Lead of Claims Processing for claims billed to Medicare, Medicaid, HMO, BC/BS, Commercial, Workers Comp, and Secondary insurances, also involved working knowledge, supervision and evaluation of claims processing. Implemented and coordinated policies and procedures for Workers Comp, and Secondary Claims units. Submitted medical claims electronically and hard copy on HCFA 1500 and UB92 forms directly to insurance and through claims clearinghouses. Commended for the outstanding job done in assisting with Work Comp Claims unit maintaining it JCAHO accreditation.

Patient Administration Specialist 1986-1993

United States Army

Military Hospitals and Treatment Facilities Responsibilities included supervising, training, and work experience for Admissions, Dispositions, Medical Records, Third Party Administration, and Hospital Administration positions at various military hospitals, to include implementing policies and procedures and updating regulations in additions to gaining experience in healthcare administration during my military career.

Related Work Experience

Medical Billing Specialist SHS Staffing/PennBillingService

Harrisburg,PA 2004

Medical BillingClerk Apple One/Pinnacle Health

Harrisburg,PA 1999

Skills

Skills include project and report management, designing and implementing policies and procedures, employee evaluation and supervision, ICD-9, HCPCS, CPT, and DME coding, medical insurance billing, accounts receivables and accounts payable, collections, medical software, medical transcription, Microsoft XP, Excel, Access, and experience and training in all aspects of patient healthcare administration. Teaching and instructing students in medical insurance, billing, coding, anatomy and physiology, and other courses designed to have adult students learn the medical insurance billing and coding field.

Education

Computer Learning Network /HIS Mechanicsburg,PA 2006-2008

1986

University of Maryland Augsburg,GE 1992

City Colleges of Chicago Augsburg, GE

Patient Administration Course

U.S. Army 1986

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