Medical Assistant Insurance Verification
Resume:
Amy Vella
**********@*****.***
***** ******** **** *****, *******, TX 77429
Professional Summary
Medical Assistant and Billing/Coding Specialist with over 14 years of comprehensive experience in clinical and administrative environments. Skilled in managing billing processes and insurance verification with precision. Demonstrates strong communication and multitasking abilities. Committed to fostering teamwork and insurance compliance with regulatory standards while continuously optimizing billing accuracy, and efficiency.
Skills:
●ICD-10, HCPCS and CPT coding
●CMS-1500 and UB-04 submissions
●Medicare/Medicaid/Commercial PPO/HMO Plans
●Proficient in analyzing EOB details
●Medical Terminology
●HIPPA compliance
●Time management
●eClinicalWorks EMR
●Crystal PM EMR
●Epic EMR
●Allscripts PRO EHR
●QuickBooks
●Microsoft Office Suite including Excel
Memorial Vision, PA. - Houston, TX - October 2018 – September 2024
Billing and Claims Specialist
●Verified patient insurance coverage and eligibility
●Calculated patient responsibility and submitted necessary documents for insurance payment
●Prepared and review super bills to ensure billing accuracy
●Entered and verified diagnosis codes, investigated denied claims, and resolved outstanding patient invoices
●Averaged 50+ claims per day
●Review EOBs to ensure appropriate payment and the ability to resubmit claims to obtain correct payment
●Post payments and manage accounts receivable and enter for 3rd party collections
●Communicated with insurance companies (Commercial PPO/HMO Plans, Medicare) to resolve issues and ensure proper payment
●Ensured compliance with state and federal laws
Personal Care Giver to Ailing Parent – 2016 – 2018
Dearborn Family Physicians - Dearborn M I - October 2010 - January 2016
Medical Assistant / Front office medical assistant
●Patient Check-In, insurance verification, coverage and eligibility
●Verified patient demographics, recorded, and monitored vital signs, reviewed symptoms, social, and family history, updated prescription information
●Calculated patient responsibility and submitted necessary documents for insurance payment
●Prepared and review super bills to ensure billing accuracy
●Entered and verified diagnosis codes, investigated denied claims, and resolved outstanding patient invoices
●Review EOBs to ensure appropriate payment and the ability to resubmit claims to obtain correct payment
●Assisted physicians support physicians with procedures, including injections, wound care, and diagnostic tests
●Assisted with EKGs, bone density tests, Bio-Z testing, and digital x-rays
●Provided general assistance during medical procedures and shadowed physicians to gain further insight and experience
●Provided training for new medical assistant students
●Ensured compliance with state and federal laws
Education / Certification
Certified Paraoptometric Technician, CPOT - American Optometric Association 2023
Nationally Registered Certified Coding Specialist, NRCCS – College of HealthCare Professions 2018
Certified Medical Assistant, CMA (AAMA) – Everest Institute 2009
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