DBoop87
Contributor
DENISE PIGFORD-FRAZIER, CPC
Fayetteville, GA 30214
(678) 458-9775 dpigford8795@gmail.com
OBJECTIVE: Certified Coder with 10+ years of experience pursuing a remote and/or on-site position in medical billing, coding and/or AR collections.
RELEVANT EXPERIENCE
Managed Payment and Charge Posters, Billing/Collections and Insurance Verification Specialists, Patient Accounts Representative.
Processed and updated demographics and billing information for new, established and hospital patient accounts.
Filed primary and secondary insurance claims for various specialties.
Assisted patients and insurance companies with patient account and billing information.
Collected account payments from patients/attorneys via telephone and/or set up budget agreements with patients.
Reviewed accounts receivable reports monthly, account balances/credits, denied claims and/or followed up on coordination of benefits daily.
Resubmitted corrected claims (electronically/paper) and/or appealed denied claims.
Processed Workers Compensation, Durable Medical Equipment and Paper claims with medical documentation.
Posted office and hospital (inpatient/outpatient) visits, procedures/surgeries, diagnoses, disability forms, and no show/missed appointment fees from encounter forms, superbills and/or medical documentation for billing.
Posted insurance/patient payments and contractual adjustments daily.
Documented and retrieved billing information related to patient and insurance account transactions.
Verified insurance, claim status, and surgical/procedure benefits via telephone and online.
Collected patient payments based on benefits verification for surgeries/procedures.
Obtained referrals from primary care physicians and pre-certifications for outpatient procedures.
Processed transaction reports, balanced system, organized and transmitted/mailed patient statements.
Balanced, prepared and transported daily bank deposits.
Audited records for missing procedures and/or medication charges; coded and/or verified coding from medical documentation.
Scheduled appointments; processed medical documentation for appointments and completed medical documentation requests for insurance companies.
Organized with patient account coordinator to run daily schedule, verify balances and process referrals prior to appointments.
Forward patient account to collection agency and prepared patient/insurance refund requests.
WORK HISTORY
Independent Contractor Billing Service
D P Data Solutions, Fayetteville, GA 1/2012 to 4/2013
Patient Accounts Representative
Accountemps/Peachtree Orthopedic Clinic, Atlanta, GA 5/2011 to 9/2011
Billing Manager/Insurance Billing Specialist
Pain Management Specialist of Atlanta, Stockbridge, GA 4/2009 to 9/2010
Insurance Billing Agent
Quality Physician Services, Stockbridge, GA 5/2007 to 4/2009
Insurance Billing Specialist
A Kids World Pediatrics, Fayetteville, GA 4/2005 to 5/2007
Atlanta Urological Institute, Stockbridge, GA 3/2004 to 4/2005
Dr. Subrahmanya Bhat, Riverdale, GA 12/2000 to 4/2002
Work Skills: Customer Service, Notary Public, Basic Accounting & Transcription, 60 WPM, 10 Key, Data Entry, MS Office, Windows, Outlook, CustomCoder/Decision Health, GroupWise, Delphi, HBOC, Navicure, ICD-9, CPT, HCPCS, Billing Software: Medisoft, JP Medical, Medical Manager, Mysis, Lytec, Centricity, & NueMD, Electronic Health Records: Encounter Pro & Logician, Hospital Portal: StarNavigator & ClinView/ProMed, Medical Records File Server: SRS, FileZilla, & Document Manager
EDUCATION/CERTIFICATION
Clayton State University, Morrow, GA
Bachelor of Applied Science Administrative Management-Organizational Leadership 12/2012
Associate of Applied Science Medical Office Administration-Medical Coding 12/2005
Certificate Medical Assisting 9/2004
AAPC Certified Professional Coder 6/2014
Fayetteville, GA 30214
(678) 458-9775 dpigford8795@gmail.com
OBJECTIVE: Certified Coder with 10+ years of experience pursuing a remote and/or on-site position in medical billing, coding and/or AR collections.
RELEVANT EXPERIENCE
Managed Payment and Charge Posters, Billing/Collections and Insurance Verification Specialists, Patient Accounts Representative.
Processed and updated demographics and billing information for new, established and hospital patient accounts.
Filed primary and secondary insurance claims for various specialties.
Assisted patients and insurance companies with patient account and billing information.
Collected account payments from patients/attorneys via telephone and/or set up budget agreements with patients.
Reviewed accounts receivable reports monthly, account balances/credits, denied claims and/or followed up on coordination of benefits daily.
Resubmitted corrected claims (electronically/paper) and/or appealed denied claims.
Processed Workers Compensation, Durable Medical Equipment and Paper claims with medical documentation.
Posted office and hospital (inpatient/outpatient) visits, procedures/surgeries, diagnoses, disability forms, and no show/missed appointment fees from encounter forms, superbills and/or medical documentation for billing.
Posted insurance/patient payments and contractual adjustments daily.
Documented and retrieved billing information related to patient and insurance account transactions.
Verified insurance, claim status, and surgical/procedure benefits via telephone and online.
Collected patient payments based on benefits verification for surgeries/procedures.
Obtained referrals from primary care physicians and pre-certifications for outpatient procedures.
Processed transaction reports, balanced system, organized and transmitted/mailed patient statements.
Balanced, prepared and transported daily bank deposits.
Audited records for missing procedures and/or medication charges; coded and/or verified coding from medical documentation.
Scheduled appointments; processed medical documentation for appointments and completed medical documentation requests for insurance companies.
Organized with patient account coordinator to run daily schedule, verify balances and process referrals prior to appointments.
Forward patient account to collection agency and prepared patient/insurance refund requests.
WORK HISTORY
Independent Contractor Billing Service
D P Data Solutions, Fayetteville, GA 1/2012 to 4/2013
Patient Accounts Representative
Accountemps/Peachtree Orthopedic Clinic, Atlanta, GA 5/2011 to 9/2011
Billing Manager/Insurance Billing Specialist
Pain Management Specialist of Atlanta, Stockbridge, GA 4/2009 to 9/2010
Insurance Billing Agent
Quality Physician Services, Stockbridge, GA 5/2007 to 4/2009
Insurance Billing Specialist
A Kids World Pediatrics, Fayetteville, GA 4/2005 to 5/2007
Atlanta Urological Institute, Stockbridge, GA 3/2004 to 4/2005
Dr. Subrahmanya Bhat, Riverdale, GA 12/2000 to 4/2002
Work Skills: Customer Service, Notary Public, Basic Accounting & Transcription, 60 WPM, 10 Key, Data Entry, MS Office, Windows, Outlook, CustomCoder/Decision Health, GroupWise, Delphi, HBOC, Navicure, ICD-9, CPT, HCPCS, Billing Software: Medisoft, JP Medical, Medical Manager, Mysis, Lytec, Centricity, & NueMD, Electronic Health Records: Encounter Pro & Logician, Hospital Portal: StarNavigator & ClinView/ProMed, Medical Records File Server: SRS, FileZilla, & Document Manager
EDUCATION/CERTIFICATION
Clayton State University, Morrow, GA
Bachelor of Applied Science Administrative Management-Organizational Leadership 12/2012
Associate of Applied Science Medical Office Administration-Medical Coding 12/2005
Certificate Medical Assisting 9/2004
AAPC Certified Professional Coder 6/2014
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