mrs.straatmann@gmail.com
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Amber Straatmann
2 Flower Hill Court
Gaithersburg, MD 20879
mrs.straatmann@gmail.com
phone (559) 273-0227
PROFILE:
Over 7 years of administrative services in the medical industry.
Excellent communication skills with demonstrated writing and public speaking expertise.
Strong commitment to organizational goals and improving operations and client satisfaction.
Detail-oriented, able to identify, research and correct discrepancies.
Experienced use of Medical Manager and subprograms such as patient registration, appointment entry, computerized billing, end of day reports and procedure entries.
Experienced use of ICD-9 and CPT books, (looking up and assigning codes) demonstrating critical thinking skills.
Understanding of basic medical terms such as prefixes, suffixes and combining forms.
Conscientious of basic HIPAA and Government regulations for proper coding and billing guidelines.
Able to draft legal documents such as liens and settlement proposals for proper handling and filing.
COMPUTER AND OFFICE MACHINE PROFICIENCIES
MS Office, Word, Excel, Outlook, Power Point, Citrix systems, copiers, fax machines, printer, muti-line phone systems. Typing 45+ WPM, 10 Key 140 CSPM, email communications, internet research.
WORK EXPERIENCE:
Accounts Receivable Follow up Specialist, Ameritox
Workers Compensation Department 01/2012-10/2012
Columbia, MD
Coding compliance: Audited medical bills for verification of proper diagnosis and procedure codes in accordance with State and Federal workers compensation laws and regulations. Prepared and submitted clean claims to various insurance companies both electronically or by paper.
Customer Service: Contacted Insurance companies and verified patient claim information via telephone. Obtained and completed necessary documentation for payment authorization.
Accounts Receivable: Mailed out and verified receipt of medical bills; documented expected payment dated and amounts.
Training: Coach and mentor new employees on workers compensation policies and procedures for medical bills/claims.
Administrative: Use of accounting system to notate and track all payment information for accounting purposes.
Billing Auditor, Kaiser Permanente
Patient Financial Department 10/2011-01/2012
Rockville, MD
Coding Operations: Audited outpatient medical bills with the use of medical records for CPC/ ICD 9 coding accuracy for the OB/GYN, preventive medicine and radiology physicians.
Production: Achieved individual production and quality assurance performance within established expectations and standards.
Workers Compensation Supervisor, AHC/ Attorney's Health Care 05/2008-08/2011
Fresno, CA
Manage: Coached, mentored and responsible for the work of 5 to 10 members. Drafted quarterly and yearly evaluations for assigned staff members and submitted to Managing Attorney/ Director of Operations for review and approval.
Training: Organized meetings to keep team members, staff attorneys, account specialists up to date on CA laws and regulations in accordance with Workers Compensation laws.
Recruiting/ Resource Management: Processed payroll for assigned team members, reviewed applicants resumes for hiring process. Tested and interviewed candidates for potential hiring.
Client Services: Conducted monthly meetings with clients to overview teams' performance and append any policies to meet with clients standards. Worked in conjunction with Director of Operations, Vice President of Operations and Financial Directors of Hospitals to achieve financial goals in a timely and effective manner.
Claim Representative, AHC/ Attorney's Health Care 12/2006-05/2008
Fresno, CA
Coding compliance: Audited inpatient and outpatient medical bills for accuracy of proper coding procedures in accordance with AMA and Medicare regulations. Verified diagnosis and CPT codes were used correctly per procedures performed. Verified proper use of bundling, unbundling procedures. Ensured proper REV codes were used in comparison with the itemized bill.
Customer Service: Contacted patients, insurance companies, attorney's offices and third party companies to obtain pertinent information regarding the proper responsible parties for payment of patients medical bills. Answered patient, adjuster, or other authorized parties questions or concerns regarding the handling of the patients account.
Negotiations: Worked with attorneys and Hospitals to negotiate payment amounts for medical services to ensure timely and prompt payment.
Legal: Filed liens to applicable county clerks, third party auto carriers and or lawyers.
Accounts Receivable: Reviewed payments for accuracy based on contractual agreements, state mandated fee schedule or negotiated amounts.
EDUCATION
AAPC, Distant education course 01/2012-06/2012 CPC-H Certified Coder
Fresno City College, Fresno CA 10/2004-06/2006
Medical Billing Certificate
2 Flower Hill Court
Gaithersburg, MD 20879
mrs.straatmann@gmail.com
phone (559) 273-0227
PROFILE:
Over 7 years of administrative services in the medical industry.
Excellent communication skills with demonstrated writing and public speaking expertise.
Strong commitment to organizational goals and improving operations and client satisfaction.
Detail-oriented, able to identify, research and correct discrepancies.
Experienced use of Medical Manager and subprograms such as patient registration, appointment entry, computerized billing, end of day reports and procedure entries.
Experienced use of ICD-9 and CPT books, (looking up and assigning codes) demonstrating critical thinking skills.
Understanding of basic medical terms such as prefixes, suffixes and combining forms.
Conscientious of basic HIPAA and Government regulations for proper coding and billing guidelines.
Able to draft legal documents such as liens and settlement proposals for proper handling and filing.
COMPUTER AND OFFICE MACHINE PROFICIENCIES
MS Office, Word, Excel, Outlook, Power Point, Citrix systems, copiers, fax machines, printer, muti-line phone systems. Typing 45+ WPM, 10 Key 140 CSPM, email communications, internet research.
WORK EXPERIENCE:
Accounts Receivable Follow up Specialist, Ameritox
Workers Compensation Department 01/2012-10/2012
Columbia, MD
Coding compliance: Audited medical bills for verification of proper diagnosis and procedure codes in accordance with State and Federal workers compensation laws and regulations. Prepared and submitted clean claims to various insurance companies both electronically or by paper.
Customer Service: Contacted Insurance companies and verified patient claim information via telephone. Obtained and completed necessary documentation for payment authorization.
Accounts Receivable: Mailed out and verified receipt of medical bills; documented expected payment dated and amounts.
Training: Coach and mentor new employees on workers compensation policies and procedures for medical bills/claims.
Administrative: Use of accounting system to notate and track all payment information for accounting purposes.
Billing Auditor, Kaiser Permanente
Patient Financial Department 10/2011-01/2012
Rockville, MD
Coding Operations: Audited outpatient medical bills with the use of medical records for CPC/ ICD 9 coding accuracy for the OB/GYN, preventive medicine and radiology physicians.
Production: Achieved individual production and quality assurance performance within established expectations and standards.
Workers Compensation Supervisor, AHC/ Attorney's Health Care 05/2008-08/2011
Fresno, CA
Manage: Coached, mentored and responsible for the work of 5 to 10 members. Drafted quarterly and yearly evaluations for assigned staff members and submitted to Managing Attorney/ Director of Operations for review and approval.
Training: Organized meetings to keep team members, staff attorneys, account specialists up to date on CA laws and regulations in accordance with Workers Compensation laws.
Recruiting/ Resource Management: Processed payroll for assigned team members, reviewed applicants resumes for hiring process. Tested and interviewed candidates for potential hiring.
Client Services: Conducted monthly meetings with clients to overview teams' performance and append any policies to meet with clients standards. Worked in conjunction with Director of Operations, Vice President of Operations and Financial Directors of Hospitals to achieve financial goals in a timely and effective manner.
Claim Representative, AHC/ Attorney's Health Care 12/2006-05/2008
Fresno, CA
Coding compliance: Audited inpatient and outpatient medical bills for accuracy of proper coding procedures in accordance with AMA and Medicare regulations. Verified diagnosis and CPT codes were used correctly per procedures performed. Verified proper use of bundling, unbundling procedures. Ensured proper REV codes were used in comparison with the itemized bill.
Customer Service: Contacted patients, insurance companies, attorney's offices and third party companies to obtain pertinent information regarding the proper responsible parties for payment of patients medical bills. Answered patient, adjuster, or other authorized parties questions or concerns regarding the handling of the patients account.
Negotiations: Worked with attorneys and Hospitals to negotiate payment amounts for medical services to ensure timely and prompt payment.
Legal: Filed liens to applicable county clerks, third party auto carriers and or lawyers.
Accounts Receivable: Reviewed payments for accuracy based on contractual agreements, state mandated fee schedule or negotiated amounts.
EDUCATION
AAPC, Distant education course 01/2012-06/2012 CPC-H Certified Coder
Fresno City College, Fresno CA 10/2004-06/2006
Medical Billing Certificate