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Chelsea Miller, CPC
Amarillo, TX/Martinsburg, WV
stellarchels13@yahoo.com
WORK EXPERIENCE
Coding and Reimbursement Specialist
Texas Tech University Health Sciences Center
Amarillo, TX
June 2015 to August 31st, 2016
Review official medical records with physician/healthcare provider documentation.
Assign appropriate codes for all physician/healthcare provider services from current editions of official coding sources.
Quarterly compliance audits
Data entry charges.
Process coding edits and denials.
EMR – Allscripts
Billing-Centricity Business
Experience coding/billing family medicine, home health, and specialty pediatrics
Claims Examiner
AIG
Amarillo, TX
May 2013 to June 2015
Processing medical and dental claims.
Copied and faxed miscellaneous paperwork.
Calling various providers for information regarding claims.
Handle claims escalation calls.
Advise insureds of claim status, if more information is needed, explain benefits.
Team Leader
The Buckle
Amarillo, TX
February 2013 to May 2013
High volume customer service.
Educate teammates and customers on product.
Open and close registers.
Assistant Store Manager
New York & Company
Amarillo, TX
April 2012 to February 2013
Open and close store. Supervise multiple associates.
Assist in execution of floor sets.
Assist in recruitment and training of new associates.
High volume customer service
Quality Coach/Claims Examiner
Dental Network of America
Amarillo, TX
August 2010 to February 2012
Processed dental claims and researched correct dental codes.
Various data entry.
Calling various dentists for various information regarding claims.
Audit dental claims to ensure accuracy.
Work with claims staff when needed on areas of improvement.
Claims Examiner/Customer Service Representative
Blue Cross Blue Shield
Amarillo, TX
January 2008 to December 2009
Processed medical health claims and researched correct ICD-9/CPT codes.
Copied and faxed miscellaneous paperwork.
Calling various physicians and hospitals for various information regarding claims.
Enrolling members into Medicare Part D plans.
Answering any questions from members, prospective members, and agent/brokers about the Medicare Part D plan.
EDUCATION
Amarillo College
SKILLS
Ten Key (10+ years), Microsoft Office (10+ years), Customer Service (10+ years), Insurance (5 years),Coding (2 years), ICD-10 (1 year), ICD-9 (6 years), CPT (6 years)
CERTIFICATIONS
Coder
AAPC Certified Professional Coder – October 2015
AAPC ICD-10 Certified - December 2015
Became CPC certified within first four months and ICD-10 certified in six months.
ADDITIONAL INFORMATION
I will be moving to Martinsburg, WV on September 1st, 2016
Amarillo, TX/Martinsburg, WV
stellarchels13@yahoo.com
WORK EXPERIENCE
Coding and Reimbursement Specialist
Texas Tech University Health Sciences Center
Amarillo, TX
June 2015 to August 31st, 2016
Review official medical records with physician/healthcare provider documentation.
Assign appropriate codes for all physician/healthcare provider services from current editions of official coding sources.
Quarterly compliance audits
Data entry charges.
Process coding edits and denials.
EMR – Allscripts
Billing-Centricity Business
Experience coding/billing family medicine, home health, and specialty pediatrics
Claims Examiner
AIG
Amarillo, TX
May 2013 to June 2015
Processing medical and dental claims.
Copied and faxed miscellaneous paperwork.
Calling various providers for information regarding claims.
Handle claims escalation calls.
Advise insureds of claim status, if more information is needed, explain benefits.
Team Leader
The Buckle
Amarillo, TX
February 2013 to May 2013
High volume customer service.
Educate teammates and customers on product.
Open and close registers.
Assistant Store Manager
New York & Company
Amarillo, TX
April 2012 to February 2013
Open and close store. Supervise multiple associates.
Assist in execution of floor sets.
Assist in recruitment and training of new associates.
High volume customer service
Quality Coach/Claims Examiner
Dental Network of America
Amarillo, TX
August 2010 to February 2012
Processed dental claims and researched correct dental codes.
Various data entry.
Calling various dentists for various information regarding claims.
Audit dental claims to ensure accuracy.
Work with claims staff when needed on areas of improvement.
Claims Examiner/Customer Service Representative
Blue Cross Blue Shield
Amarillo, TX
January 2008 to December 2009
Processed medical health claims and researched correct ICD-9/CPT codes.
Copied and faxed miscellaneous paperwork.
Calling various physicians and hospitals for various information regarding claims.
Enrolling members into Medicare Part D plans.
Answering any questions from members, prospective members, and agent/brokers about the Medicare Part D plan.
EDUCATION
Amarillo College
SKILLS
Ten Key (10+ years), Microsoft Office (10+ years), Customer Service (10+ years), Insurance (5 years),Coding (2 years), ICD-10 (1 year), ICD-9 (6 years), CPT (6 years)
CERTIFICATIONS
Coder
AAPC Certified Professional Coder – October 2015
AAPC ICD-10 Certified - December 2015
Became CPC certified within first four months and ICD-10 certified in six months.
ADDITIONAL INFORMATION
I will be moving to Martinsburg, WV on September 1st, 2016