Experienced coder, reimbursement A/R manager seeks remote or Phoenix AZ position.
Martha Sims-Green
(602)288-9851 Home
marthaegreen@gmail.com
Summary of Qualifications
Experienced in the area health care management
Strong project manager with the ability to supervise several tasks at one time.
Extensive experience and skills in medical billing, collections and coding
Outstanding computer, problem solving, data analytical skills.
Education
University of Southern ILL. Carbondale, IL
Bachelor of Science: Health Care Management, June 2004.
Los Angeles City College, CA
Associate of Arts, Public Relations, June 1980
Certified Professional Coder (CPC). 2010
Work History
Episource. Orange CA (Remote) May 2012 – Present
HCC Medical Coder Independent P/T
• Remotely audit electronic health records medical abstract HCC reimbursement codes.
• Submit timely weekly quality assurance reporting
• Document finding of incomplete records
Sanford Brown College AZ Oct 2009 – Aug 2011
Billing and Coding Department Chair
Selected Contributions:
Successfully developed course curriculum, and designed active learning assignments for entire course program, meeting company objectives.
Adapted student assignment portal online to correlate to all course syllabus.
Ensured medical claims software operated properly, working with IT department.
Communicated with both staff and students regularly about expectations
Provided ongoing training to staff, interviewed and hired instructors.
Provider Health Net Work (PHNS) Jan 2009 – Aug 2011
Remote Patient Account Representative
• Follow-up on outstanding medical claims
• Re-submission
• Coding Corrections
• Re-billing to government and private insurance plans
Selected Contributions:
Collected $130,000 in bad debt from previously denied insurance payments through persistent follow-through and thorough review. Provided insurance with the documentation needed to reverse prior “deny� decisions.
Brookline College AZ (part-time) Apr 2008 – Jan 2009
Online Medical Billing and Coding Instructor Adjunct
• Communicate with student's daily, posting to-do-list, grading assignments within 48 hours, sending and responding to emails.
• Daily posting in the discussion logs.
• Executed online classroom training using multimedia, discussion boards, online chat and telephone.
McKesson Corporation, Scottsdale, AZ Jun 2008 – Jan 2009
Reimbursement Specialist
• Call center management of incoming calls for claims processing support.
Maricopa Community College District, Avondale, AZ May 2007 – Jun 2008
Lead instructor for the Medical Billing and Coding program
• Trained adults in medical billing and coding.
• CPT coding
• ICD- 9 coding
• Hospital and professional provider claims processing
Skills:
• Microsoft: Word, Excel, Access, PowerPoint, Outlook, Publisher
• Typing 60 WPM
• Ten key by touch
• Various Medical Management Software operation, Medisoft, NextGen
• Angel, Black Board, and Eleap learning management systems
Certifications:
• HCC Coding Continuing Ed. AAPC Aug 2012
• Online Instructor Training Pittsburgh Technical Institute Jun 2012
• Anatomy Review, Continuing Ed. AAPC Mar 2012
• Certified Professional Coder (CPC), American Academy of Professional Coding, July 2010
• Vocational Education Credential (State of CA). Jul 2005
• Medical Terminology Certificate 2000
• Medical Billing Certificate Mar 1984
Prior Experiences:
Hospital biller, business office manager
Full time medical biller, collector, insurance verifier. submitting claims both paper and electronic.
Activity/Awards:
• Outstanding team member award, McKesson Corp Nov 2008
• Newsletter editor for home owner association 2012
• Member of AAPC
• Member of AHIMA
Martha Sims-Green
(602)288-9851 Home
marthaegreen@gmail.com
Summary of Qualifications
Experienced in the area health care management
Strong project manager with the ability to supervise several tasks at one time.
Extensive experience and skills in medical billing, collections and coding
Outstanding computer, problem solving, data analytical skills.
Education
University of Southern ILL. Carbondale, IL
Bachelor of Science: Health Care Management, June 2004.
Los Angeles City College, CA
Associate of Arts, Public Relations, June 1980
Certified Professional Coder (CPC). 2010
Work History
Episource. Orange CA (Remote) May 2012 – Present
HCC Medical Coder Independent P/T
• Remotely audit electronic health records medical abstract HCC reimbursement codes.
• Submit timely weekly quality assurance reporting
• Document finding of incomplete records
Sanford Brown College AZ Oct 2009 – Aug 2011
Billing and Coding Department Chair
Selected Contributions:
Successfully developed course curriculum, and designed active learning assignments for entire course program, meeting company objectives.
Adapted student assignment portal online to correlate to all course syllabus.
Ensured medical claims software operated properly, working with IT department.
Communicated with both staff and students regularly about expectations
Provided ongoing training to staff, interviewed and hired instructors.
Provider Health Net Work (PHNS) Jan 2009 – Aug 2011
Remote Patient Account Representative
• Follow-up on outstanding medical claims
• Re-submission
• Coding Corrections
• Re-billing to government and private insurance plans
Selected Contributions:
Collected $130,000 in bad debt from previously denied insurance payments through persistent follow-through and thorough review. Provided insurance with the documentation needed to reverse prior “deny� decisions.
Brookline College AZ (part-time) Apr 2008 – Jan 2009
Online Medical Billing and Coding Instructor Adjunct
• Communicate with student's daily, posting to-do-list, grading assignments within 48 hours, sending and responding to emails.
• Daily posting in the discussion logs.
• Executed online classroom training using multimedia, discussion boards, online chat and telephone.
McKesson Corporation, Scottsdale, AZ Jun 2008 – Jan 2009
Reimbursement Specialist
• Call center management of incoming calls for claims processing support.
Maricopa Community College District, Avondale, AZ May 2007 – Jun 2008
Lead instructor for the Medical Billing and Coding program
• Trained adults in medical billing and coding.
• CPT coding
• ICD- 9 coding
• Hospital and professional provider claims processing
Skills:
• Microsoft: Word, Excel, Access, PowerPoint, Outlook, Publisher
• Typing 60 WPM
• Ten key by touch
• Various Medical Management Software operation, Medisoft, NextGen
• Angel, Black Board, and Eleap learning management systems
Certifications:
• HCC Coding Continuing Ed. AAPC Aug 2012
• Online Instructor Training Pittsburgh Technical Institute Jun 2012
• Anatomy Review, Continuing Ed. AAPC Mar 2012
• Certified Professional Coder (CPC), American Academy of Professional Coding, July 2010
• Vocational Education Credential (State of CA). Jul 2005
• Medical Terminology Certificate 2000
• Medical Billing Certificate Mar 1984
Prior Experiences:
Hospital biller, business office manager
Full time medical biller, collector, insurance verifier. submitting claims both paper and electronic.
Activity/Awards:
• Outstanding team member award, McKesson Corp Nov 2008
• Newsletter editor for home owner association 2012
• Member of AAPC
• Member of AHIMA
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