Rachel Martin
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Rachel Martin

Rachel Martin


Medical Coding & Billing

Portland, TN 37148


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Work Experience

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Accounts Receivable Clerk

DCI Laboratory - Nashville, TN

February 2001 to September 2011


Verified that clinics billed the dialysis patients HAA, HBA, & EPO shots according to the guilde-lines of insurance companies.

Created new patients folders for all insurance billing clerks.

Printed patient demographics and patient work summary sheets.

Filed patient folders according to states and alphabetical order.

Scanning using ONBASE for Cash/Accounting Dept.

Scanning checks and invoices from insurance companies and patient bills, organizing them into a file on ONBASE in correct order by date and clinic.

February 2003-September 2011

Billed for dialysis patients to insurance companies and patients without insurance coverage.

Billing insurance , Medicare and Medicaid and secondary insurance and Medicare secondary. (MSP)

Professionally maintained and organized patient folders.

Maintained correct patient demographic sheets and worksheets in detail keeping it up to date as well as verifying that all dates of services for primary and secondary insurances were billed in a timely manner.

Communicated with insurance companies, Medicare and Medicaid in

a professional manner and built cross-functional relationships.

Verified that only the correct amounts were written off according to insurance, Medicare and Medicaid guidelines.

Patients that insurance had a contract with DCI Laboratory were put on a “MCO” list to make sure the DCI clinics paid the bills at their contracted rates.


Education

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U.S. Career Institute - Fort Collins, CO

April 2018 to July 2019

Medical Coding and Billing Specialist Certificate


Greenbrier High School

2000


Skills & Knowledge

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CMS-1500/CMS-1450 (UB-04) forms

Medicare/Medicaid/Tricare

Workers’ Compensation

Medlock Medical Billing software

HMOs/PPOs/other health plans

CPT/ICD-10/HCPCS codes

Medical Coding software

Medical Terminology

Human Anatomy/Physiology

Professional conduct (HIPAA, Joint Commission Standards)

Medical Ethics

Electronic Claims Submission

Medical Billing Clearinghouse

Working with healthcare providers

Disability Insurance

Managing Patient/client accounts

Electronic Health Records (EHR)


Billing (10+ years), insurance billing (10+ years), training (less than 1 year)


Additional Information

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HIGHLIGHTS OF QUALIFICATIONS

Ten years of professional success in patient insurance billing, working as a team with other insurance clerks, training in all educational videos and/or meetings.

Committed to learning and achieving all my goals.

Highly motivated, organized and helping others.