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Ahkelia Copeland

Ahkelia Copeland

Medical Biller

Reliable Medical Solutions

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Hometown Medical Equipment

Medical Biller/Medical Office Manager

Medical Billing and Coding Clerk January 2011 - February 2013
• Review insurance policy to determine coverage.
• Prepare insurance claim forms or related documents and review them for completeness.
• Post or attach information to claim file.
• Code records by following prescribed coding standards such as ICD-9 and CPT
• Review physician notes and obtain necessary clarifications where necessary to interpret findings into ICD9 coding.
• Ensure signatures on all medical records
• Assign appropriate medical codes to all diagnosis and services
• Prepare appropriate claim documents
• Follow up with insurance companies and ensure that all claims come to fruition.
• Performed day to day functions associated with coding, abstracting and revenue cycle
• Highly familiar with HIPAA version changes (4010, 5010) and how it impacts Backend systems and Front end systems and applications
• Hands on experience in Medicare, Tri-care, Private Insurance and Medicaid Claim Process

Career medium 03
Career
Career medium 04

Blue Cross Blue Shield of Georgia

Customer Care Representative

• Document, track and resolve all plan providers’ billing and payment issues
• Confer with customers by telephone or in person to provide information about products or services, take or enter orders, cancel accounts, or obtain details of complaints.
• Keep records of customer interactions or transactions, recording details of inquiries, complaints, or comments, as well as actions taken.
• Refer unresolved customer grievances to designated departments for further investigation.
• Review insurance policy terms to determine whether a particular loss is covered by insurance.
• Review insurance policy to determine coverage.
• Direct and educate Provider Services and Relations with the claims reprocessing notification, utilizing knowledge of provider billing and claims processing

Career

Fort Benning 911

Emergency Medical Dispatcher

Emergency Medical Dispatcher July 2006 - September 2008
• Question callers to determine their locations, and the nature of their problems to determine type of response needed.
• Receive incoming telephone or alarm system calls regarding emergency and non-emergency police and fire service, emergency ambulance service, information and after hours calls for departments within a city.
• Determine response requirements and relative priorities of situations, and dispatch units in accordance with established procedures.
• Monitor various radio frequencies such as those used by public works departments, school security, and civil defense to keep apprised of developing situations.
• Learn material and pass required tests for certification.
• Provide emergency medical instructions to callers.

Career medium 02
Career

Columbus Technical College

Medical Assisting