1. Diana Moultrie
2752 El NidoLn
Lancaster,CA 93535
(661) 544-5495
dianas604@gmail.com
Work Experience
Dec 2012-Feb 2016
US Healthworks
Responsible forall activitiesleadingtothe collectionof accountsreceivable thatare delinquent,utilizingverbaland
writtencommunicationswithproviders,employers,insurers,reviewcompaniesandotherpayors.
Medical Billing Workers Compensation Billing Correspondence Clerk
 Prepare,verifyandprocessawide varietyof medical billingforservicesprovidedtopatients/client
 Performaccurate and timelydataentryof codesand otherinformationintoelectronicbillingsoftware
programs
 Performreconciliationof remittances, researchandresolve discrepancies
 Reviewrecordsof patient/clientvisitstodetermine classificationsof coverage tobe billedsuchas
private insurance,MediCal/Medicare
 Verifybillingcodes,requestadditional documents ordocumentationverbally orinwritingto process
claims
 Resubmitclaimrejectionsordenialsforreconsiderationof payment,and follow-uponanyunpaidclaims
 Provide informationandassistance tootherdepartmentsupportstaff,supervisorsandmanagers
regardingmedical codingandbillingproceduresinordertoensure accurate data isavailable formedical
billing
 Update patientdata andrespondto inquiriesfrompatients/clients,insurance companies,state or
federal agencies,orhealthcare facilitiesregardingstatusof patientaccounts
 Correct statementbilling;processthird-partypay forms,correspondence andbills
 Submitregularreportstosupervisorconcerningbillingactivitiesandstatistics
 Performspecial assignmentssuchascompilingdataonnumberandstatusof rejectionsordenialsand
otherstatistical dataor reports
 Maintainaccurate recordsof billingdocumentsanddocumentation
 May be assignedotherclerical supportorback-updutiesasneeded;attendsandparticipatesinregular
meetingswithsupervisor,medical billingunit,andotherdepartmentpersonnel.
Medical BillingWorkersCompensation BillingCollector
Carve-OutSpecialist

2. SpecializinginPhysical TherapyServices
ESSENTIAL DUTIES AND RESPONSIBILITIES
• Reviews correspondence pertaining to billing and accounts receivable.
• Updates computer account files as needed.
• Claim follow-up by phone for aged account balances with various Insurance Carriers.
• Analyze and interpret claims regarding charges, payments and balances.
• Analyze situations accurately and adopts an effective course of action.
• Participates in departmental staff meetings.
• Follows policies and procedures to maintain workflow standards.
• Works with Collections Supervisor and Accounts Receivable Manager on resolution of accounts.
Skills
Experience withincodingenvironment;workers’compensationexperience
Possessworkingknowledge of ICD-9,CPT,HCPCS,Fee SchedulesandExcel.
Possessalphaandorganizational skills.
Excel Proficient
AS400 Proficient
ExcellentTelephone/CustomerService Skills
10-keyskills
Sept2011-June 2013 Seasonal Retail Lead
Six Flags Magic MountainValenciaCa
Seasonal parttime retail Leadinthe Six FlagsStore
Supervisingupto13 employeespershift,schedulingbreaksandlunches,returns,
exchanges,overseeingtill closings,andcashdrops,trainingnew employees,
sellingstore merchandise,clothingadult-children,souvenirs,toys.
Re-stockingmerchandise, Inventory,responsible forpersonal tills/cashcontrol
June 2009- Jan 2010 IndependentMedical Biller
7 month Contract for Dr. Satey
Palmdale,California

3. Workedout of my ownhome submittingMedical ClaimsforaPediatrician
Short termcontract to get the office caughtupon claimsfor the previous3years
UtilizedMedisoftandOffice Ally
That were not submitted.Correctedbillingmistakes,resubmittedclaims,andfollowedup
WithInsurance Co’s,and patients.Correctedpatientscharts,andupdatedinformationinthe computersystem.
October2002 -June 2003 - Medical Biller
McCray Dermatology
Lancaster,California
Medical billerandcoder.SubmittedclaimstovariousInsurance Companies.
FollowedupwithPayersorpatients.Enteredpaymentstopatientsaccounts.
Sent accounts for collection. Frontoffice duties.Orderedoffice supplies.
November1991 - April 1994 Front Office / Coder & Biller
AV Dermatology
Lancaster,California
Front Office duties,ie:phones, appointments, receivedpayments.
Codedall patientvisitsfor6 offices. Submittedclaimstoall formsof Insurance
Companies. Followedupwithpatients,Insurance Co.,andCollections Departments.
August1985 - May 1991 Customer Service Representative
Bank Of America
Hollywood,California
Answeredbusy phones,directedcallsandaccuratelyrecordedmessagesfor35
branches.Assistedcustomerswithaccountinquiries.Enteredandresearcheddata
utilizingacomputer.Linkedaccountstocard services. Servedinthe Note Dept
and NewAccounts. Wasalsoa line teller

4. Certification
Medical Office Assistant
NorthValleyOccupational Center
June 1991