Amanda Yochum
Sacramento
Summary
Dynamic Medical Billing and Coding Specialist with over 15 years of experience driving efficiency in revenue cycle management and ensuring compliance with medical billing regulations. Demonstrated expertise in medical terminology, coding accuracy, and insurance navigation, fostering successful outcomes in diverse healthcare settings. Adept at conducting comprehensive training and personalized support, enhancing team performance in billing processes and coding practices. Committed to optimizing reimbursement strategies while reducing billing errors through innovative solutions and effective communication. Currently working towards AA HIM, 2nd Medical Billing & Coding Diploma, CCS and RHIT Certifications.
Overview
17
17
years of professional experience
Work History
Medical Billing & Coding / CPR Instructor
UEI College, Sacramento
02.2019 - 08.2024
- Delivered comprehensive instruction on medical billing and coding practices, resulting in increased student proficiency. Facilitated learning by integrating hands-on activities that reinforced fundamental principles of medical billing and coding processes.
- Stayed current with developments in the field of medical billing and coding by attending conferences and workshops which helped update course materials accordingly.
- Managed classroom effectively, addressing any behavioral issues promptly while maintaining focus on academic goals. Evaluated student progress regularly through assessments, adjusting teaching strategies as needed to address areas of weakness or confusion. Observed and evaluated students' work to determine progress, provide feedback, and make suggestions for improvement.
- Served as a mentor to new instructors within the department, offering guidance and support in their professional growth. Collaborated with colleagues and improved teaching practices through professional learning communities and student retention meetings.
- Consistently received positive evaluations from both students and supervisors, reflecting a high level of competence and dedication to teaching excellence.
Medical Biller & Coder
DMSCO Inc
10.2014 - 11.2018
- Processed insurance claims using advanced billing software to ensure timely reimbursement for multiple specialties not limited to Hospital IP/OP, Pro-Fee, ASC, SNF, DME, Laboratory, Behavioral Services, Urgent Care, Dental, Supplies etc.
- Reviewed patient accounts for accuracy and completeness, resolving discrepancies efficiently.
- Coordinated with healthcare providers to obtain necessary documentation for claim submissions.
- Monitored billing procedures to identify areas for process improvement and increased efficiency. Developed strategies to reduce claim denials by analyzing trends and implementing corrective actions.
- Verified insurance of patients to determine eligibility.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Collected and Posted payments to patient accounts. Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
- Liaised between patients, insurance companies, and billing office.
- Maintained compliance with industry regulations by staying updated on changes to medical billing codes and requirements.
- Delivered timely and accurate charge submissions.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Trained new team members in medical billing software, increasing efficiency within the department.
- Prepared billing statements for patients and verified correct diagnostic coding.
Medical Biller & Coder
Advanced Home Health & Hospice
05.2012 - 06.2014
- Managed revenue cycle from beginning to end.
- Demonstrated expertise in billing and coding for multiple services, some specific to home health and hospice care, Skilled Nursing RN, LVN, PT, OT, ST, MSW, CNA, HHA, DME, ASC, SNF, Supplies, Physician services etc.
- Hospice including palliative care, respite care, and pain/symptom management.
- Coded physician and professional services, IP hospital visits for new and established patients under both home health and hospice services, inpatient hospital stays for patients under the care of Advanced Home Health & Hospice physicians and other specialties, as well as outpatient services such as lab work and imaging.
- Resolved discrepancies in billing by collaborating with medical staff and insurance representatives.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Reviewed patient records for completeness, verifying accurate coding and billing information.
Medical Biller & Coder
Tempcare, LLC
01.2008 - 04.2012
- Demonstrated expertise in billing and coding for multiple services such as Skilled nursing visits RN/LVN, PT, OT, ST, MSW, HHA, CNA, Medications, Supplies & DME for Medicare / Medicaid and private insurance patients.
- Processed and submitted insurance claims accurately to ensure timely revenue cycle management.
- Reviewed and Processed OASIS
- Processed claims for Hospice care, including palliative, respite care and pain / symptom management
- Billed and Coded professional services, Hospital visits for new and established patients under both home health and hospice services, IP hospital stays for patients under the care of Tempcare physicians and other specialties, as well as some outpatient services such as lab work and imaging.
- Trained new billing staff on software systems and compliance regulations to enhance operational efficiency.
- Acted as liaison between healthcare providers and insurance companies; resolved disputes quickly while maintaining positive relationships.
Education
Associate of Applied Science - Health Information Management
Bryan University
Online06.2027
Diploma - Medical Insurance Billing & Coding
Heald College
Hayward, CA01.2009
GED -
Hayward Adult School
Hayward, CA06.2005
Skills
- Medical coding expertise
- Proficient in medical terminology and anatomy
- Cardio-Pulmonary Resuscitation (CPR)
- Skilled in various EHR systems
- EOB analysis and management
- Accounts receivable management
- Proficient in E/M and surgical coding
- HIPAA compliance knowledge
- Adaptability, Problem solver, Time management, ability to lead
- Data interpretation
- Health information organization
- Claims processing expertise
- Customer engagement
- Empathy in communication
- Strong focus on accuracy
- Effective team collaboration
- Effective communication
Languages
ASL
English
Timeline
Medical Billing & Coding / CPR Instructor
UEI College, Sacramento
02.2019 - 08.2024
Medical Biller & Coder
DMSCO Inc
10.2014 - 11.2018
Medical Biller & Coder
Advanced Home Health & Hospice
05.2012 - 06.2014
Medical Biller & Coder
Tempcare, LLC
01.2008 - 04.2012
Associate of Applied Science - Health Information Management
Bryan University
Diploma - Medical Insurance Billing & Coding
Heald College
GED -
Hayward Adult School
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