Barkesha Mitchell
VIRGINIA BEACH
Summary
Accomplished medical account and appeals specialist with expertise in medical billing, coding, and claims resolution. Proven ability to enhance operational efficiency and customer satisfaction through meticulous attention to detail and strict compliance with industry standards. Strong analytical skills facilitate effective denial management and successful appeals.
Overview
1
1
Certification
17
17
years of professional experience
Work History
Patient Account Rep WCNF (Complex Claims)
Med-Metrix
12.2023 - Current
- Researched payer denials to clarify issues with pre-authorizations, medical necessity, and billing, improving claim outcomes.
- Reviewed denied claims for accuracy and compliance, facilitating correct processing and timely resolutions.
- Ensured timely claim resolution through meticulous payer follow-up processes.
- Documented denial case records and follow-up actions to enhance tracking and resolution processes.
- Consistently maintained daily productivity and quality standards to achieve operational targets.
- Set reminders in Outlook to streamline effective follow-up procedures.
Sr. Account Specialist
Innovative Management Alternatives
Virginia Beach
02.2023 - 10.2023
- Audited claims for accuracy in CPT and ICD 10-CM coding.
- Conducted research on payer-specific billing guidelines to ensure compliance.
- Resolved patient inquiries regarding account statuses to enhance customer satisfaction.
- Maintained strict compliance with HIPAA standards while handling PHI.
- Leveraged proficiency in computer systems and Microsoft Office to streamline daily operations.
Medical Billing/Coding Specialist Sr
The US Oncology Network
Virginia Beach
12.2020 - 12.2022
- Reviewed reports to identify denied claims and resolved issues promptly.
- Converted diagnosis treatments into accurate alphanumeric medical codes.
- Assisted in audits by providing coding clarifications and essential documentation, supporting compliance.
- Recommended accounts for write-offs and corrected billing inaccuracies, ensuring accurate financial reporting.
- Monitored delinquent accounts and executed collection duties, enhancing recovery efforts.
Site Security Manager/Verifying Official
Serco Inc.
Virginia Beach
03.2016 - 10.2020
- Led on-site team of 10-15 personnel at military base, enhancing operational efficiency.
- Collaborated with military personnel to prioritize and schedule maintenance activities.
- Directed development of detailed reports on emergency or unusual events, ensuring timely response and accountability.
- Exercised authority for contract-related decisions impacting daily operations.
- Coordinated shift schedules to guarantee uninterrupted maintenance and system administrator coverage.
Patient Account Rep/Coder
Innovative Management Alternatives
Virginia Beach
01.2010 - 01.2016
- Executed medical coding and managed insurance medical necessity and pre-authorization processes.
- Reviewed and analyzed high volumes of written appeals for medical accuracy, ensuring compliance with regulations.
- Streamlined workflow improvements with payer portals and procedures, optimizing claims processing.
- Monitored accounts receivable aging and payment reports monthly to identify trends and underpayments.
- Identified and implemented process improvements to enhance operational efficiency.
Education
Physician Coding for Current Procedural Coding AAPC - Medical Billing And Coding
Bryant And Stratton College
Virginia Beach, VA07-2026
Bachelor of Science - Nursing
South University
Virginia Beach06-2018
Certified Nursing Assistant Program -
Training Solutions
2428 Almeda Ave Ste 146 Norfolk, VA 10-2015
Diploma - Medical Insurance Billing and Coding
Everest Institute
825 Greenbrier Circle Ste 100 Chesapeake, VA 2332006-2006
Advanced Academics Studies Diploma -
Booker T Washinton High School
1111 Park Ave Norfolk, VA 2350406-1994
Skills
- Medical coding
- HCPCS coding expertise
- Claims resolution
- Claims analytics
- Reimbursement strategies
- HIPAA compliance
- Attention to detail
- Microsoft Office proficiency
- Data entry proficiency
- Analytical skills
- Effective communication
- Customer service excellence
- Team collaboration
- Professional ethics
Certification
- Bachelors of Science in Nursing
- Diploma in Medical Insurance Billing and Coding
Timeline
Patient Account Rep WCNF (Complex Claims)
Med-Metrix
12.2023 - Current
Sr. Account Specialist
Innovative Management Alternatives
02.2023 - 10.2023
Medical Billing/Coding Specialist Sr
The US Oncology Network
12.2020 - 12.2022
Site Security Manager/Verifying Official
Serco Inc.
03.2016 - 10.2020
Patient Account Rep/Coder
Innovative Management Alternatives
01.2010 - 01.2016
Physician Coding for Current Procedural Coding AAPC - Medical Billing And Coding
Bryant And Stratton College
Bachelor of Science - Nursing
South University
Certified Nursing Assistant Program -
Training Solutions
Diploma - Medical Insurance Billing and Coding
Everest Institute
Advanced Academics Studies Diploma -
Booker T Washinton High School