Colleen O'Rourke has over 9 years of experience in medical billing and coding. She received her certification in medical billing and coding in 2007 from DPT Business School in Philadelphia. Her experience includes working as a government billing representative at Temple University Health System from 2008 to 2015 where she ensured claims were submitted correctly and maintained records of payments, denials, and appeals. She also has experience as a medical records clerk and accounts receivable/payable representative.

1. Colleen O’Rourke
6520 Algard Street
Philadelphia, PA 19135
corourke6520@gmail.com
215-571-5776
EDUCATION
DPT Business School – Philadelphia, PA 2006-2007
Medical Billing and Coding
• Certified Medical Billing and Coding Specialist w/ extra credits w/ 9 years’ experience
• ICD-10 and the Professional Coder/UB-04, 1500 forms
Computer Skills
• Proficient in Microsoft Office, Excel, Word, Outlook, PowerPoint
• Billing Software such as SMS Envision, Medicare FISS system, Navinet, PROMISE
(Medicaid system) EMR-Document Imaging, Alpha Imaging and EPIC STAR, EPremis,
Med Assets,..etc
EXPERIENCE
Temple University Health System – Philadelphia PA
Government Billing Representative - 2008-2015
• Ensures are claims are transmitted electronically as appropriate, updating and verifying
insurance. Submitting appeals as necessary.
• Maintains daily records of accounts with correct and current information on claim
payments, denials, appeals and resolution on a tracking system.
• Conduct telephone follow-up on rejected, denied and/or delinquent accounts, work
payment/credit/denial reports on a daily basis
• Reviews patient accounts to assure that all billing statements are accurate and that all
necessary documentation is complete. Knowledge of Third party billing such as PPO’s,
HMO’s, MVA and Worker’s Compensation
• Handles all re-bill requests w/ Medicare and Medicaid, ensuring proper billing and
coding guidelines, Appeals as Necessary, Late Charges.
Medical Records Clerk II – 2009-2011
• Prepared necessary correspondence directly related to patient medical records
• Assembled patient charts in date order and name labels for proper filing
• Generated new Medical Record numbers for new patients, prepared birth records for
babies born daily, collecting patient information and registering new child to the state,
also submission of death certificate and release of body to funeral home related services.
ARC Group – Warminster, PA 2007-2008
Accounts Receivable/Payable Representative
• Reviewed explanation of benefits to ensure payment amount is accurate along with
identifying discrepancies for corrections and collections purposes
• Handled disposition of outstanding accounts on Out of State Medicaid of CA, and
Workers Comp Insurance, regenerate and resubmit claims and telephone follow up on all
delinquent and outstanding accounts.
*References, other work history, certifications available upon request