Sabrina Mumford

Handled professional, facility, SNF, and hospice coding and billing in Epic using CPT, HCPCS, ICD-10, DRG, and risk adjustment. Submitted claims and managed rejections/denials and appeals while keeping Epic billing records audit-ready.

Improved the practice collection rate by 70% by working unpaid and denied claims individually. Handled workers’ comp and no-fault (PIP/MVA) billing, built arbitration packets, and used ModMed and Euclid to keep billing records clean and claims moving.

Reduced aging receivables by 70% through account-by-account review, consistent follow-up, and setting up payment plans. Completed AR audits, handled insurance disputes, and coordinated with attorneys’ offices while documenting in eClinicalWorks.

Billed Medicare, Medicaid, commercial, and out-of-network payers in an FQHC setting, submitting appeals through Epic, ePaces, and Availity. Obtained prior authorizations for surgical cases, coordinated the OR process, and supported HIPAA compliance through internal audits.

Ran the clinical side of intake, including vitals, chief complaints, and imaging review (X-ray, MRI) to prep providers before patient visits. Managed orders, prior authorizations, specialty referrals, scheduling, EMR documentation, and PT progress reporting.

Performed medical assistant duties for homebound patients, including verifying insurance, taking vitals, performing EKGs, and managing scheduling and referrals.

Handled insurance verification, billing, pre-certification, intake, vitals, and scheduling, including weekly radiology reviews. Prepared Rx documents, notarized letters, and coordinated incoming records from PT, radiology, and hospital discharge teams.

CPC certification (Certified Professional Coder) is in progress.

Certified as a CMA/AAMA (Certified Medical Assistant) in 2016.

Earned an Associate of Science in Biology at Hudson Community College from 2012 to 2014.