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Licenses
CPR Certification
Skills
  • Wound cleaning/care expertise
  • CPR and BLS certified
  • Critical thinking proficiency
  • Medical clinical procedures comprehension
  • Healthcare billing proficiency
  • Self-discipline
     
  • Maintaining records
  • Medical coding capability
  • Medical assisting specialist
  • Vital sign monitors
  • Patient scheduling
  • Charting expertise
  • EHR (Athena, Healthfusion, EPIC, Allscripts
Experience
Vidant Medical Center Neurosurgery Greenville, NC Medical Assistant 02/2018
  • Recorded patient histories and filed supporting clinical data and diagnosis.
  • Provided personal nursing care in pre- and post-operative situations.
  • Reviewed patient reports for accuracy before release.
  • Developed and maintained effective relationships through effective and timely communication.
  • Requested scripts from doctors and verified insurance and coding.
  • Monitored patient stability by checking vital signs and weight.
  • Answered appointment calls.
Advanced Health and Rehabilitation Greenville, NC Medical Assistant/ Billing Specialist 07/2016 to 12/2017
  • Confirmed patient information, collected copays and verified insurance.
  • Organized, updated and maintained over 200 patient charts.
  • Recorded patients' medical history, vital statistics and test results in medical records.
  • Educated patients about their treatments.
  • Established facility's annual budget and conducted monthly reviews to ensure finances were being properly allocated.
  • Escorted patients to examination rooms and prepared them for physician exams.
  • Set and managed patient appointment schedules using [HealthFusion, chiroTouch].
Carolina Women's Physicians, PA Greenville, NC Medical Assistant 04/2015 to 05/2016
  • Collected, labeled and stored lab samples according to laboratory specifications.
  • Acted as a liaison between physician and patient.
  • Recorded patient histories and filed supporting clinical data and diagnosis.
  • Worked in collaboration with radiologists, sonographers and other healthcare team members.
  • Managed both clinical and administrative duties in a medical office setting.
  • Performed and reported lab tests in OBGYN.
  • Monitored patient stability by checking vital signs and weight.
  • Sterilized medical equipment after each procedure.
Education and Training
Associate of Science: Medical Assisting 2015 Miller Motte College, Greenville, NC
This resume is created in 7 minutes.
Summary

I am a Certified Coder who has knowledge in diseases, anatomy and physiology and medical terminology. Understands numerical coding system used for billing insurance companies for reimbursement. I hold a certification as a CPC, along with four years of Certified Coding Specialist experience.

Highlights

Currently certified through AAPC

ICD-10-CM coding

CPT coding

Good interpersonal skills

Excellent attention to detail

Fast learner

10 key by touch

60 + wpm

Experience
Certified Coding Specialist Jul 2013 to Current
Clinica Family Health Thornton, Colorado

-Analyze provider documentation to assure the appropriate E&M coding levels  are assigned the correct E/M CPT code.

-Communicate with providers and clinical staff on a daily basis to eliminate missing and incomplete coding on encounters.

-Review charges to ensure accurate CPT and ICD-10CM code assignments

-Provide expertise to billing staff by addressing claim denials and verifying or correcting diagnosis for services and procedures performed.

-Provide support as a lead to the Coding team, as needed.

Billing Specialist Aug 2010 to Jun 2013
Clinica Family Health Lafayette, Colorado

-Daily accepted batch preloaded charges

-Enter payments on account and encounters

-Run and work daily billing reports

-Accept and work EMR task sent to billing group

-Packed Iron Mountain boxes for storage on a monthly basis

-Fix patient accounts and made appropriate adjusments

-Processed credit card payments over the phone

-Worked patient billing issues from all clinic sites

-Posted copay and insurance payments to accounts

-Verified insurance information

-Uploaded claim files to clearing house daily

-Worked NextGen and Navicure rejections daily

-Retrieved Spanish and English patient phone calls

-Processed refunds to patients

-Process refunds to Medicaid, Medicare and other 3rd party insurances

Sales Associate/Team Lead Sep 2008 to Dec 2011
Croc's Broomfield, Colorado

-Maintained organization and upkeeping of sales kiosk

-Handled cash and credit card transactions

-Prepared store for opening and closing

-Provided exceptional customer service

-Maintained inventory and ordered supplies accordingly

-Managed other associates to ensure efficient time management

Medical Insurance Billing & Coding Externship Feb 2010 to Mar 2010
Schryver Medical Denver, Colorado

-Followed up with assisted living centers for symptoms and diagnosis

-Assisted with meeting team goals of 70 completed requisitions each day

-Performed general offices duties such as faxing, filing and making phone calls

-Followed up with insurance companies for resolution

Education
Medical Insurance Billing & Coding Diploma 2010 Everest College Thornton, CO, USA

CPT coding, ICD-9 coding, CMS 1500, UB-04, EOB, Microsoft Excel

Affiliations

American Academy of Professional Coders

This resume is created in 7 minutes.
Professional Background
Bilingual Billing and Coding graduate seeking back office position. Skilled in Medisoft and Coding Procedures. Dedicated and skilled in technical, clerical and patient support. 
Skill Highlights
  • Bilingual in English, Spanish and American Sign Lang.
  • Strong medical ethic
  • Enthusiastic caregiver
  • Problem resolution ability
  • Strong work ethic
  • Maintains strict confidentiality
  • ICD-9 coding
  • CPT and HCPCS coding
  • Interpreting instruction
  • Deadline-driven
  • Exercises good judgment
Accomplishments
Associates of Science: Medical Billing and Coding - President/Dean's List 2013
Professional Experience
Parental Leave Jan 1980 to Jan 2016
  • Provided full-time care for three children while managing household finances, scheduling, transportation, and travel arrangements.
Medical Billing and Coding Extern Apr 2012 to May 2012
Rosewood Medical Center Orlando, FL
  • Researched claims status such as pending, denied and accepted by acceessing mulitple insurance companies; Availity, United HealthCare, Humana and Amerigroup.
  • Submitted EOB's with claims for payment.
  • Updated patient accounts with correct member ID and carrier information.
  • Resubmitted claims on the CMS-1500 by mail per carrier instructions.
  • Assisted with communication in American Sign Language on as-needed basis.
Education and Training
Associate of Science, Medical Insurance Billing and Coding 2013 Everest University Orlando, FL
Associate of Science, Business Management Study 1996 Hartford State Community College Hartford, CT
This resume is created in 7 minutes.
Summary
Holistic health-oriented client services professional with experience in banking, higher education, healthcare, and nonprofit organizations Proficient in operational, administrative and direct client/patient support relations. Working knowledge of PC/Microsoft Office and web-based programs.
Highlights
  • Excellent communication skills
  • Strong organizational skills
  • Adaptive team player
  • Critical thinking skills
  • Cultural awareness and sensitivity
  • Patient/family advocate
Experience
Medical Case Manager 06/2018 to Current Greater Philadelphia Health Action, Inc. Philadelphia, PA
  • Coordinate/navigate needs of assigned caseload of HIV, OB and/or complex care patients and referring providers. 
  • Work with patients as needed to gather pertinent materials necessary for effective consultation with GPHA's multidisciplinary medical staff and/or external referrals.
  • Assist as needed with workflow team by scheduling assigned patient caseload follow up appointments.
  • Ensure providers receive immediate communication post patient's office visit by recording all patient encounters in EHR system (NextGen).
  • Develop, organize and keep current information for assigned HIV, OB and/or complex care patients.
  • Interact with co-workers, providers, and other staff to provide quality care consistent with GPHA's core values.
  • Maintaining current knowledge by completing assigned courses and attending applicable professional development seminars/webinars, conferences, etc.
  • Adhere to and remain in compliance with all policies, procedures, and protocols regarding safety and confidentiality including but not limited to HIPPA, PHI, and OSHA.
Accounts Payable Consultant 11/2017 to 06/2018 Robert Half Philadelphia, PA
  • Entered and process invoices for payment in billing systems.
  • Issued checks to employees, contractors, and vendors.
  • Provided outstanding customer service by researching and resolving billing and invoice problems for employees and vendors in a timely manner.
AP/AR Specialist 04/2015 to 08/2017 University of California Berkeley, CA
  • Audited over 7000 campus procurement card transactions annually for the Division of Student Affairs.
  • Responded to and resolved simple to complex student billing issues.
  • Provided outstanding customer service by researching vendor statements and initiating payment for open invoices.
Item Processing Specialist 09/2011 to 04/2015 First Republic Bank San Francisco, CA
  • Managed foreign check deposit process of nearly $40M 70+ national branches.
  • Coordinated with vendors and other financial institutions to resolve aged and/or escalated domestic and foreign check adjustments and collections. 
  • Partnered with Cash Accounting dept to balance and reconcile general ledgers for 70+ national branches. 
  • Produced monthly data analysis and reports for the management team.
Item Processing Specialist 03/2011 to 09/2011 Strategic Resources Alliance Inc San Francisco, CA
  • Balanced and processed 200-500 deposits daily mailed by clients.
  • Processed moderate to high volume monetary transaction requests for various departments received in centralized queue.
  • Balanced and processed Brink's courier deposits for multiple branches via batch files.
Educational Support Specialist 09/2010 to 03/2011 AmeriCorps Elev8 Oakland, CA
  • Managed caseload of 4-5 middle school students considered at-risk to improve test scores and overall grades.
  • Provided 1:1 in-class and afterschool group tutoring support.
  • Partnered with on-campus staff and administrators to provide additional wrap-around services as needed.
Healthcare Administration Intern 04/2010 to 09/2010 Tenderloin Health Services San Francisco, CA
  • Developed an efficient grants management process for the organization by interviewing staff and gathering internal and external data, and analyzing best practices.
  • Created an organized filing and labeling system for the Executive Director reflected based on the new process.
  • Assisted in preparing and facilitating the breakfast program for patients who had scheduled appointments.
Program Evaluation Intern 03/2010 to 05/2010 First Place For Youth Oakland, CA
  • Conducted personal assessments of former and current youth participants via in-person and phone interviews.
  • Provided referrals for additional services such as housing, education, and employment as needed.
Senior Operations Analyst 03/2001 to 04/2008 Wells Fargo Bank Santa Clara, CA
  • Resolved complex and outstanding adjustments minimizing risk to clients, stakeholders and the bank.
  • Led check adjustments and collection processing team.
  • Reconciled general ledgers daily and researched and resolved discrepancies.
  • Served as operations liaison with deposit processing vendor during charter conversion and later for acquisition activities.
Education
Bachelor of Science: Health Sciences 2011 California State University, East Bay Hayward, CA, United States Focus: Community Health Education and Healthcare/Business Administration
Associate of Arts: Liberal Studies 2008 Chabot College Hayward, CA, United States Focus: Business Administration and Human Development
Certifications
Certificate of Continuing Education Credit Hours (3) - Medical Social Work: Oncology
Basic Life Support (BLS) Certification [10/2018 to 10/2020]