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Click here or scroll down to respond to this candidateCandidate's Name
Street Address
PHONE NUMBER AVAILABLE Candidate's Name @gmail..comPROFESSIONAL PROFILECustomer service oriented professional with healthcare industry experience and a demonstrated ability to work with a team to review and discuss documentation, coding, and reimbursement issues. Ensures that complete and accurate documentation is obtained to allow for compliant coding and reporting outcomes and upholds confidentiality of all information as stipulated in HIPAA privacy rules.Attentive to Detail: Review and correct errors, and maintains compliant documentationMedical Billing: Process insurance claims, appeals, and denialsMedical Coding: Assign and enter appropriate procedure and diagnostic codesAccuracy: Ensure correct and thorough demographic information for medical records databaseAdministrative Skills: Microsoft Office (Word, Excel, and PowerPoint) - Type 35 WPMAcademic Honors Recognition / Honor RollElectronic Medical Records (EMR / EHR) Greenway Prime Suite EHRAccurate data entry; knowledgeable of office equipment and proceduresKEY QUALIFICATIONSPayment Posting Scheduling HIPAA Compliance Medical TerminologyInsurance Verification Insurance Claim Processing EOBs Co-Payments DeductiblesManaged Care (HMO PPO POS) Government Payers Third Party PayersGreenway Prime Suite EHR Electronic Medical Records (EMR) Electronic Health Records (EHR)Medical Billing Medical Coding ICD-9 ICD-10 HCPCS CPTMedicare Medicaid Tricare CMS 1500 CMS 1450 (UB-04) Fee Schedules Medical Office ProceduresEDUCATIONUltimate Medical Academy Associate of Science Degree Medical Billing and Coding, 2020Center for Employment Training Certificate Medi-Soft Practice Management / Medical Billing and Coding, 2015Durham Technical Community College Early Childhood Education Credentials I & II, 2001RELEVANT PROFESSIONAL EXPERIENCETeleperformance Express Scripts Durham, NC 12/2019 05/2020Patient Care Advocate (PCA)Communicate with doctor offices and insurance companiesHandle mail order medications and prescriptions from retail pharmaciesHelp members manage their pharmacy benefitsRefill medication and answer questions through chats pertaining to drug coverageReview copays, deductibles and out-of-pocket informationLL Billing, L.L.C. Durham, NC 01/2012 06/2016Medical Biller / Accounts Receivable SpecialistProcessed OB/GYN insurance claimsInput fee scheduling and laboratory codesAdded and edited procedure and diagnostic codes as neededAmerican Red Cross Durham, NC 07/2014 09/2015Distribution TechnicianAnswered multi-line phone system and logged inbound and outbound shipmentsPrepared plasma and blood orders for couriersCompleted temperature checks on blood and plasma storage unitsADDITIONAL PROFESSIONAL EXPERIENCEAlorica WI Unemployment Durham, NC 07/2020 PresentOperations Customer Service Representative (Virtual)Communicate with Unemployment Clients via Azure Virtual ServiceHandle unmemployment claim questionsHelp clients manage online accountsComplete all verification processesTransfer calls to Tier2Schedule call back appointmentsAlorica TurboTax WI Durham, NC 07/2020 - 07/2020Operations Customer Service Tax Support Representative (Virtual)Communicate with Tax Customers via Amazon Phone SystemHandle tax file questionsHelp members manage online accountsComplete all verification processesSend emails with tax information to customersAlorica Walmart Canada Durham, NC 12/2019 05/2020Operations Customer Service Representative (Virtual)Communicate with Customers via AvayaHandle online eCommerce and eGroceryHelp customers track online ordersComplete returns and refundsComplete cancellations of ordersEscalate/De-escalate order issuesDuke Regional Hospital Durham, NC 09/2019 06/2020Environmental Virus Protection SpecialistSanitize unit and discharge rooms and bathrooms and remove trashPrepare beds for incoming patientsPrioritize and organize work and follow through to ensure duties are accomplishedDuke University Hospital Durham, NC 09/2018 06/2020Environmental Virus Protection SpecialistSanitize unit and discharge rooms and bathrooms and remove trashPrepare beds for incoming patientsPrioritize and organize work and follow through to ensure duties are accomplishedCorning Life Science Morrisville, NC 09/2019 10/2019Production AssociateOperated flask line, performed quality inspections and documented production numbersPackaged finished flasks and palletized all packaged productsPerformed any combination of light cleaning duties to maintain the establishmentCircle Graphics Durham, NC 10/2018 09/2019Production AssociateCut and laminated photographs and packaged finished productsFolded photos using automatic/manual folderScanned and shipped photo using RF scannerHarvard Service Group Durham, NC 07/2017 11/2018Supervisor / HousekeeperCompleted employee timesheets and counted inventoryThoroughly cleaned all rooms as assignedTeam-oriented and dedicated to ensuring highest standards were metMaintained confidentiality of client information |
