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Title Medical Billing Specialist
Target Location US-GA-Norcross
Email Available with paid plan
Phone Available with paid plan
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Candidate's Name
Tucker, GA EMAIL AVAILABLE PHONE NUMBER AVAILABLEMEDICAL ADMINISTRATION CMAA REVENUE CYCLE PROFESSIONALPROFESSIONAL SUMMARYCertified Medical Administrative Assistant (CMAA) and Business Administration Professional with expertise in medical billing, coding, and revenue cycle. Notable success managing simultaneous top-priority initiatives and assignments in fast-paced and deadline-driven environments. Highly skilled with extensive experience with ICD-10, CPT, and transcription. Proficient with file maintenance, completion of insurance forms, and bookkeeping consistently maintaining accuracy. Recognized for providing outstanding work, critical thinking, being easily adaptable to any new circumstance, and being a collaborative problem solver. Abreast of best practices and emerging trends within the healthcare field. OSHA and HIPAA compliant.KEY ACCOMPLISHMENTSAccurately prepared and managed clients month-to-date charges by applying excellent analytical and interpretation skills.Maintained client satisfaction by meeting rigorous timelines, adhering to high-quality standards, and consistently achieving goals set by the company.Demonstrated the ability to quickly adapt to change and successfully manage transitions required to meet the companys objectives.Recognized and acknowledged by Human Resources and Managers as an important asset to the company.Regarded by peers and leadership for an exceptional work ethic and consistently going above and beyond what is expected.Engaged in the successful completion of the Coding Matrix.WORK EXPERIENCEDME Billing: Account Management and District Lead 2014  PresentERMI LLC  Atlanta, GA~ 2021 Intake Person of the Year ~Ensure excellence in management and delivery of simultaneous high-profile and top-priority projects. Engage in and provide exceptional customer service. Employ outstanding skills and maintain accuracy while performing data entry.Verified patients benefits and coverage information for Commercial & Workers Compensation carriers.Obtained needed authorizations and/or pre-certifications for Commercial & Workers Compensation carriers.Maintained daily billing goals to meet the companys projected revenue for the month.Reviewed submitted medical documentation to ensure compliance.Applied payments with accuracy to VA patients accounts.Anesthesia Billing: Billing Coordinator Precertification Specialist 2012  2014Jackson Revenue Management  Atlanta, GAAchieved the highest proficiency in the management and delivery of simultaneous high-profile and top-priority projects. Engaged in and provided exceptional customer service. Utilized exceptional talent and maintained precision while performing data entry.Maintained daily billing goals to meet the clients projected revenue for the month.Acknowledged the need to reduce billing rejections and worked in collaboration with the Accounts Receivable Team to realize success by correcting front-end holds and front-end rejections.Applied payments and adjustments with accuracy to patients accounts.Entered patient demographics and charges with precision and expertise.Verified patient eligibility and determine if pre-certification would be needed.Radiology Billing: Accounts Receivable Representative/ 2009  2011Front-End Holds ProcessorMedical Business Services  Atlanta, GAEstablished excellence in management and delivery of simultaneous high-profile and top-priority projects. Devoted to and provided exemplary customer service. Employed outstanding skills and maintained accuracy while performing data entry.Applied expertise to review and analyze claims for accuracy and validity.Recognized the need to achieve lower billing rejections and worked in collaboration with the Accounts Receivable Team to realize success by correcting front-end holds and front-end rejections.Applied payments and adjustments with accuracy to patients accounts.Entered patient demographics and charges with precision and expertise.Office Manager 2006  2009Medic Plus and The Goren Clinic  Norcross, GACollaborated with a team of professionals in support of patients and in the completion of numerous priority assignments including bookkeeping, appointment scheduling, and prepping patients for procedures.Oversaw daily operations of billing, coding, and collections.Confirmed patient benefits, pre-certified procedures, and completed referrals in support of patients.Developed and implemented office policies and procedures.Met challenging organizational objectives while carefully reviewing medical records for accuracy.EDUCATIONSouthern Hampton University PresentHampton, VAEverest Institute 2009Norcross, GACertificate Medical Administrative AssistantAtlanta Job Corps 2006Atlanta, GACertificate Business AdministrationTECHNICAL SKILLSMicrosoft Office SuiteTen Key TouchTyping: 60-WPM

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