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Street Address PHONE NUMBER AVAILABLE EMAIL AVAILABLEPROFESSIONAL PROFILEWell-rounded professional backed by management, patient care, and customer service experience. Able to provide timely and accurate data to ensure reimbursement for patient services. Follow policies, procedures, and guidelines to ensure consistent quality. Maintain and assure patient privacy and confidentiality.Bilingual Fluent in English and Spanish.Ultimate Medical Academy HIPAA Essentials for Healthcare Professionals Certificate.Attention to detail needed to maintain high levels of accuracy.Adapt to change and new challenges and able to develop relationships with diverse populations.Strong organizational and time management skills with ability to establish priorities to meet timelines.Certifications CPR.Communication Platforms Zoom and Google Meet.Microsoft Office Applications Word, Excel, Outlook, Processor, Spreadsheet, and PowerPoint Type 25 WPM.KEY QUALIFICATIONSMedical Billing Accounts Receivable Collections Co-Pay Deductibles Co-Insurance EOBsRevenue Cycle Management Posting Payments Government (Medicare & Medicaid) Third Party PayersElectronic Health Records (EHR) Electronic Medical Records (EMR)Managed Care (HMO PPO POS) Workers Compensation Insurance Verification Insurance Claim ProcessingCMS 1500 CMS 1450 (UB-04) Front Office Operations Medical Office Procedures Scheduling Medical Terminology Anatomy & Physiology HIPAA Compliance Medical Coding (ICD-10-CM HCPCS CPT)EDUCATIONUltimate Medical Academy Associate of Science Degree Medical Billing and Coding, 2023Great Oaks Cincinnati, OH Certificate of Completion Nursing Assistant, 2013Great Oaks Cincinnati, OH Certificate of Completion Patient Care Assistant, 2013Hughes Center Diploma in Teaching & Technology, 2011WORK EXPERIENCEMMC Group/ Cencora 11/06/2024 02/29/2024Benefit Verification SpecialistUse internal software to input and receive patient benefits.Verify Insurance information.Assist with medical billing.Verify 3rd party Coverage.Uses ICD-10 medical coding.Coding Patient informationRequest updated medical information.Manage confidentiality for patients information.Crispy Situations Cincinnati, OH 08/2015 PresentHair Stylist / Key Holder / Customer ServiceAnswer inbound calls, open and close store, and sell and upsell products and services.Stay current on trends, keep station clean and organized, sterilize tools, and help maintain supplies.Update customer information records to track services provided.Assist customer with technical support and how to navigate the website, process transactions, collect payments, and keep accurate records.Communicate effectively to determine client needs and provide education and counseling.Ensure clients receive services in a timely manner.Snider-Blake Cincinnati, OH 10/2013 12/2018Assemble Associate / Machine OperatorTrained employees, entered inventory data, communicated with team members via headset, and met quotas.Loaded and unloaded items from machines and conveyors and followed safety procedures.Continually examined product quality to ensure adherence to quality standards.Demonstrated teamwork by assisting others as needed.Ensured and maintained the flow of production and identified operation malfunctions and notified supervisor.Inventoried and documented finished products to determine if product orders were complete.Maintained communication with technicians, supervisors, and operators to ensure quality and to rectify issues.Cincinnati Home Care Services Cincinnati, OH 03/2012 10/2016Certified Nursing AssistantPerformed duties in accordance with safety and infection control procedures.Took vital signs, collected specimens, measured and documented intake and output, assisted with activities of daily living (personal hygiene, feeding, and mobility), and helped patients with range of motion exercises.Communicated and interacted effectively with patients, visitors, families, co-workers, and supervisory staff.Ordered medical supplies and charted on paper and reported observations of patient behavior, complaints, and physical symptoms.Maintained the comfort, privacy, and dignity of patients by completing duties in a manner that displayed warmth and promoted a caring environment.Popeyes Louisiana Kitchen Cincinnati, OH 04/2010 08/2016Manager / Key Holder / Customer ServiceSupervised 10 employees, trained, hired, and terminated team members, and created schedules.Documented sales and inventory, opened and closed store, and managed bank deposits.Evaluated employee job performance and conformance to regulations.Took orders via headset in the drive thru, accepted payments, and maintained a clean workstation and guest area.Built relationships and stayed attentive to employees by motivating them to succeed and improve.Addressed issues in a professional manner and resolved staff and customer service problems.Cincinnati Children's Hospital Medical Center Cincinnati, OH 09/2009 04/2011Sex Education PSI TeacherAssisted the classroom teacher in the general supervision and management of the children and the implementation of the daily program.Prepared lessons, organized recreational activities, and tutored children.Maintained a nurturing environment, worked as a team to ensure high quality programs, and observed and documented student performance.Remained sensitive to the needs of others and related well with children and co-workers. |