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Click here or scroll down to respond to this candidateCandidate's Name
Street Address East 51st Street PHONE NUMBER AVAILABLEHialeah, Florida Street Address Email: EMAIL AVAILABLEProfile ObjectiveProfessional Medical Coder, with 14 years of experience.Team player works well with others and has exceptional knowledge.I seek a challenging position utilizing my excellent verbal skills, special attention to Customer Service, computer literacy and the ability to handle many office skills.Summary: motivated self-starter, problem solver, skilled in decision making and capable of handling several tasks within an allowed time frame. People friendly and reliable team player, as well as an enthusiastic worker. Quick learner and able to adapt to new Responsibilities in other roles aside from the Medical Field.WORK EXPERIENCE2024- present Medical City Diagnostic Hialeah, FloridaSchedulerAnswered incoming calls from patients as well from providers to make diagnostic appointments. Also verified insurance and upload into the system on a daily basis. Received faxed information on patients to schedule diagnostic procedures and call the patients and schedule their appointments.2010--2023 Humana / Conviva Miami, FloridaProfessional Medical Coder AAPCOversaw a medical center of 50 specialists and seven primary care physicians. Well proficient with MRA regulations, HEDIS regulations, ICD-10, CPT, HCPCS and HPA also DRG regulations. Coordinating patient data into Medical codes for billing, insurance and other related uses, as well as data entry and information security, billing claims, error reports, ACHA Reports.2005 2010 CarePlus Health Plans / Humana Miami, FloridaReferral CoordinatorProcess patient referrals for network physicians on a daily basis. Organize referral with doctors notes, prior tests, and procedures patient will undergo, in order to obtain authorization from health plan for future surgeries / tests. Prepare patients chart for upcoming surgeries and insured that the patient comes to the office for pre-op evaluation. Schedule procedures that will be handled by hospital or private doctors office. Coordinate appointments with healthcare providers on patients behalf.1999 2004 Pan American / CAC Medical Centers Hialeah, FloridaProcessor / Coder SpecialistResponsible for processing and entering over 300 encounters daily using the CPT, ICD-9, and HCPSC manuals for coding and billing purposes. Registered verified insurance, and set up patient appointments for major medical center. Faxed / emailed patient reports for doctors.1986 1999 CAC Ramsey / United Healthcare Hialeah, FloridaMedical Assistant / Billing Office ClerkPerformed a variety of office tasks for a large Medical Corporation, including Switchboard operator, front desk Receptionist, and other administrative duties, worked with all Primary Care Physicians, filled out proper paperwork to submit claims to patients Insurance and for Billing purposes, also worked with Workers Compensation patients, Assisted Physicians and Specialists in the field of Urology and Gynecology by preparing office and trays for medical examinations / procedures. Tasked with ensuring that surgical office was clean and ready for same day and next day procedures.EDUCATIONHialeah Miami Lakes Senior High School Graduate / Diploma Class of 1986LICENSES2008 American Academy of Professional Coders Miami, FloridaCertified Professional Coders / (CPC) / Certified Professional Medical Auditor (CPMA) ACTIVE LICENSE,coded Pediatrics and Medicare and Medicaid Adults1998 1999 National School of Technology Miami, FloridaCoder / Billing Specialist Degree ACTIVE LICENSE, coded Pediatric and Adult.1988 1989 Bauder National Education College Miami, FloridaMedical Assistant DegreeLANGUAGESFluent in English and Spanish, both writing and verbal.REFERENCESExcellent references available upon request. |
