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Click here or scroll down to respond to this candidateCandidate's Name
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PHONE NUMBER AVAILABLEEMAIL AVAILABLEPROFESSIONAL PROFILETop-performing, self-directed, and customer service-oriented professional with leadership skills, managerial experience, and a strong understanding of the importance of accurate claims processing. Adept at shifting priorities and bringing flexibility to challenging situations. Maintain patient privacy and confidentiality. High Academic Honors Recognition / Deans List. Maintain accurate data to ensure details are not overlooked. Manage time and prioritize duties in fast-paced, multi-task environments. Effective problem solver, able to assess needs and identify solutions. Ultimate Medical Academy HIPAA Essentials for Healthcare Professionals Certificate. Video Communication Platforms Zoom and MS Teams. Microsoft Office Applications Word, Excel, PowerPoint, and Outlook; Type 35 WPM. CORE QUALIFICATIONSMedical Billing Accounts Receivable Collections Co-Pay Deductibles Co-Insurance EOBs Revenue Cycle Management Posting Payments Government (Medicare & Medicaid) Third Party Payers Electronic Health Records (EHR) Electronic Medical Records (EMR) Managed Care (HMO PPO POS) Workers Compensation Insurance Verification Insurance Claim Processing CMS 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 AcademyAssociate of Science Degree Medical Billing and Coding, 2023 WORK EXPERIENCECiox Health/Datavant Vyne Team: AdventHealth Medical Group (Remote) 03/2023 Present Health Information Specialist I Reviewed and identified over 100+ various clinical documents and indexed them into EMR for AHMG consisting of 600+ Physician Practices. Utilized multiple programs on multiple screens: Vyne (electronic fax), EPIC, and Microsoft products. Achieved and maintained high production and quality metrics. Achieved and maintained a 24-hour Turnaround time. Ensured all patient information was correct and accurate, adhering to HIPAA regulations. Participated in ongoing education and adapted to consistent changes within the service line. Albertsons Baton Rouge, LA 01/2011 05/2021Manager / Customer Service Built relationships and stayed attentive to employees by motivating them to succeed and improve. Supervised employees, created schedules, and managed inventory levels. Kept accurate and complete department records, processed payroll, handled supply inventory, audited cash receipts, prepared bank deposits, and ensured adherence to policies and procedures. Stayed focused during busy times and delegated tasks to employees to keep the business running smoothly. Addressed issues in a professional manner and resolved staff and customer service issues. Popeyes Baton Rouge, LA 06/2008 12/2010Assistant Manager / Customer Service Trained and coached several other trainees to prepare them to achieve significant improvements in productivity. Oversaw the day-to-day operations of the restaurant, ordered supplies, created schedules, trained, and directed staff, and prepared bank deposits. Processed payroll, managed inventory levels, and made certain establishments complied with all local and state regulations and company policies and procedures. Established and maintained cooperative working relationships with employees. |
