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Click here or scroll down to respond to this candidateCandidate's Name
Oswego, IL Street Address PHONE NUMBER AVAILABLE EMAIL AVAILABLEPROFESSIONALSUMMARYHighly knowledgeable working from home-Remote home office, knowledgeable in Professional Customer/patient Services, Healthcare insurance medical coding and billing, with wealth of expertise in problem -solving. Talented in maintaining complex and comprehensive databases covering patient information following HIPPA compliance. Dedicated to proactive monitoring and thorough reporting using top -notch technical abilities, maintaining medical charts and improving patient documentation. Smart Health Information Technology/Management Director driven to resolve issues and conflicts effectively while remaining calm in all situations. Offering decision - making, leadership and communication talents. Committed-distinguished understanding of epic,3M, Cerna, Meditech, drChrono, Microsoft excel and office, use and database management. Successful at maintaining accounts and collaborating with medical personnel. Expertise in HIPAA and medical terminology Successful as a Unit Clerk, Medical Facility Coordinator, Patient Care plan with 28 years of experience addressing customer requests and concerns. Expert at providing relevant information and options to successfully resolve issues. Upbeat and energetic with grace in handling difficult situations through resourcefulness and adaptability. SKILLS Documentation and reportingCustomer supportClient CommunicationQuality Assurance ControlsTechnical SupportProfessional Telephone VoiceQuality assuranceCall center operationsLogging call informationCalm dispositionCash HandlingVerbal and written communicationAccount managementGathering information45-WPMProblem-solving skillsComplaint resolutionInbound phone callsProficient in [Software] Microsoftoffice, excel, powerpoint, epic,medisoft, 3M, drchrono, meditech,eRx eSciptWORK HISTORY REMOTE INDEPENDENT CONTRACTOR CALL 11/2016 to CURRENT CENTER REPLiveop Phoenix, ArizonaReached insurance and patients after completed visit to suggest additional service or insurance secondary needs or concernsProcessed debit and credit card and electronic check payments per API SoftwareLearned and maintained in-depth understanding of coding and billing information, providing knowledgeable responses to diverse questions Answered average of 100 incoming calls, emails and faxes per day, addressing customer inquiries, solving problems and providing health/motor insurance claimsMaintained accurate and current customer account data via EMR, or manual forms processing and digital information updates. Registered Pt by collecting Protected health information Verified private, Medicaid Medicare insurance informing patient of co-paymentutilize HIPPA/HITECH guidelinesMaintained 90% customer service satisfaction ratings through quality control.Delivered exceptional customer service to every customer by leveraging extensive knowledge of insurance and hospital services and creating welcoming, positive experiences.Responded proactively and positively to rapid change. MEDICAL CARD INSURANCE CASEWORKER 06/1997 to 03/2022 Department Of Public Aid Chicago, ILManaged large volume of medical claims on daily basis. Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations. Paid or denied medical claims based upon established claims processing criteria.Reviewed provider coding information to report services and verify correctness.Met with customers to provide information about available Insurance and policies.Evaluated income within the homeAssisted moms and babies case program (Kildare introduced) Assisted with infant and mom referral needResponded to correspondence from insurance companies. Used administrative guidelines as resource or to answer questions when processing medical claims.Created sources for continuous client referrals within community and with businesses using extensive networking skills.Determined financial needs by assessing existing coverage and aligning new products and services with long-term goals.Conducted annual reviews of existing policies to update information. REMOTE HEALTH INFORMATION TECHNICIAN 05/2010 to 11/2016 MedRec LLC Oswego, IL6 0 543 (6 30 ), 9 70 lisa.love456 EMAIL AVAILABLEImplemented new coding and billing procedures that helped alleviate number of denied claims from insurance carriers.Answered incoming patient & insurance callsMaintained relationships with medical providers, suppliers and reporters. Participated in committees to discuss electronic health records and methods to improve overall workflows.Followed up with patients about medical and healthcare processes. Reviewed recordkeeping procedures for patients and doctors. Oversaw insurance cost reporting.Generated medical reports on patient admissions, treatment and discharge for disbursement to various departments. Secured confidential patient information from unauthorized access. Used epic, m3M, drchrono, medisoft billing software cerna, to code and categorize health information for analysis and insurance reimbursement purposes.PATIENT CARE TECHNICIAN 10/2011 to 12/2015Edwards Hospital Naperville, ILMonitored, tracked and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery. Obtained patient vital signs and reported results to staff nurse or physician, noting changes from prior measurements.Telemonitoring Tech supportSupported patient admissions, discharges and transfers to promote team productivity.Assembled admissions pages and added new pages to patients' charts. Evaluated patients to identify and address wounds, behavioral concerns and medically relevant symptoms.Responded to patient emergencies with immediate care and notified clinicians to provide comprehensive assistance.Offered immediate assistance in emergency and routine paging situations to evaluate needs and deliver care.Assisted nursing staff with respiratory, cardiopulmonary and physical therapies.Maximized patient satisfaction by helping individuals carry out personal tasks such as dressing and walking.Organized and replenished unit supplies to maintain team readiness for expected demands.EDUCATION Associate of Science Health Information Technology And Medical 10/2016 Rasmussen College, Aurora ILHealth information technicianHealth information data collection and analysis specialist Medical coder/biller-analyst/auditorElectronic health records (EHR) specialistCompliance auditor/specialistPatient care coordinatorRelease of information specialistRevenue cycle reimbursement specialistGain practical skills in virtual labs and a real work setting Use state-of-the-art health information technology and software Collaborate with experts in the healthcare profession Prepare for the American Health Information Management Association(AHIMA) Registered Health Information Technician (RHIT) exam Healthcare settings, such as:HospitalsInsurance companiesHealth information technology vendorsCPC Certification Medical Inpatient Outpatient Coding 11/2021 AAPC CPC Coding Certification, Oswego ILAAPC MemberMedical coding inpatient and outpatientMedical Auditing and documentationHealthcare compliancePractice ManagementCPTCD-10-CM training integratedInteractive online lectures include step by step coding process Course textbook + WorkbookI earned 40 CEUsCertified Medical Assistance Medical Assisting 06/1992 Bryman Medical School, 17 N State St. Chicago ILSchedule appointmentsLab Technician Obtain blood samplesAdministrative duties Perform data entryBilling and coding procedures Measure and record vital signs Clean exam roomsAnswer phone callsMedical Record auditingcommunicate with d physicians & Pt'sData analyzingCollected Protected Identifications and insuranceCertification, Certified Phlebotomist Clinical Laboratory Assisting Tech Personal Career Certification Training Institute (PCCTI), Oak Brook, IL Preparing patients before drawing bloodExplaining blood draw procedures to patients and answering any questions about the processFollowing all health and safety protocols and procedures to maintain sanitary work areasGathering medical testing materials, including needles, sample vials, blood storage bags and test tubesVerifying patient information and labeling blood samples properly Accurately updating patient information in the organization's database Helping nervous or frightened patients remain calm during blood draws Working with supervising Physicians and following their directions at all timesI also work in Cancer Medical Center and have did the same duties including Port blood draw, flush, and IV incertion No Degree Certified Nurse AssistanceElgin Community College, Elgin, ILTurning or moving patients.Gathering medical supplies.Bathing patients.Grooming patients by brushing their hair, teeth, shaving them, etc. Feeding patients and documenting their food and liquid intake. Checking vital signs such as blood pressure and heart rate. Answering patient calls.READING, SINGING,PROFESSIONALBOXINGI really love science books, enjoy learning new changes in coding and billing, along with national geographic books. I always love singing I started in church, school choirs High school and college. I enjoy boxing since age 8 I was trained in professional boxing by my cousin who won the American Olympic boxing gold medal who is now the trainer of Floyd Mayweather. I always welcome change and learning new changes which helps me stay up to date and sharpen my understanding, help my coworkers and maintain professionalism in the workplace. |
