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Click here or scroll down to respond to this candidateCandidate's Name
Warner Robins, GA Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLETo obtain a position that will enable me to use my strong communication, customer service and organizational skills, educational background, and the ability to work well with people. Position that will help utilize my strong writing skills and enable me to make a positive contribution to the organization. Willing to relocate: AnywhereAuthorized to work in the US for any employerWork ExperienceMedical Billing SpecialistPiedmont Orthopedics - Macon, GAJanuary 2023 to Present Insurance Verification Completed appeals File and submit claims Correct denied and rejected claims Work AR's Understand insurance contracts and EOB's Work directly with insurance companies Review patient statements for accuracyMedical Billing Specialist (hybrid)Northern Radiology Associates - Watertown, NYJune 2021 to December 20221. Verify insurance2. Check claims status and denials on clearing house and insurance websites 3. Make phone calls to patients to obtain correct insurance information 4. Submit appeals to insurances5. Claim cycle and collections strategies6. Handle A/R's and explain EOB's7. Collects payments8. Send patient accounts to collections9. Arrange payment plans for patients10. Obtain pre-authorizations for procedures11. Review billsMedical Billing Specialist (onsite)Samaritan Medical Hospital - Watertown, NYApril 2019 to June 20211. Sending out monthly statements to patients2. Submitting medical claims to insurance companies 3. Answer phones4. Managing payments and residents accounts5. Post charges/payments6. Conduct audits7. Meet in person with patients and families regarding charges, statements, and payments 8. Resolve denials9. Work remits10. Verify insurance11. Handle appeals and A/R's12. Explain EOB's to patientsFront Desk ReceptionistCenter For Sight Eye Center - Watertown, NYMarch 2015 to April 2019 Ensure that top quality customer service is being provided Record fax logs, schedule medical, vision, referring and procedure appointments Handle sensitive and/or confidential information on a daily basis Answer phones with emphasis on customer service and satisfaction To open / close clinic Knowledgeable with EHR and EMR systems and several medical and vision insurances such as Medicare, Blue Cross Blue Shield, Medicaid, Fidelis, Tricare, Davis Vision, Eyemed and etc. Ability to collect co-pays and surgery procedure payments Ability to navigate several computer systems such as Integrity and Intergy while talking on the phone Ability to remain focused and productive each day though tasks may be repetitive CashierKmart - Watertown, NYJanuary 2013 to March 201513601I was responsible for taking money in the forms of cash, check I was responsible for taking money in the forms of cash, check, and credit/debit cards from customers in exchange for food, items or services. I was responsible for greeting customers, scanning items, provide change and process card transactions. The first duty of a cashier is to greet the customer and ask if he/she found everything okay. Issue receipts Count money in cash drawers at the beginning of shifts to ensure that the amounts are correct and that there is adequate change. Maintain clean and orderly checkout areas Assist with training new cashiers Establish or identify prices of goods and services or admissions. Guiding and solving queries of customers Respond to the customers complaints and help resolve their issues Bag and wrap purchased items Assist with stocking shelves, rotating merchandise and marking prices CNA - Certified Nursing AssistantMicAnd - Fredericksburg, VAJanuary 2007 to December 200922401I was responsible to perform patient care in a long term facilities. I was responsible for patient care of 87 residents. The following duties included were: Maintain and keep records of residents Assist residents in moving in and out of facility Use mechanical lifts during transfers Note any unusual changes in residents condition and report to nurse Verbally communicate nursing care problems and concerns to on coming shift on assigned unit To make sure linen, residents rooms, and utility area are clean and in order Perform incontinence checks on residents every two hours Report all unusual circumstances that may involve the safety and well being of the residents and coworkers, directly to the chain of management. (Nurse on the unit, Clinical Coordinator, Nurse Customer Service Representative/Sales Floor Associate Macy's - Fredericksburg, VAJanuary 2007 to December 200822407I was responsible for assisting customers in store and by phone. I was a commissioned and non commissioned associate. I provided prompt courteous customer service to each customer. The following duties included were: Assist the Sales Floor Associates on the floor Assist customers with sales, purchases, and returns Assist customers with store credit on the sales floor and by phone Assist with hanging garments according to size, brand and department on displays and racks Count vault, gift wrap and process shipments and inventory To run registers and answer the phoneCNA - Certified Nursing AssistantLorene's Personal Care Home - Albany, GAJanuary 2001 to December 200731705I was responsible for the patients well being. The following duties included were: To turn and position bed patients according to the turning schedules To greet patients and visitorsTo perform range of motion on residents as ordered To respond to visitors and patients in a courteous manner To remove or release restraints as scheduledTo assist and encourage residents in obtaining correct goals as stated in Care Plans and Module Cards To answer phone callsResponsible for keeping the receptionist area cleaned and organized Registering patients and updating existing patients personal and financial information To change, bathe, feed, groom nails, brushing teeth and combing hair To clean up spills on the floor in order to prevent accidents EducationAssociate of Science in Medical Billing and Coding Colorado Technical University - Colorado Springs, CO 2010 to 2012Diploma in Early Childhood Care and EducationAlbany Technical College - Albany, GA2003 to 2005Dougherty Comprehensive High School - Albany, GA1996 to 2000Skills EMR Systems ICD-10 Medical Billing Medical Receptionist EHR systems Medical Scheduling Insurance Verification Medical Records Accounts Receivable Medical Office Experience Medical Coding CPT Coding Anatomy Knowledge HIPAA ICD-9 Medical TerminologyCertifications and LicensesMedical Billing CertificationJune 2014 to June 2026 |
