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Click here or scroll down to respond to this candidateCandidate's Name
Street Address Lacrosse Lane NE PHONE NUMBER AVAILABLEGlen Burnie, Maryland Street Address EMAIL AVAILABLEPROFESSIONAL STATEMENTAnalytical, detail and results-oriented professional with experience in:Medical Insurance Billing, Terminology and Coding.Medical Software Applications: IDX, Meditech, EPIC, STAR, QMS Focus, Clinical VisionConducting inspections, audits, reviews and evaluations of information to validate completed work.Possess the organizational skills to manage several projects simultaneously along with experience in working with teams and individuals at many levels of management.Working in a face paced, agile environment where priorities and requirements change daily.Combining medical billing and coding training with diversified and successful work experience.EDUCATION - PROFESSIONAL DEVELOPMENTPenn Foster Medical Billing and Coding Program November 2022Certified Phlebotomy Technician (CPT) NPCE, Boogs, 2319 Maryland Avenue, Suite 206, Baltimore, MD PHONE NUMBER AVAILABLEMedical Billing and Coding, Medix School West, Baltimore, MD 2008 - 2009Long Reach High School, Columbia, MD 2001SKILLS AND AREAS OF SPECIALIZATIONProject/Assignment Management, Customer ServiceInventory Management, Communication (Oral/written)Audit /Analysis of Information, Inspections, ReviewsPROFESSIONAL EXPERIENCEAll in the Family Early Learning Center921 Andrews Rd.Glen Burnie, MD 210612023-PresentPreschool Lead Teacher PHONE NUMBER AVAILABLEDeveloped and implemented monthly appropriate and efficient lesson plans.Participated in team teaching utilizing verbal communication.Maintained records for each child recording activities and behavioral changes.Maintained a clean and orderly classroom and other common areas.Modulated voice tone and manners to avoid inappropriate behaviors.Created age-appropriate lesson plans that coordinated with monthly topics.Organized and engaged in recreational activities to include arts and crafts.Communicated openly with childrens parents about daily activities and behaviors through enrollment, tours, newsletters, conferences and direct communication.Maintained a child-friendly environment with access to outdoor activities.Parts Authority9731 Washington Boulevard, NorthLaurel, MD 207232022 - 2023Internet Shipper PHONE NUMBER AVAILABLEAccurately pack and ship various products according to customer orders.Use software to determine method of shipment of ordered items.Create shipping labels using various multiple shipment software platforms.Meet daily shipping quotas, comply with quality standards and policies.Assemble cardboard containers for shipping, comply with quality standards/policies.Warehouse AssociateReceive, process, label, inspect, and store incoming stock.Maintain, count, inspect, record any damages, update, and record all stock in the inventory.Organize warehouse space, prepare orders for shipment, record arrival and departure times of shipments.Operate stock management tools, i.e. hand truck, forklift.KinderCare Learning Center 2019 20226080 Marshalee DriveElkridge, MD 21075Infant and Toddler Senior Staff Leader/Teacher PHONE NUMBER AVAILABLEDeveloped and implemented monthly appropriate and efficient lesson plans.Participated in team teaching utilizing verbal communication.Maintained records for each child recording activities and behavioral changes.Maintained a clean and orderly classroom and other common areas.Modulated voice tone and manners to avoid inappropriate behaviors.Created age-appropriate lesson plans that coordinated with monthly topics.Organized and engaged in recreational activities to include arts and crafts.Communicated openly with childrens parents about daily activities and behaviors through enrollment, tours, newsletters, conferences and direct communication.Maintained a child-friendly environment with access to outdoor activities.Gap in Employment (Stay at home Mom) 2016 - 2018Independent Dialysis Foundation 2012 - 2016840 Hollins StreetBaltimore, MD 21201 PHONE NUMBER AVAILABLEAccounts Receivable RepresentativeReconciled discrepancies between accounts receivable general ledger and the accounts receivable trial balance account.Completed all applicable claims paperwork and their supporting documents entering the data into the system.Performed billing and coding procedures for outpatient services.Maintained an accurate and current working knowledge of CPT and ICD-9 coding principles, government regulations, protocols and third party requirements regarding billing protocols.Identified and resolved patient billing and payment inquiries and issues.Researched inquiries and concerns from providers and provided them with detailed responses.Verified patients medical insurance.Developed and prepared applicable billing correspondence and maintained the database that organized billing information.Used the following software:oQuantitative Medical Systems (QMS Focus) Dialysis billing and reimbursement softwareoClinical VisionCBIZ Medical Management Professionals 2009- 2012890 Airport Park Road, Suite 120Medical Biller Accounts Receivable Representative (443)989-9979Managed Blue Cross Blue Shield specializing in BlueChoice, NASCO & Federal Employee Program (FEP) accounts.Registered, managed and updated patients records in General Electrics IDX software, reviewing and monitoring accounts to determine the appropriate insurance follow up requirements.Managed75 patient accounts dailyWorked with the Accounts Receivable for both the insurance company and patient responsibility, focusing on resolution of problem accounts by payor category.Coordinated insurance payment issues with the Billing Supervisor.Resubmitted claims for both insurance companies and patients Accounts Receivable within payor filing limit requirements.Initiated the appeal process for denied claims, research medical services and submit the supporting documentation to get the claims paid.Kept daily work in an organized manner to facilitate quick access and resolution.Community Care Nursing Services (CCNS) 2009 - 20098108 Harford Road, Suite BParkville, MD 21284 PHONE NUMBER AVAILABLEMedical Biller (Externship)Submitted claims for all medical and commercial carriers contracted with CCNS.Conducted status follow ups on unpaid or denied insurance claims.Recorded and entered data in automated systems and computer databases.Performed administrative duties to include answering the phones, faxing and copying documents.Entered, deposited and updated patients demographic information using EZclaims Software System.Accurately applied payments to patients accounts.Researched and resolved incorrect payments, explanation of benefits, rejections and other issues with outstanding accounts.Provided tenacious follow-ups to ensure all proper payments were collected in full.DKW Communications, Inc. 2003-20061900 M Street, NW, Suite 800Washington, D. C. 20036 PHONE NUMBER AVAILABLEDocument Specialist/Data Entry SpecialistProvided document imaging support services to support the federal government.oReviewed and organized documents to prepare for scanning.oConverted paper documents to electronic documents.oEvaluated electronic documents to ensure accurate/quality production.oLabeled, prepared and batched documents to ship for archiving.Performed various other clerical tasks as required by management.Recorded and entered data into automated systems and computer databases.Answered the phones, provided customer service and verified that documents are correct prior to given to Specialists.REFERENCES:*References available upon request |
