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| | Click here or scroll down to respond to this candidate.CONTACTEuclid, OH Street Address
PHONE NUMBER AVAILABLEEMAIL AVAILABLESKILLSVast Knowledge of MedicalTerminologyMicrosoft Office Proficient ComputerSavvyExcellent Oral and WrittenCommunicationExcellent Customer ServiceCommitted to Quality Improvement inEach RolePatient & Family-Centered QualityCareCollaborator, Adaptable, Fast-PacedEnvironmentPrepare blood-collecting equipment.Blood drawFamiliar with Billing programs such asAvaility, Simple Practice, OptumExpress, and HumanaKnowledgeable of medical insurancecompanies and their certain fee servicesthey pay out for Behavioral HealthCERTIFICATIONSLicensed State Tested NursingAssistant [STNA]Registered Phlebotomy Technician.NHA, 2023Certification Medical Billing andCoding, 2023 (National Certification inprogress)Dedicated to providing patient care with quality and accuracy of drawing blood. Skilled in performing venipuncture and capillary puncture with precision and attention to detail while performing patient care. Building trust and minimize the discomfort to patients by building conversation and working collaboratively with health care providers. Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment.WORK HISTORYFebruary 2024 - CurrentMedical Biller and Coder ResolvaBill Medical Billing Services, Parma, OhioCorrectly coded and billed medical claims for various hospital and nursing facilities.Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.Reviewed patient charts to better understand health histories, diagnoses, and treatments.Provided support to administrative staff by ensuring proper handling of sensitive patient data according to HIPAA regulations.Collaborated with healthcare providers to ensure accurate documentation, leading to timely reimbursements for services rendered.Streamlined billing processes by implementing efficient coding practices, resulting in reduced errors and improved revenue generation.Collaborated with other billing professionals during team meetings to exchange best practices and strategies for overcoming common challenges in the industry.Increased accuracy in medical claims submissions by conducting thorough reviews of patient records and insurance information.Assisted patients with understanding their insurance coverage and financial responsibilities, fostering positive relationships and trust between the practice and its clients.Assisted in the preparation of financial reports for practice management, providing insights on revenue trends and areas for improvement.Maintained high levels of customer satisfaction through prompt resolution of disputes related to charges on patient accounts or insurance claims.TANISHA CLEMMONSJune 2023 - CurrentNA Department of Veterans Affairs, Cleveland, OHVitals, Bowl care, Bathing, Feeding, Changing, Shower, Dressing, EKG, Wound Care, uplifting spirits and caring for the patients. January 2022 - CurrentSTNA NURSEDASH, Cleveland, OHProvide patients with essential care needs through bathing, grooming, and toiletingResponsible for documenting patient intake, and dietary requirementsEnsure patient safety by monitoring patients and assisting with feedingMaintain all health and safety standards by performing routine cleaning and sanitation duties related to bedding, emptying wastebaskets, sweeping, mopping, and cleaning surfaces.March 2019 - CurrentSTNA ALMOST FAMILY HEALTHCARE, Cleveland, OHProvide patients with essential care needs through bathing, grooming, and toiletingResponsible for documenting patient intake, and dietary requirementsEnsure patient safety by monitoring patients and assisting with feedingMaintain all health and safety standards by performing routine cleaning and sanitation duties related to bedding, emptying wastebaskets, sweeping, mopping, and cleaning surfacesTrack and maintain notes on patients, and look for physical, emotional, and systematic changes in the patient's conditionIdentify resources and coordinate a care plan to address their needs. August 2016 - October 2018Financial Services Instant Credit Representative UNITED CONSUMER FINANCIAL COMPANY, Bassett, WestlakeDocumented and maintained accurate customer information within United Consumers' financial systemsDeveloped in-depth knowledge of credit guidelines to serve as an informational source for customersManaged routine account-related inbound customer requestsProactively administered outbound calls as necessaryProcessed inbound requests, and maintained compliance with all Credit guidelinesCollaborated with credit associations and business representatives to exchange valid credit information.February 2015 - May 2016Information Intake Specialist UNIVERSITY HOSPITAL, RAINBOW BABIES &CHILDRENS, Cleveland, OHAnswered and logged incoming inquiries via phone, fax, and emailIssued, gathered, and inspected intake forms to confirm correct signatures and informationGreeted individuals, gathered medical and legal histories, and obtained emergency contact informationCoordinated schedules and appointments, sending out reminders regarding appointment datesManaged incoming patients and processed new claims utilizing the appropriate adjudication system.August 2012 - February 2015Patient Transporter UNIVERSITY HOSPITAL, CASE MEDICAL CENTER, Cleveland, OHPicked up requested orders to move equipment and supplies to assigned treatment areasProvided patient transport using various types of medical equipment, and adhered to safety protocolsDetermined mode of transport based on patient's condition, comfort, and safety factorsLifted patients using proper body mechanics and lifting techniquesSecured IV connections, tubing, and other medical devices for safe transport.December 2010 - February 2013Service Assistant II UNIVERSITY HOSPITALS OF CLEVELAND, Cleveland, OHAssembled prepared food on trays for patients with regular and modified dietsHelped kitchen staff prepare items such as salads and desserts in advanceCollected dishes, loaded dishwasher, and unloaded after completed cycles to keep clean dishes on handChecked and updated diet orders via the computer databaseSelected foods appropriate for individual patients' dietary needs. February 2012 - August 2012Service Assistant III NUTRITION, WOLFGANG PUCK EXPRESS, Cleveland, OHPerformed dishwashing, bussing, and store closing operationsCleaned and sanitized all work areasAccurately counted down drawers and made daily sales deposits. EDUCATIONOctober 2023Certificate Medical Billing And CodingHenry Johnson Center, Cleveland, OHDecember 2016Associates of Science ScienceCuyahoga Community College, Cleveland, OHDecember 2016Associates of Arts ArtCuyahoga Community College, Cleveland, OHMay 2004General StudiesVilla Angela St. Joseph High School, Cleveland, OH. |