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Title Medical Billing Patient Care
Target Location US-CO-Thornton
Email Available with paid plan
Phone Available with paid plan
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Candidate's Name
Thornton, CO Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLEResults-driven Medical Billing and Coding professional with comprehensive training and hands-on experience in healthcare administration. Known for meticulous attention to detail, effective problem- solving skills, and a strong commitment to accuracy and compliance. Proficient in utilizing industry- specific software and systems to optimize billing processes and ensure timely reimbursement. Skilled in navigating complex insurance regulations and payer requirements. Willing to relocate: AnywhereAuthorized to work in the US for any employerWork ExperienceAuthorizations AssistantNMCI Medical Clinic-San Jose, CAJanuary 2024 to March 2024(Temporary Position) Managed authorization requests with insurance carriers, ensuring timely approvals for medical procedures and treatments. Processed and generated Requests for Authorization(RFAs) on a per-patient basis, adhering to established protocols and guidelines. Collaborated closely with healthcare providers and administrative staff to facilitate the authorization process and streamline patient care delivery.Medical Billing & CodingCancer Care Institute-San Jose, CADecember 2023 to January 2024 Conducted meticulous new patient registration, ensuring accurate demographic and insurance information capture. Utilized MOSAIQ EMR system proficiently for patient data management and retrieval. Facilitated pre-authorizations, retro authorizations, and insurance verifications, ensuring compliance with payer requirements. Obtained and managed authorization codes for inpatient procedures, optimizing reimbursement processes. Processed and reconciled insurance Explanation of Benefits (EOB) for prompt and accurate billing.Medical Biller ExternWomens Care for Life-San Jose, CAJune 2023 to July 2023 Demonstrated precision in posting payments, reconciling accounts, and maintaining financial records. Leveraged advanced Microsoft Word and Excel skills to streamline administrative tasks and reporting functions. Proactively liaised with insurance companies to resolve claim denials and discrepancies, ensuring timely reimbursement. Organized and digitized Explanation of Benefits (EOB) for efficient record-keeping and reference. Communicated effectively with patients, providing clarity on insurance matters via written correspondence and phone calls.Crew MemberCinnabon-San Jose, CAFebruary 2023 to June 2023 Delivered exceptional customer service, engaging with patrons to ensure satisfaction and loyalty. Operated point-of-sale (POS) system with accuracy and efficiency, processing transactions swiftly. Prepared and served high-quality food and beverages, adhering to company standards for taste and presentation. Maintained a pristine and inviting environment through regular cleaning and sanitation protocols. Managed inventory levels and replenished stock promptly to meet customer demand. Team MemberNoahs New York Bagels-San Jose, CAApril 2022 to January 2023 Executed precise preparation and assembly of bagels, ensuring consistency in taste and texture. Provided personalized service to customers, addressing inquiries and accommodating special requests courteously. Monitored inventory levels and conducted regular audits to prevent shortages and overages. Upheld cleanliness and hygiene standards in accordance with health regulations. EducationCertificate in Medical Billing & CodingCarrington CollegeNovember 2022 to June 2023High School DiplomaLynbrook High SchoolSkills Familiar with CPT coding and billing procedures Proficient in medical terminology, basic anatomy, and psychology terminology Proficient in CPR Expertise in ICD-10 Proficient in Microsoft Office Suite Knowledgeable of HIPAA regulations and standard laws Skilled in completing insurance forms Typing speed: 50WPM Experience in posting Insurance Explanation of Benefits Medicare Computer skills Organizational skills Medical collection Health information management HIPAA Microsoft Word Medical receptionist Time management Communication skills Anatomy knowledge Patient care Medical scheduling Research Writing skills Clinical laboratory experience R Data analysis skillsCertifications and LicensesCPR CertificationMedical Coding CertificationFood Handler CertificationCertified Professional CoderCertified Coding SpecialistRHITAHIMARHIAMedical Billing CertificationCertified Coding AssociateBLS CertificationCNACPA

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