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Click here or scroll down to respond to this candidateCandidate's Name
GOLDSBORO, NC Street Address PHONE NUMBER AVAILABLE EMAIL AVAILABLEBold ProfilePROFESSIONALSUMMARYI have been working in the HealthCare Industry since 2006. I have been involved in 3 CARF reviews in which we were recertified each time. I have done Customer Service and Billing and Coding during this entire time. In 2021 the State of North Carolina switched to Managed Care. I have been able transition to Managed Care billing with 8 different MCO's and have been successful. Passionate about helping people manage mental health and improve quality of life. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level [Job Title] position. Ready to help team achieve company goals.SKILLS Interpersonal skills Problem solving skills Sound decision-making Budgeting expertise Team leader Excellent organizational skills Confidential records Teamwork and Collaboration Time Management Attention to Detail Multitasking Reliability Active ListeningWORK HISTORY MENTAL HEALTH COORDINATOR 06/2022 to 08/2024 Simmons Early Intervention Therapy Goldsboro, NC Managed billing and authorizations for clients who received assessments and other behavioral health servicesPossesses knowledge and understanding of commercial and government insurance requirementsUnderstood and billed claims for reimbursement and the impact on the revenue cycle Used computer skills (Microsoft Office Suite) Excellent understanding of ICD 9 and ICD 10 CPT Codes Twenty plus years of experience Ability to manage sensitive documents and records Excellent ability to work with effectively with various audiences. E ABILLING MANAGER 01/2006 to 01/2022Family First Support Center Mount Olive, North Carolina Responsibilities included but were not limited to reviewing and submitting CMS 1500 claims to 8 Managed Care Organizations in North Carolina and 3 Managed Care Organizations in South CarolinaReviewed the employees' hours and checked the service notes that accompany the hours, submit the billing to the MCO'sWas responsible for checking the Remittance Advices to see if all claims paid, Responsible for obtaining authorizations for treatment Obtained authorization for client treatment Used ICD 9 and ICD 10 to obtain such authorization Worked with physicians and clinicians to obtain assessments needed to bill for client servicesIncreased billing department efficiency, reduced delinquency, and increased accuracy by developing and implementing system and process improvements Reviewed billing issues, conducted research, and addressed concerns Kept a close eye on the QA (Quality Assurance) program to ensure that it was performing well and that high standards of care were being met.TESTING ADMINISTRATOR 08/1978 to 06/2004Wayne County Public Schools Goldsboro, NCMaintained program files, records, databases, and websites to gather research and prepare and submit reports Had an excellent attendance record and was always on time for work Was in charge of resolving disagreements and negotiating mutually beneficial agreements between partiesOversaw the day-to-day operations of the education program and delegated assignments and evaluated performance of support staffOversaw the quality assurance program, which included on-site assessments, internal audits, and customer surveysOversaw the scanning and scoring of Standardized Testing for the State of North Carolina Submitted test scores to local and state education organizations. EDUCATION Some college (No degree)Wayne Community College, Goldsboro, NCHigh School 01/1967West Martin High School, Oak City, NCCERTIFICATIONS Microsoft Office Suites |
