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Click here or scroll down to respond to this candidateCandidate's Name
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PHONE NUMBER AVAILABLE PHONE NUMBER AVAILABLE EMAIL AVAILABLEProfessional Summary: Focused and dedicated Reimbursement Specialist with expertise in providing client/ patient support. Exceptional computer aptitude and telephone etiquette. Strong time management skills, successful at handling support issues in a timely manner. A team player who is willing and able to help when ever needed but, can also work alone. Can complete the task at hand with great proficiency and correctness. Seeking a role, that will further build upon skills and help to develop new ones.SkillsPatient Care SupportOutbound call proficiencyAdheres to patient care proceduresSelf-MotivatedResourcefulExceptional knowledge of ICD-10, CPT, HCPCSProfessionalTeam PlayerHighly dependableMicrosoft Office ProficientResult-orientedAdvanced knowledge of HIPAA, Medicaid and Medicare regulationsExperienceHomeInstead Senior CareCaregiver 05/2018- 12/2021Assisting with light housekeeping and household duties such as making the bed, vacuuming, and doing laundry.Preparing meals as well as provide companionship.Provide patient with medication reminders, and assist with grocery shoppingCornerstone MontgomeryRehabilitation Counselor 04/2018- PresentProvide an array of diversified, committed, compassionate and ethical services that maximizes one's independenceProvide opportunities to empower our constituents with choices that enable them to live a life of independence and dignityEnlighten the community at large to embrace these conceptsCoached new and existing personnel to become familiar with the procedures to ensure that day to day operations run smoothlyABA Services (The Sparks Group)Behavioral Specialist 09/2017- 01/2018Provides high-quality, research-based Applied Behavioral Analysis (ABA) treatment services to children ages birth through 21Meets regularly with a childs parents, caregivers, and other service providers to share progress and treatment strategiesProvide educational consultative support to review and revise Individualized Education Plan (IEP) or Individual Family Service Plan (IFSP), as neededMedix (Inova Healthcare Systems)- Falls Church VAPatient Financial Specialist 11/2017-03/2018Complete benefit verifications for patients using medical coverageComplete Prior Authorizations for patients on behalf of the doctor for surgeries, MRI and CT scansDetermine the best step is to take if no coverage is in placeAssist providers with following up on prior authorizations and appeals.The Lash Group- Rockville MDReimbursement Counselor 05/2014-11/2017Complete benefit verifications for patients using both medical and pharmacy coverage.Complete Prior Authorizations for patients and doctors for a self-injectable medication by obtaining all necessary medical documents and labs.Research payers to identify existing contracts, determine if particular specialty products are covered by a contract or coverage policyDetermine the best step is to take if no coverage policy is in placeObtains authorizations for claim submission requirements including method of submissionAssist providers with following up on prior authorizations and all internal appeals.Medical Records Coordinator, Columbia, MDComplete Healthcare Staffing 01/2014 -05/2014Fax dictations to PCP and referring physicians.Retrieve patient medical records for physicians, technicians, or other medical personnel.Protect the security of medical records to ensure that confidentiality is maintainedReview records for completeness, accuracy, and compliance with regulations.Properly store and organize documents in patients charts alphabetically.Wellness Processor, Maxim Columbia, MD.National Spine and Pain Center 10/2013-01/2014Maxim ColumbiaHealth Care Service PartnersRetrieved patient medical records for physicians, technicians, or other medical personnel.Review records for completeness, accuracy, and compliance with regulations.Properly store and organize documents in patients charts.Processed billing and insurance claims.Responsible for collections of accounts receivables and processing flu paperwork packets.Effectively verified insurances such as Medicare, Blue Cross Blue Shield, Aetna and moreCalled insurance companies to inquire about the status of patients claims.Medical Biller Specialist, Laurel, MDHealth Care Service Partners (Externship) 06/2013-08/2013Called insurance companies to check the status of patient claims.Inputted payments on spreadsheets to keep track of what was paid or denied.Create new claims on the CMS 1500 forms to send to Medicare.Inputted encounters into the computer for review to be approved by the insurance biller.Filed patient records away by date for safe keeping.Posted payments to accounts to determine what was paid by their insurance company.EDUCATION AND CERTIFICATIONSGrand Canyon University, Phoenix, AZ; Master of Science in Mental Health and Wellness 2017-2019Grand Canyon University, Phoenix, AZ; Bachelor of Science in Psychology 2014 - 2017Maryland Coding and Training Inc.; Columbia, Maryland 2014- 2015Medical Coding and Preparation for the CPC examTESST College of Technology, Beltsville, Maryland; Medical Billing and Coding 2013GPA 3.60 Medical Coding and Billing Master Certificate programCertified Billing and Coding Specialist (CBCS) 2013Awarded by the National Health career AssociationAdditional CertificationsCertified Phlebotomist 2013HIPAA and OSHA Certified 2013References Upon Request |
