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Click here or scroll down to respond to this candidateCandidate's Name
Fayetteville, North CarolinaPHONE: PHONE NUMBER AVAILABLE EMAIL: EMAIL AVAILABLE Detail-oriented and knowledgeable medical billing specialist with 7 months of experience in processing claims, coding, and ensuring compliance with healthcare regulations. Proficient in AdvancedMD and Epic, and dedicated to optimizing revenue cycles while delivering excellent customer service. Seeking to contribute my expertise further with every opportunity for growth. Professional ExperienceStatcare Primary Care June 4 2024- Current Medical Biller Made sure physician coding was accurately done for claim submission. Skilled in submitting claims electronically or by manually keying them in payees portals directly. Worked claim turnarounds, rejections, and submitted appeals. In charge of managing the request for medical records for payment purposes. Corrected claim discrepancies and ensured policies were followed. Insurance verification for and kept medical records accurate. Made sure practices were compliant with guidelines and regulations. Capable of prioritizing tasks efficiently to meet deadlines in a fast paced environment.Renew Counseling Center February 2024 - May 2024 Front Desk Specialist / Medical Biller Greet patients warmly and professionally as they arrive. Check patients in for appointments and verify their personal and insurance information. Schedule, reschedule, and cancel patient appointments using electronic health record (EHR) systems. Confirm upcoming appointments and follow up with patients as needed. Verify patients insurance coverage and eligibility prior to their visits. Collect co-pays and process payments at the time of service. Answer phone calls and emails promptly, addressing patient inquiries and concerns. Relay messages between patients and healthcare providers as necessary. As well as, Assist with basic billing inquiries and ensure accurate processing of claims. Work with billing staff to resolve any discrepancies related to patient accounts.Foundever May 2023 - Present Member Service Representative Research, resolve and document members issues while utilizing multiple information systems. Maintain member confidentiality and data integrity in compliance with company policy. Participate in opportunity development, and remain knowledgeable of all company changes in member experience. Assure timely, efficient and accurate call resolution. Track and document members complain to improve future experiences.Cape Fear Valley Medical Center May 2022 - March 2023 Certified Nursing Assistant Assisted patients with activities of daily living such as bathing, dressing and eating. Provided comfort and support to the patient and family members Provided accurate documentation of patients vital signs per protocol 2 times per shift or as indicated by physician. Reported any changes in the patient's well being to the nurse or physician on duty. Conduent September 2021 - April 2022 Customer Service Representative Assisted customers in placing orders, fulfilling refunds and handling exchanges . Maintained in-depth knowledge of product lines to provide customer education on offerings, field inquiries, and assist customers quickly Utilize product knowledge to guide customers in making informed purchasing decisions with an emphasis on integrity, resulting in a 95% customer satisfaction rating. Tracked all customer communications to ensure account accuracy and followed up as needed.Sykes January 2021 - April 2021 Customer Service Representative Troubleshoot technical issues with customers . Delivered information to members about different products offered by the company Served more than 80 customers daily, provided assistance in locating products, and finalized sales transactions Managed customer returns, fielded complaints with patience and understanding, and identified resolutions to ensure customer satisfactionEducationTerry Sanford High School at Fayetteville North Carolina High School Diploma in General StudiesAugust 2009 - May 2013Fayetteville State University at Fayetteville NCBachelors in Nursing - Not CompletedJanuary 2016 - December 2019Skills Medical Coding (ICD-10, CPT, HCPCS) Proficient in [Billing Software Names] Claims Submission & Management Insurance Verification & Eligibility Attention to Detail & Accuracy Excellent Communication & Interpersonal Skills Problem Solving & Analytical Skills Knowledge of HIPAA ComplianceCertifications Basic Life Support August 2021 American Red Cross Certified Nursing Assistant Mental Health AdvocateLanguages Spanish ( Fully fluent in writing, and speaking) |
