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Click here or scroll down to respond to this candidateCandidate's Name
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PHONE NUMBER AVAILABLE EMAIL AVAILABLEPROFESSIONAL SUMMARYVersatile and ambitious professional with superb administrative skills, a track record of customer service success and robust medical education. Highly motivated in obtaining a medical front office/clerical position in which skills and training can positively contribute to increasing the revenue of a progressive healthcare organization. Proficient in Microsoft Word and Excel with a typing speed of 45 words per minute. Knowledgeable in file and record management and procedures, with strong administrative, interpersonal and communication skills. Committed to team environment dynamics with the ability to contribute expertise at appropriate times.KEY PROFICIENCIESMedical Billing & Coding Extensive Training in ICD-9-CM, HCPCS, CPT Co-Payments & Deductibles HIPAA Compliance Greenway PrimeSUITE EHR/PMS Insurance Billing Procedures Introduction to ICD-10-CM Insurance Verification/ Prior Authorizations Anatomy & Physiology Medicare, Medicaid, TRICARE CMS 1500, CM 1450 (UB-04), EOBs Managed Care (HMO, PPO, and POS) Insurance Claim Processing Electronic Payment Posting Appointment Scheduling Medical Terminology Government & Third-Party Payers Office Management Data Entry & 10-Key Skills Excel/Microsoft OfficeMEDICAL EDUCATIONUltimate Medical Academy - Tampa, FL 5/2014Medical Billing and Coding Associate in Science Degree (GPA: 3.24)Enhanced knowledge base includes: Research and Writing Skills, Analyzing and Solving Issues, Business Communications, Accounting for Managers and Biology and Sociology.Diploma, Medical Billing and Coding 8/2013Completed an intensive, accredited training program which included: Anatomy and Physiology, Disease Processes, Surgical Procedures, Life Cycle of an Insurance Claim, Health Care Settings, Health Care Payers, Procedure and Diagnosis Coding from Medical Records, Reimbursement Systems, Keyboarding, Word Processing, Medical Practice Management Systems and Life Skills for Success.MEDICAL WORK HISTORYTotal Med - Atlanta, GA 02/2024 to 4/2024Quality Improvement SpecialistHIPPA complianceWorked with ExcelCalled doctors offices to verify patient informationFaxed information and medical recordsPrinted appointment schedulingCall Center Representative - Atlanta, GA 08/2023 to 12/2023Taking incoming calls of customers trying to get a loanEnter information and send to the underwriterGive them calls back and inform them of their loan statusPrior Authorization Specialist - Atlanta, GA 05/2023 to 08/2023Called insurance companies to verify patient had prior authorization to receive shots for glaucoma, cataracts, and other optical medical conditionsCiox Health-Atlanta, GA 10/2014 to 4/2022Client service representative/information specialist(ROI)Utilized HIPPA and other confidentiality principles while handling electronic medical records(EMR)Utilized Smartlink and Epic EMR databases/healthsourceValidates requests and authorizations pertaining to medical records.Conducted data entry and indexing requests for medical records.Scanned, packaged and processed requested medical records.Implemented quality assurance to ensure there were no breaches.Proactive Management Consulting Atlanta, GA 12/2013 4/2014Medical Compliance and Billing (Internship)Performed quality control analysis of medical records.Maintained EMR logs and reviewed assigned ICD-9 codes to confirm accuracy.Evaluation of benefits -- verified insurance and coverage.Answer phone calls, taking messages, and monitor compliance.Reviewed Pharmacy benefitsPROFESSIONAL EXPERIENCEAlpha Building Products Atlanta, GA 1/2012 12/2013Administrative AssistantPerformed clerical activities such as filing, typing, and word processing, photocopying and mailing and sorting.Answered phone calls, took messages and scheduled appointments.Middle Georgia College Dublin, GA 8/2009 12/2010Student Library AssistantArranged books in alphabetic order and received money for overdue books and print-outs.Located library materials for students, including books, periodicals, tape cassettes, Braille volumes and pictures.Maintained records of items received, stored, issued, and returned and filed catalog cards.Performed clerical activities such as filing, typing, word processing, photocopying, mailing and sorting. |
