| | | 20,000+ Fresh Resumes Monthly | |
|
|
| |
Click here or scroll down to respond to this candidateCandidate's Name
Street Address PHONE NUMBER AVAILABLE EMAIL AVAILABLEProfessional ProfileDedicated and versatile professional with management experience in leading teams who consistently meet organizational expectations seeking to transition professional experience and medical education to a healthcare career.Proficiencies: MS Excel; MS Word; MS PowerPoint; JDE, Access, ACT, AS400, Printers Plus, Sales Logix, Simple Practice, Therapy Notes, Office Ally, Availity; Typing Speed: 41 WPMSkills: Written and verbal communication (letters, emails, presentations, face-to-face communications); Time management skills; Attention to detail; Reviewing, evaluating, and improving processes; Customer Service orientedHonors/Awards: Ultimate Medical Academy Dean's List - May, August and November 2022Key QualificationsMedical Terminology Anatomy & Physiology HIPAA Compliance Medical Coding (ICD-9-CM ICD-10-CM HCPCS CPT) Medical Billing Accounts Receivable Collections Co-Pay Deductibles Co-Insurance EOBs Revenue Cycle Management Posting Payments Government (Medicare & Medicaid) Third Party Payers Electronic Health Records (EHR) Electronic Medical Records (EMR) Managed Care (HMO PPO and POS) Workers Compensation Insurance Verification Insurance Claim Processing CMS 1500 CMS 1450 (UB-04) Front Office Operations Medical Office Procedures SchedulingCertificationsUltimate Medical Academy Tampa, FLDean's List4.0 Grade Point AverageUltimate Medical Academy Tampa, FLDean's List4.0 Grade Point AverageUltimate Medical Academy Tampa, FLDean's List4.0 Grade Point AverageEducationUltimate Medical Academy Associate of Science Degree Medical Billing and Coding, 2023Fully accredited, accelerated program providing instruction in medical billing and ICD-10, CPT and HCPCS coding for diseases, surgeries and medical procedures. Program content includes electronic health record (EHR) systems, accounting methods, and processes for preparing and submitting healthcare claims. Research, professional writing, critical thinking and communications skills are emphasized throughout the program.Keller Graduate School Masters in Project Management, 2006Help you learn relevant skills that are critical in a business setting including professional communication, corporate team building and business analysis competencies. In addition to the management theory practices taught in our online MBA program, our experienced faculty teach industry-specific skills like human resource management, risk management and business processes.University of Phoenix Online MBA, 2002Integrate decision-making skills to deliver organizational value in dynamic environments. Create strategies for sustainable organizational success that integrates the organizations mission and vision with societal values. Synthesize leadership skills to foster innovation and facilitate change in a dynamic business environment. Evaluate the global environment to sustain an organizations competitive advantage. Integrate managerial skills to support strategic execution in a rapidly changing business environment.Marywood University Bachelors in Marketing, 1998Provide a background in areas such as sales, advertising, and retailing. Along with the other business requirements, the marketing major is introduced to concepts including marketing research, marketing management, and international marketing.ExperienceHopscotch Remote 1/8/2024-3/13/2024Mental Health Billing SpecialistVerify insurance benefits via eligibility tools online and over the phoneIf needed, correct clients credit card payment and insurance dataEnsure compliance with our payor guidelinesClaim rejection/denial follow-up as needed before the deadlines occurOwnership of the unpaid claim ticket from start to end within the required deadlineOwnership of denied claimsDream Consulting Remote 07/2023-11/2023Insurance Collections & Insurance Biller Mental HealthClaim scrubbing/understanding denialsResubmitting denied claimsDaily Insurance collection callsSubmitting to secondary claimsDaily Insurance verifications (verifying insurance benefits for potential clients)Organizes and monitors work emails throughout the entire work dayMaximizes office productivity through proficient use of appropriate EHR software applications.Researches and develops resources that create timely and efficient workflow by limiting the amount of insurance call backs.Establishes uniform correspondence practices and procedures.Formulates procedures for systematic retention, protection, retrieval, transfer, and disposal of records while being HIPAA compliant.Reviews & updates the spreadsheets weekly to ensure completeness, accuracy, and timeliness.Coordinates claims calls throughout the week while updating notes in EHR softwares.Maintains constant contact with Manager.Uses the Following EHR systems Office Ally, Simple Practice, Therapy Notes, Therapy Appointment, Therapist Availity & Insurance PortalsGlobe Footwear Roselle Park, NJ08/2013-07/2014Customer Service RepresentativeIn charge of Receiving and Processing ContainersEntered Sales Orders for ManufacturersAnswered Phone Calls from Customers, Sales RepsAnswered Emails from Customers and Sales RepsChecked to ensure that appropriate changes were made to resolve customers' problemsContacted customers to respond to inquiries or to notify them of claim investigation results or any planned adjustmentsDetermined charges for services requested, collect deposits or payments, or arrange for billingKept records of customer interactions or transactions, recording details of inquiries, complaints, or comments, as well as actions takenResolved customers' service or billing complaints by performing activities such as exchanging merchandise, refunding money, or adjusting billsSolicited sales of new or additional services or productsUnited Legwear Edison, NJ02/2013-07/2013Logistics CoordinatorDid Shipping and Invoicing for OrdersEmailed sales reps and warehouse about OrdersWas in charge of Canada orders.Processed credit card ordersMain Tape Cranbury, NJ01/2012-09/2012Customer Service RepresentativeChecked to ensure that appropriate changes were made to resolve customers' problemsCompleted contract forms, prepare change of address records, or issue service discontinuance orders, using computersConferred with customers by telephone or in person to provide information about products or services, take or enter orders, cancel accounts, or obtain details of complaintsContacted customers to respond to inquiries or to notify them of claim investigation results or any planned adjustmentsDetermined charges for services requested, collect deposits or payments, or arrange for billingKept records of customer interactions or transactions, recording details of inquiries, complaints, or comments, as well as actions takenOrdered tests that could determine the causes of product malfunctionsReferred unresolved customer grievances to designated departments for further investigationResolved customers' service or billing complaints by performing activities such as exchanging merchandise, refunding money, or adjusting billsSolicited sales of new or additional services or productsPrint Tech Mountainside, NJ08/2007-02/2009Project Manager/Customer Service RepData Entry of job specifications to generate quotes and manufacturers work orders.Work as liaison between the sales and production teamsContact vendors for supplies and in outsourcing situationsManage Work in Process and other reports to maximize efficiency.Understanding of the organizations strengths and limitationsEnsure Quality Control with every jobJob Scheduling for temps, Attending Daily Production MeetingsSales Reports for Sales Reps and CSRSand worked with buyers, Monthly reports for Sales Manager/OwnerReports for Prepress Work and Monthly Work Up for Pre-Press Work for Production ManagerFollow up with every job to make sure the progressthroughout the company with every department.Dr. Krantz Dental Office Somerset, NJ06/1991-01/1999DentaL assistant - administrative assistant - marketingAssisted Dentist with patients during treatment.Did Marketing Advertisement in Church BulletinAssisted with Administrative Tasks at Front DeskSet Appts for PatientsCleaned Equipment after UseDeveloped X-RaysVolunteer ExperienceN/A Somerset, NJN/A Queens Village, NY03/2022-01/2023Took Care of Father In LawCooked FoodGave Medicine In Morning andEveningCleaned Up After HimN/A Queens Village, NY08/2021-03/2022Caring for Mother In Law While In Hospice At HomeChanged Her and Bathed Her in the Morning and EveningStayed in Hospital while getting Blood TransfusionFed Her01/2022-12/2022TutorHelped with ReadingHelped with MathHelped with WritingHelped with any homework |
