To obtain a position where I can contribute
my extensive and various skills,
experience, and strong work ethic. Background in billing and collections, records management and maintenance and appointment setting. Desires a role in a Medical Insurance position.
Skills
Medical terminology expert
Records management professional
Hospital inpatient and outpatient records
Outpatient surgery coding specialist
Records maintenance professional
HCPCS Coding Guidelines
Familiar with commercial and private insurance carriers
Insurance and collections procedures
Understands insurance benefits
Composed and professional demeanor
Office management professional
Excellent problem solver
Resourceful and reliable worker
Close attention to detail
Work History
Administrative Assistant, 09/2012 to 04/2014 DEB Solar – Middletown, CA
Planned and coordinated logistics and materials for board meetings, committee meetings and staff events.
Ordered and distributed office supplies while adhering to a fixed office budget.
Coordinated domestic and international travel arrangements, including booking airfare, hotel and transportation.
Managed office supplies, vendors, organization and upkeep.
Answered and managed incoming and outgoing calls while recording accurate messages.
Opened and properly distributed incoming mail.
Drafted biweekly time sheets for 5 executives and employees.
Organized all new hire, security and temporary paperwork.
Assisted with event planning, including associated travel and logistical arrangements.
Obtained signatures for financial documents and internal and external invoices.
Coordinated, scheduled and arranged meeting and travel calendars, including business and social events.
Compiled annual recommendations for end of fiscal year budgets.
Office Manager, 02/2012 to 09/2012 Lincare – Lakeport, CA
Scheduled appointments, registered patients and distributed sample pharmaceuticals as prescribed.
Coded inpatient charts at a rate of 15-20 per day.
Precisely completed appropriate claims paperwork, documentation and system entry.
Correctly coded and billed medical claims for DME clinic
Professionally and courteously verified appointment times with patients.
Assisted in the maintenance of medical charts and/or electronic medical record
Meticulously identified and rectified inconsistencies, deficiencies and discrepancies in medical documentation.
Adeptly managed a multi-line phone system and pleasantly greeted all patients.
Verified patients' eligibility and claims status with insurance agencies.
Prepared patient charts accurately and neatly for the DME clinic.
Diligently filed and followed up on third party claims.
Medicare Claims Representative, 11/2009 to 08/2010 Pulmonary Solutions – Santa Rosa, CA
Facilitated successful internal and external audits through sound and thorough documentation.
Precisely completed appropriate claims paperwork, documentation and system entry.
Correctly coded and billed medical claims for all Medicare patients
Thoroughly researched newly identified diagnoses and/or medical procedures to expand skills and knowledge.
Meticulously identified and rectified inconsistencies, deficiencies and discrepancies in medical documentation.
Verified patients' eligibility and claims status with insurance agencies.
Diligently filed and followed up on third party claims.
Determined prior authorizations for DME needs
Researched questions and concerns from providers and provided detailed responses.
Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
Maintained strict patient and physician confidentiality.
Conscientiously reviewed medical record information to identify appropriate coding based on CMS HCC categories.
HOUSEHOLD MANAGER, 12/2006 to 11/2009 Self Employed – Hidden Valley, CA
Managed household/family finances.
Maintained accurate schedules/records.
Dispatcher/Shift Supervisor, 08/2005 to 12/2006 Health Services Integrations – Santa Rosa, CA
Coordinated air ambulance flights for companies such as REACH.
Monitored air traffic control for all flights.
Responded accordingly in emergency situations.
Initiated rollout of new enterprise software solution for sales reporting.
Trained, coached and mentored staff of 4
Student, 05/2004 to 06/2005 Yuba College – Clearlake, CA
Maintained daily assignments/met deadlines.
Independent study.
Gained essential knowledge of Health Sciences.
Maintained a 3.7 average
Graduated with an A.S. Degree in Health Sciences
Surgery Scheduler/Radiology Assistant, 10/2002 to 05/2004 St. Helena Hospital Clearlake – Clearlake, CA
Assisted radiology staff with procedures.
Chart management.
Coordinated schedules for all surgeries/procedures.
Conducted input of all daily surgery charges.
Purchasing Manager, 04/1999 to 08/2002 Oaklville Pump – Oakville, CA
Responsible for purchasing/contracts.
Created procedure manuals for purchasing process.
Successfully implemented new technologies and process automations to encourage continuous improvement.
Facilitated successful internal and external audits through sound and thorough documentation.
