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Summary
Well-trained Instructor dedicated to building knowledge and abilities for students to handle stressful emergency situations. Talented in leading classes and hands-on activities with class participants of diverse backgrounds. Decisive in identifying and correcting students' knowledge gaps.
Reimbursement analyst on patient accounts. Advanced understanding of customer needs with diligent attention to detail resulting in client satisfaction. Facilitate and manage a fast pace office, a trusted consultant, liaison, and assistant.
Hardworking and reliable office administrator with strong ability in multi-tasking and good communicator. Offering analytical reasoning interpersonal skills, and . Highly organized, proactive and punctual with team-oriented mentality.
Skills
Developing lesson plans
Evaluating student performance
Operating simulation equipment
Curriculum development
Advising students
Administering student records
Hands-on clinical instruction
Collaboration
Friendly, positive attitude
Healthcare claim coding
Medical terminology
Medical record security
Documentation oversight
Data entry
Insurance billing
Insurance Verification
Multitasking
Insurance collections
ICD-10-CM, and Current Procedural Terminology claims expertise
CPT code modifiers
Reimbursements
Training and development
Claim review
Knowledgeable in Excel, Quickbooks, Microsoft, EDI, and Primesuite, Practice Management.
Submission of medical claims
MEDENT Management EMR / EHR Software
Accounts Receivable / Accounts Payable knowledge
HIPAA Compliance
Account follow-up
Experience
10/2020 to 04/2021Allied Health InstructorCommunity Health System | Beckley, WV,
Trained students on Microsoft Teams use and instructional techniques.
Retained interest and maximized receptive learning by educating students utilizing instructional techniques, including hands-on curriculum.
Prepared course objectives to follow school's curriculum standards established by school and state.
Created appropriate learning environments for students.
Applied variety of instructional resources to meet needs of students with varying backgrounds and learning styles.
Planned and conducted activities for balanced program of instruction, demonstration and work time, providing students with opportunities to observe, question and investigate.
Evaluated students' performance and issued progress reports.
Promoted advancement of professional skills for securing certification, employment, leadership development and financial literacy.
Offered flexible work schedule to meet needs of students.
Improved operations by working with team members and customers to find workable solutions.
Resolved interpersonal conflicts by listening, finding common ground and building relationships.
Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
11/2000 to 07/2019Medical Billing Specialist IIAbound Credit Union | Glasgow, KY,
Prepared billing statements for patients, ensuring correct diagnostic coding.
I worked on MEDENT Manager software.
Maintained a relationship with the clearinghouse, including appropriate Electronic Data Interchange (EDI) 835 Electronic Remittance Advice (ERA) transaction for claims interchange support.
Posted charges to accounts according to an explanation of benefits (EOB) statements.
Processed appeals and grievances with written notification.
Managed account receivable/payable, practice management, and visiting account reports for the company accounting firm.
Completed prior authorizations/referrals.
Ordering office supplies such as lab supplies, and personal items for medical providers.
Oversaw regulatory and strategic initiatives to ensure accuracy of medical claims.
Remained up-to-date with all insurance requirements, including details of patient financial responsibilities, fee-for-service and managed care plans by participating in training programs.
Reviewed and verified benefits and eligibility with speed and precision.
Demonstrated analytical and problem-solving ability by addressing barriers to receiving and validating accurate HCC information.
Contacted patients for unpaid claims for HMO, PPO and private accounts and performed friendly follow-ups to ensure proper payments were made according to contracts.
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Entered procedure codes, diagnosis codes and patient information into Medent Software.
Billed all lab claims with attached lab slips.
Collaborated closely with other departments to resolve claims issues.
02/1999 to 11/1999Clerical/ReceptionistMahwah Medical | City, STATE,
Administrative clerical duties, such as, answering phones, scheduling appointments, and maintaining patient's medical records.
Retrieving lab specimen results for medical providers.
Sorting and allocating mail.
Collected copayments by credit card, cash, or check.
Delivered administrative support to team members, including making copies, sending faxes, organizing documents and rearranging schedules.
Processed payments and updated accounts to reflect balance changes.
Prepared packages for shipment by generating invoices and setting up courier deliveries.
Sorted incoming mail and directed to correct personnel each day.
Screened and verified visitors for identification credentials and purpose of visit to maintain security of personnel and office environment.
Scheduled and confirmed appointments.
Provided clerical support to all team members to improve office efficiency and enhance productivity.
11/1989 to 03/1994Head TellerUnion | City, STATE,
Ordering large quantities of cash from Brinks Armored Car.
Responsible for the automatic teller
machine (ATM), by testing its function, and supplying weekly cash.
Marketing CUNY life
insurance policy to customers.
Helped customers with bank deposits and withdrawals and loan
transactions.
Also, supervising other tellers by training and assisting with balancing their cash
drawer for reconciliation.
Reviewed branch account sheets to ensure consistency with the
branch.
Significantly contributed to a team environment by continuously coaching others and
leading by example.
Education and Training
Expected in 05/2020Bachelor of Arts | Liberal StudiesPurchase College, Harrison, NY, GPA:
3.6 GPA
Expected in 2016Associate of Arts | Liberal Arts and Science-HumanitiesRockland Community College, Suffern, NYGPA:
Expected in 12/1998Medical Records Certification Rockland Boces Access
Center, Division of | Medical Insurance CodingRockland Community College, Nyack, NY, GPA:
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School Attended
Purchase College
Rockland Community College
Rockland Community College
Job Titles Held:
Allied Health Instructor
Medical Billing Specialist II
Clerical/Receptionist
Head Teller
Degrees
Bachelor of Arts
Associate of Arts
Medical Records Certification Rockland Boces Access
Center, Division of
