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billing and enrollment specialist resume example with 17+ years of experience

Jessica Claire
, , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
Home: (555) 432-1000 - Cell: - resumesample@example.com - : - -
Summary

Results driven Medical Biller with over 15 years of hands-on experience in account management, revenue generation and medical billing and coding. Accomplished in developing strategies to improve workflows and processes, and actualizing procedures to enhance revenue generation. Demonstrated leadership skills guide teams towards success, optimize performance and sustain organizational success.

Organized Scheduling Coordinator with proactive attitude regarding production scheduling coordination. Over 15 years of experience in production and materials management. Consistently builds upon existing skills and learns new skills while completing projects within established timeframes.

Detail-oriented Phlebotomist with 20-year track record in painless venipuncture. Comprehensive understanding of infection control and sterilization practices. Successful in teaching nurses and physicians proper venipuncture procedures.

Skills
  • Guest services
  • Inventory control procedures
  • Merchandising expertise
  • Loss prevention
  • Cash register operations
  • Product promotions
Experience
08/2019 to Current
Billing and Enrollment Specialist ChangePoint Integrated Health City, STATE,
  • Eliminated inaccuracies in accounts payable payments by verifying information prior to generating checks and electronic payment transfers.
  • Checked claims coding for accuracy with ICD-10 standards.
  • Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
  • Collected, posted and managed patient account payments.
  • Submitted claims to insurance companies.
  • Organized billing operations, calendars and claims, bringing in more than 95% of all payments.
  • Assessed billing statements for correct diagnostic codes and identified problems with coding.
  • Participated in educational opportunities, including workshops, seminars and training classes to gain stronger education in industry updates and federal regulations.
  • Performed insurance verification, pre-certification and pre-authorization.
07/2017 to 08/2019
IOP Phlebotomist LabCorp City, STATE,
  • Verified collection orders and communicated discrepancies to nurses.
  • Obtained variety of blood samples through venipuncture or capillary puncture using syringes, butterfly needles and straight needles.
  • Treated blood-related chronic disorders by performing therapeutic phlebotomy.
  • Conducted bleeding time tests and updated results into paper or electronic charts.
  • Labeled blood vials with critical information like time of collection, date and patient name.
  • Screened prospective donors by conducting interviews, obtaining medical histories and measuring vital signs.
  • Coordinated workflow based on stat, schedule, or outpatient needs.
  • Enforced infection control and sharps disposal procedures to protect patients, co-workers and self.
  • Counseled patients to ease fears, explain procedures and enhance cooperation during blood draws.
  • Maintained fully-stocked phlebotomy cart, carrier and station.
  • Obtained blood samples for medical testing and transfusion through venipuncture or capillary puncture.
  • Collected specimens for drug screens, paternity tests and alcohol tests.
  • Processed billing information and collected payments.
  • Transported specimens following established protocol for temperature and light.
  • Coordinated in-office and off-site testing for high volume of daily patient smaples.
  • Interviewed patients and documented details to update and file paperwork.
  • Identified patients using proper procedures prior to specimen collection.
  • Delivered quality patient care by completing accurate and timely collection and transport of clinical specimens according to established procedures.
  • Prepared patients for examination by properly draping patients, obtaining vital signs, verifying referrals and taking detailed health history.
  • Prepared blood-collecting equipment to draw blood and safely store and transport samples.
  • Verified quality of specimens by centrifuging specimens for logistics courier to pickup.
02/2004 to 08/2017
Scheduler, Pre Op Tech Sunrise Surgical Center City, STATE,
  • Scheduled and confirmed appointments.
  • Verified insurance eligibility for patients by calling appropriate parties.
  • Entered information into system to update status reports.
  • Obtained prompt payments for open bills by interacting with appropriate parties.
  • Planned and delegated work to meet project and production goals.
  • Monitored project progress and presented status to leaders to solve productivity issues.
  • Provided delay updates and information regarding special circumstances.
  • Maintained confidentiality on all patient record data.
  • Processed payments and updated accounts to reflect balance changes.
  • Promoted 100% government regulation adherence by maintaining confidential documentation and complying with international trip customs and cabotage laws.
  • Distributed treatment and procedural information to patients.
  • Checked patient insurance and collected pre-authorizations from providers.
  • Managed patient check-in and check-out procedures and processed payments.
  • Gathered current medical information and reviewed histories to gather details for surgeons.
  • Updated patient financial information to promote accurate record keeping.
  • Created and maintained accurate and confidential patient files according to regulatory mandates.
  • Managed front office customer service, appointment management, billing and administration tasks to streamline workflow.
  • Contacted other medical facilities to confirm medical histories and prevent inaccurate diagnoses.
  • Worked closely with team members to deliver project requirements, develop solutions and meet deadlines.
Education and Training
Expected in to to
: Patient Care Tech, Phlebotomy
Maricopa Community Colleges - Gateway Community College - Phoenix, AZ
GPA:
Certifications
  • Certified Nursing Assistant (CNA)
  • Home Care Aide (HHA)
  • Certified Degree Patient Care Technician Training - 1996

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Resume Overview

School Attended

  • Maricopa Community Colleges - Gateway Community College

Job Titles Held:

  • Billing and Enrollment Specialist
  • IOP Phlebotomist
  • Scheduler, Pre Op Tech

Degrees

  • Some College (No Degree)

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