Licensed In Home Daycare Provider Resume Example Company Name

LICENSED IN-HOME DAYCARE PROVIDER

Summary

I am a dedicated and quality focused person who has worked in many environments with the ability to adapt and excel. I am both self motivated and team oriented. I have a great understanding of how the medical claims are billed, coded and processed because I have worked both sides of the field. I am a quick learner and will take responsibility for my failures and learn to correct a problem if need be. I will work hard and take pride in my work.

Skills

Reliable and prideful
Insurance billing
Goal-oriented
Issue and conflict resolution

Customer service
Claim processing
Organization
Self motivated

Experience

Licensed In-Home Daycare Provider|Company Name - City, State|05/1998 - Current

Maintained clean and well-organized environment to promote family happiness and safety.
Used techniques such as positive reinforcement and behavior modeling to instill discipline in children.
Delivered direct, supervised care to groups of children between ages 4 months and 12 years old.
Promoted physical, emotional, intellectual and social development through well-planned classroom lessons, games and outside activities.
Organized and prepared all meals in accordance to the Childcare Food Program, accounting for individual dietary needs and restrictions.
Balanced schedules to provide the best rest, play and educational experiences necessary.
Observed play to identify developmental strengths and target areas for enrichment activities.
Incorporated music and art activities to encourage creativity and expression.
Assisted children in developing fine motor and listening skills in preparation for kindergarten.
Led children in tidying up, handwashing and self care to teach responsibility.
Organized, planned and led developmentally appropriate lessons for all domains for all aged children.
Enforced rules to teach manners and maintain safe environment.
Engaged groups of culturally diverse children in creative, safe and focused setting.
Provided nurturing and appropriate environment for children.
Discussed new developments, misbehavior and concerns with parents or guardians.
Developed and maintained all necessary paperwork daily.
Worked hard to meet and exceed all provider enrichment programs offered.

Medical Biller|Company Name - City, State|08/1996 - 04/1998

Added modifiers, coded narrative diagnosis and verified diagnoses.
Analyzed patients' encounter forms diagnosis codes to validate accuracy, completeness and specificity.
Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
Investigated denials and collaborated with internal team members and third-party representatives to identify solutions.
Applied HIPAA Privacy and Security Regulations while handling patient information.
Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
Collected, posted and managed patient account payments.
Assign ICD-9 diagnostic codes and CPT-4 codes on all medical records for proper billing and reimbursement.
Filed and submitted insurance claims.
Reviewed assigned codes and modifiers to update and verify accuracy.
Effectively coordinated all communications between patients, billing personnel and insurance carriers.
Addressed and responded to staff and client inquiries regarding CPT and diagnosis codes.
Reviewed medical records to meet insurance company requirements.

Medical Claims Approver and Customer Service|Company Name - City, State|05/1988 - 05/1996

Coded and processed medical claims with or without coordination of benefits with accuracy
Reviewed and adjusted denied medical claims.
Resolved members, providers and other insurance companies issues via phone correspondence in a timely matter.
Improved customer satisfaction by finding creative solutions to problems.
Demonstrated self-reliance by meeting and exceeding workflow needs.
Worked closely with team members to deliver project requirements, develop solutions and meet deadlines.
Captured and maintained policy limits on special claims that needed unique documentation.

Assistant Manager|Company Name - City, State

Maintained inventory accuracy by counting stock-on-hand and reconciling discrepancies.
Managed personnel scheduling, facilitating adequate coverage to meet demand.
Analyzed trends, identifying consumer demand and forecasting seasonal trends to streamline operations.
Initiated inventory control measures to manage and replenish stock, maintain cost levels and meet customer demand.
Delegated daily tasks to team members to optimize group productivity.
Completed inventory audits to identify losses and project demand.
Customer service

Education and Training

Cecil Community College|City, StateSome College (No Degree)

Still enrolled in Early Childhood Development courses.

Resume Overview

School Attended

Cecil Community College

Job Titles Held:

Licensed In-Home Daycare Provider
Medical Biller
Medical Claims Approver and Customer Service
Assistant Manager

Degrees

Some College (No Degree)

Licensed In-Home Daycare Provider Resume Example

Resume Score: 80%

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