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Licensed In-Home Daycare Provider Resume Example

Resume Score: 80%

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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.
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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)

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