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Medical Professional versed in many aspects of the healthcare process. Hoping to obtain a full time position as a Financial Navigational Supervisior at Kings Daughters Medical Center. My experience in Oncology and Long term care of the crititcally Ill would be a great asset to the KDMC Medical Administaion team.
- Regulatory compliance
- Medical records management
- Direct patient care
- Team Building Skills
- Time Management
- Interpersonal Communication Skills
- Clinical training
- Speaking clearly
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- Claims analysis and review specialist
- Speech comprehension
- Filing mastery
- Charting
- Healthcare billing proficiency
- Inpatient and outpatient care
- Computerized charting specialist
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Medical Billing Specialist, 06/2019 - Current
Regions Hospital – Maplewood, MN,
- Performed full-cycle medical billing for fast-paced company, reducing errors.
- Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials.
- Determined prior authorizations for medication and outpatient procedures.
- Identified errors correctly and re-filed denied or rejected claims promptly when received from Patient Account Representative.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Posted and adjusted payments from insurance companies.
- 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.
- Applied payments, adjustments and denials into medical manager system.
- Performed quality control of data entry system to verify proper posting of claims and payments.
- Oversaw regulatory and strategic initiatives to ensure accuracy of medical claims.
- Reviewed and verified benefits and eligibility with speed and precision.
- Consistently informed patients of financial responsibilities prior to services being rendered.
- Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
- Precisely completed appropriate paperwork and system entry regarding claims.
Referral Specialist/Front Office Receptionist, 11/2018 - 06/2019
Ashland Bellefonte Cancer Center – City, STATE,
- Supported administrative and healthcare staff with skilled clerical assistance such as ordering supplies and organizing office inventories.
- Updated patient financial information to ensure accuracy.
- Managed front office activities, including customer service, patient appointment management, billing and collections, and office administration.
- Managed physician calendar, including scheduling patient appointments and procedures.
- Interviewed patients to collect medical information and insurance details.
- Called patients to schedule appointments, consistently double-checking information and availability.
- Contacted other medical facilities to confirm medical histories and prevent inaccurate diagnoses.
- Addressed, documented, and responded to incoming and outgoing calls and correspondence.
- Received and scheduled new referrals according to diagnosis under constant supervision of attending Physician.
KMA, SRNA, 11/2007 - 11/2018
Oakmont Manor Nursing And Rehabilitation – City, STATE,
- Documented patient intake and dietary requirements and assisted with feeding.
- Examined and addressed lacerations, contusions and other physical symptoms in need of further attention.
- Collected specimens, monitored vitals and maximized patient comfort.
- Cleaned and sanitized rooms and equipment using aseptic technique to prevent infection and cross-contamination.
- Managed supplies and restocked inventory to ensure optimal availability for patient care.
- Documented information in patient charts and communicated status updates to interdisciplinary care team.
- Conducted routine checks on standard patient vitals, including blood pressure, blood sugar and heart rate.
- Promoted patient satisfaction by assisting with daily living needs such as bathing, dressing, toileting and exercising.
- Collected biological specimens and packaged for laboratory transport to complete important diagnostic tests.
- Monitored expiration of medications and medical supplies.
- Safely and accurately prepared all medications and sterilized products by using proper techniques, calculations and standards of precautions.
- Maintained documentation of all repackaged medications.
- Prevented spread of infection by consistent hand washing, universal precautions and special isolation procedures.
High School Diploma: , Expected in 05/2007
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Dawson-Bryant High School - Coal Grove, OH
GPA:
Associate of Applied Science: Medical Information Technology, Expected in 05/2019
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Ashland Community And Technical College - Ashland, KY
GPA:
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