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Pre-Certification Specialist - Team Leader Resume Example

Resume Score: 70%

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PRE-CERTIFICATION SPECIALIST - TEAM LEADER
Professional Summary

To acquire a position, where I can utilize my educational background, professional experiences, strong organizational, analytical and problem-solving skills to gain further experience as a Medical Coder.

Licenses

RHIT Certification Eligible

CCA Certification Eligible

Skill Highlights
  • Maintains strict confidentiality
  • Knowledge of HMOs, Medicare and Medicaid
  • Managed care contract knowledge
  • HIPAA compliance
  • Extensive anatomy/physiology knowledge
  • Electronic Medical Record (EMR) software
  • ICD-9 coding
  • CPT and HCPCS coding
Professional Experience
Pre-Certification Specialist - Team Leader, 01/1998 to CurrentFondren Orthopedic Group - Houston, TX

Acquired insurance authorizations for procedures and tests ordered by the attending physician by giving them the correct CPT & ICD-9 codes for authorization. Analyzed and interpreted patient medical and surgical records to determine billable services.Remained up-to-date with all insurance requirements, including the details of patient financial responsibilities, fee-for-service and managed care plans.Consistently informed patients of their financial responsibilities prior to services being rendered.

Release of Information Specialist, 03/1997 to 01/1998TMRS - Houston, TX

Efficiently performed release of information. Carefully prepared, reviewed request for patients, doctors office, and third-party request. Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.

Volunteer - Clinical Practicum, 01/2013 to 05/2013Kindred Hospital - Pasadena, TX

Assisting the department in various task such as assembling, filing, scanning, auditing and data entry.

Volunteer - Clinical Practicum, 08/2012 to 12/2012San Jacinto Methodist - Baytown, TX

Assisting the department in various task such as assembling, filing, scanning and data entry.

Volunteer - Clinical Practicum, 06/2012 to 08/2012Kindred Hospital - Channelview, TX

Assisting the department in various task such as assembling, filing, scanning and data entry.

Education and Training
Associate of Science:Health Information Management,2013Lee College - Baytown, TX, USA

Health Information Technician (RHIT) coursework

Member of Phi-Theta Kappa Club

3.26 GPA

High School Diploma:Advanced,1995Robert E. Lee High School - Baytown, TX, USA
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Resume Overview

Companies Worked For:

  • Fondren Orthopedic Group
  • TMRS
  • Kindred Hospital
  • San Jacinto Methodist

School Attended

  • Lee College
  • Robert E. Lee High School

Job Titles Held:

  • Pre-Certification Specialist - Team Leader
  • Release of Information Specialist
  • Volunteer - Clinical Practicum

Degrees

  • Associate of Science : Health Information Management , 2013
    High School Diploma : Advanced , 1995

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