Carolyn Mccreary-Ntow
Saint Paul,MN
Summary
Dynamic healthcare professional with a proven track record at Mary T, Inc., adept in leading teams and enhancing operational efficiency. Skilled in Electronic Health Records (EHR) and demonstrating exceptional communication abilities. Achieved significant improvements in patient care coordination and data management, leveraging expertise in HIPAA compliance and medical billing to optimize revenue cycle processes.
Overview
17
17
years of professional experience
Work History
Medical Billing Specialist
Corner Home Medical
Newhope, MN
04.2024 - 09.2024
- Provided customer service support to patients who had questions about their bills or payments due.
- Generated monthly invoices for patients based on services provided according to established fee schedules.
- Processed credit card payments from patients in accordance with office policy.
- Ensured HIPAA compliance by maintaining confidentiality of all patient information.
- Resolved discrepancies between insurance companies and patients regarding payment of bills.
- Prepared daily reports summarizing payments received from insurers or other sources.
- Analyzed rejected claims and corrected errors as necessary before resubmitting them for payment.
- Maintained detailed records of all billing activities including denials, adjustments, and payments received.
- Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
- Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
- Posted charges, payments and adjustments.
- Collaborated closely with other departments to resolve claims issues.
- Submitted refund requests for claims paid in error.
- Meticulously tracked and resolved underpayments.
- Applied HIPAA privacy and security regulations while handling patient information.
- Communicated with insurance representatives to complete claims processing or resolve problem claims.
- Answered customer questions to maintain high satisfaction levels.
- Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
- Checked claims coding for accuracy with ICD-10 standards.
- Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
- Input statement information, reconciled accounts and resolved discrepancies.
Health Unit Coordinator
Lake House Rehabilitation Center
Minneapolis, MN
01.2024 - 04.2024
- Answered incoming calls and routed them to the appropriate departments or staff members.
- Organized patient records, charts, and other documents in an orderly manner.
- Assisted with scheduling appointments for patients and doctors.
- Provided administrative support to nursing staff as needed.
- Processed paperwork related to hospital admissions, discharges, and transfers.
- Managed daily operations of the health unit including filing, faxing, photocopying.
- Entered medication orders into the pharmacy system accurately and timely.
- Performed clerical tasks such as typing letters, memos, reports., as requested by management.
- Participated in team meetings regarding policy changes or improvements within the health unit.
- Scheduled medical appointments and coordinated transportation to medical facilities for patients.
- Transcribed physicians' orders to aid in medical care and minimize medical errors.
- Provided administrative support to healthcare teams, including data entry, filing, and preparing reports.
- Assisted in the preparation and maintenance of patient charts, ensuring all pertinent information was up-to-date.
- Compiled and submitted daily reports on patient admissions, discharges, and transfers for administrative use.
- Answered and directed incoming calls, providing information or taking messages as appropriate for efficient communication.
- Processed physician orders, including medication, laboratory tests, and diagnostic procedures, accurately and promptly.
- Collaborated with multi-disciplinary staff to improve overall patient care and response times.
Pharmacy Technician Trainee
Walgreen's Pharmacy
Maplewood, MN
10.2023 - 01.2024
- Assisted pharmacists in filling prescriptions, counting pills and labeling bottles.
- Performed cashier duties such as accepting payments and issuing receipts.
- Verified insurance coverage for medications.
- Stocked shelves with pharmaceutical products.
- Received incoming shipments and checked accuracy of orders.
- Retrieved prescription requests from patients or healthcare providers via telephone or fax machine.
- Ensured compliance with state laws regarding controlled substances.
- Communicated effectively with other members of the health care team regarding medication orders and refills.
- Processed insurance claims for reimbursement purposes accurately and efficiently.
- Kept work areas clean, organized, and safe at all times.
- Adhered to regulatory guidelines for workplace safety and customer confidentiality.
- Assisted patients in finding over-the-counter solutions to aid minor health issues.
- Filled and processed prescriptions, delivering prompt and efficient patient care.
- Created new customer profiles and updated demographics, allergies and new medications in pharmacy computer systems.
- Maintained accurate inventory of medications.
- Assisted head pharmacist with filling large number of prescriptions per day.
- Filled daily medication orders and entered prescription data into system.
- Answered telephones to respond to questions or requests.
- Operated cash registers to accept payments from customers.
- Assisted customers by answering questions, locating items or referring to pharmacist for medication information.
- Received written prescriptions and refill requests from patients, evaluating information for completeness and accuracy before filling.
- Entered prescription information into computer databases.
Program Supervisor
AXIS
White Bear Lake, MN
04.2022 - 12.2023
- Provided leadership, guidance and supervision to staff members.
- Developed, implemented and evaluated program policies and procedures.
- Ensured compliance with all applicable laws, regulations, standards and codes of practice.
- Monitored budget expenditures in order to maintain fiscal responsibility.
- Served as liaison between the organization and external partners.
- Attended conferences related to program topics or goals.
- Helped team members improve productivity and performance through hands-on coaching in order to achieve company objectives.
- Monitored health of clients, communicated with medical professionals, implemented preventive strategies to limit illness and serious incidents and coordinated documentation across shifts.
- Delegated tasks to staff and volunteers during organized events.
- Consulted with staff on resolution of complex service issues.
- Handled administrative procedures to meet objectives set by boards of directors or senior management.
- Evaluated work of staff and volunteers to maintain quality and effectiveness of resources.
- Prepared and maintained budgets, personnel records or training manuals.
Program Manager
Mary T, Inc.
Golden Valley, MN
10.2022 - 04.2023
- Manage ICF/DD site, 5-7 staff, 5 persons served (4 nonverbal) in Golden Valley, MN
- Responsible for overall operations
- Daily Staffing, performance management, client programming, training and budgeting
- Complete SComms, communication of client medications
- Prepares & complete quarterly/annual reports/forward to team members
- Provide supervision & work delegations and assignments
- Provide direct cares & cover open shifts when needed
- Complete medical appointments
- Monthly meetings
- Participate in Monthly Manager meetings and Engagements
House Manager
R & M Welty, Inc.
Andover, MN
07.2022 - 11.2022
- Managed a multi-site of 15 staff, 2 persons served in Andover, MN
- Adhered to DHS licensing and requirements
- Provided positive support in a person-centered mannerism adhered to
- Provide site/resident finances and financial transactions to corporate/HR
- Developed and maintained positive communication/support to team members
- Created monthly staff meetings schedules; LMS and book trainings
- Conducted staff reviews, ensured all medical appointments/work related programs efficiently
Float Direct Support Specialist
Lifetime Resources, Inc.
Plymouth, MN
05.2022 - 07.2022
- Provide direct cares to individuals with intellectual and developmental challenges
- Perform personal hygiene & grooming and healthcare related tasks at multiple sites & locations
- Record PHI, medical & programmatic data via EHR
Medical Records Retrieval Specialist
Aston Carter / Blue Cross Blue Shield (BCBS)
Bloomington, MN
01.2022 - 04.2022
- Procure medical documents and records regarding patient’s healthcare while following HIPAA laws
- Pull, combine, extract, and load medical records for medical coding department
- Perform data entry tasks to place relevant information in secure database for remote access
- Contact clinics to request records and access for health care providers, billing departments, and insurance claims
Patient Care Representative
Robert Half Staffing / Miracle Ear Hearing Center
Minneapolis, MN
09.2021 - 11.2021
- Greeted patients, scheduled appointments, and updated demographic information and patient electronic medical records
- Communicated effectively to relay information between patients and physicians and to provide updates
- Recorded insurance information, obtained pre-approval for treatment if needed, and fitted hearing aids and accessories
- Worked with compassion and understanding to best understand and meet the needs of the patients
- Used CMS software and abided by HIPAA guidelines to safeguard confidentiality of private information
Nutritional Service Assistant
Saint Paul Public School (Nutritional Service Program)
St. Paul, MN
07.2020 - 02.2021
- Prepared and cooked meals for students, recorded inventory used, and operated kitchen equipment
- Participated in the COVID-19 emergency food distribution to families in need
- Stocked food items, cleaned equipment and dishes, followed COVID-19 restrictions, and delivered items to students
- Communicated orders, comments, and complaints, and tracked adherence to health and safety standards
Overnight Mental Rehabilitation Technician
Residential Transitions, Inc. (RTI-MN)
Mendota Heights, MN
09.2019 - 07.2020
- Answered inbound phone calls, processed referrals for clients, and provided medication reminders
- Documented activities electronically, mediated conflicts, and exhibited sensitivity and warmth
- Monitored behavioral activity, and supported residential activities and functions
Supervisor of Visitation / Mental Health Practitioner Worker
Families in Transitions, Inc.
St. Cloud, MN
11.2015 - 12.2018
- Started as Mental Health Practitioner Worker, promoted to Supervisor of Visitation in 02/2016
- Provided case management for Child Protective Services, and conducted visits in the home, and at community, local CPS, and Minneapolis court locations
- Participated in court hearings and sessions, attended monthly supervisor and behavioral health meetings, conducted verbal and written reports, and communicated via email to team members, workers, Director, and Judge using secured and encrypted communication channels throughout Hennepin, Ramsey, Dakota, and Scott counties
- Met with children at school to develop coping plans and scheduled appointments
- Completed visits with parents and attended court proceedings for each case
Program Coordinator
PHS, Inc.
Crystal, MN
12.2017 - 08.2018
- Supervised 7 – 9 staff members, created schedules, processed payroll, and met with probation officers
- Scheduled home setup and evaluations for clients and documented tasks manually and electronically
- Completed income and employment verification for clients and reviewed reports for accuracy
Overnight Mental Health Worker
Northeast Residence, Inc.
White Bear Lake, MN
08.2014 - 03.2016
- Fielded inbound phone calls, processed referrals, and recorded activities and condition electronically
- Gave medication reminders and ensured safety and wellbeing during overnight hours
- Provided direct care including observation of behaviors and assistance with activities of daily living
Lead Counselor / Group Home Counselor
CareCo Apartments, Inc.
Inver Grove, MN
03.2008 - 04.2013
- Began employment as Group Home Counselor, promoted to Lead Counselor in 09/2008
- Supervised 9 – 11 staff members, trained new employees, monitored 13 residents, and created schedules
- Passed out medication, assisted with activities of daily living, and maintained safety and wellbeing
- Provided therapeutic assistance and noted activities and conditions manually and electronically
Education
Associate of Applied Science - Health Information Technology
Rasmussen University
Saint Cloud, MN12-2025
Associate of Applied Science Degree - Medical Billing and Coding
Ultimate Medical Academy
01.2022
Diploma - Medical Billing and Coding
Ultimate Medical Academy
01.2021
Certified Nursing Assistant (CNA) / Home Health Aide (HHA) Program -
St. Paul College
St. Paul, MN01.2019
Skills
- Therap EHR
- Epic EHR
- MatrixCare EHR
- Pega
- EMS
- CMS
- MS Excel
- MS Word
- MS PowerPoint
- Typing Speed - 52 WPM
- Managed Care
- Workers Compensation
- Insurance Verification
- Insurance Claim Processing
- CMS 1500
- CMS 1450 (UB-04)
- Medical Billing
- Accounts Receivable
- Collections
- Co-Pay
- Deductibles
- Co-Insurance
- EOBs
- Revenue Cycle Management
- Posting Payments
- Government (Medicare & Medicaid)
- Third Party Payers
- Electronic Health Records (EHR)
- Electronic Medical Records (EMR)
- Front Office Operations
- Medical Office Procedures
- Scheduling
- Medical Terminology
- Anatomy & Physiology
- HIPAA Compliance
- Medical Coding (ICD-10-CM, HCPCS, CPT)
- Clinical documentation
- Quality improvement
- Medical coding
- Electronic health records
- Patient confidentiality
- Records management
- HIPAA
- Medical transcription
- Information management
- Medical record auditing
- Health information management
- Health information systems
- Medical software
- Data security
- Computer skills
- Customer and medical billing
- HIPAA regulations
- Medicare and medicaid regulations
- Medical billing
- Data security procedures
- Document scanning
Academichonors
Ultimate Medical Academy Multiple Dean’s List and Honor Roll Recognitions.
Softwareskills
Therap EHR, Epic EHR, MatrixCare EHR, Pega, EMS, CMS, MS Excel, MS Word, MS PowerPoint, 52 WPM
Volunteer Experience
- CSI, Inc., Elk River, MN, Program Coordinator, 09/18 – 10/18, Assisted in group home with 4 male clients with various developmental disabilities., Scheduled appointments, assisted with mediation and financial management, and supervised 5 – 7 employees., Conducted social enrichment and rehabilitative techniques, and followed all applicable rules and regulations.
- American Indian Family Center, St. Paul, MN, Medical Administrative Assistant, 07/06 – 10/06, Transcribed physician reports from audio into office system, and recorded conference calls and meetings., Completed some credential coding assignments and training, and implemented privacy protocols.
- VA Hospital, Minneapolis, MN, Medical Records Specialist, 07/03 – 08/03, Organized medical files, adhered to medical record requests, and distributed requested medical files to appropriated offices., Described medical codes and physician transcriptions, and collaborated with management and other facilities.
Educationandprofessionaldevelopment
- Ultimate Medical Academy, Associate of Applied Science Degree – Medical Billing and Coding, 05/22
- Ultimate Medical Academy, Diploma – Medical Billing and Coding, 05/21
- Ultimate Medical Academy, HIPAA Essentials for Healthcare Professionals Certificate
- St. Paul College, Certified Nursing Assistant (CNA) / Home Health Aide (HHA) Program, 05/19
- Augustana Health Care Center, Externship, 11/18 – 03/19
- Fraser Child & Family Center, Developmental Trainee – Autism
Key Qualifications
- Managed Care (HMO PPO POS)
- Workers Compensation
- Insurance Verification
- Insurance Claim Processing
- CMS 1500
- CMS 1450 (UB-04)
- Medical Billing
- Accounts Receivable
- Collections
- Co-Pay
- Deductibles
- Co-Insurance
- EOBs
- Revenue Cycle Management
- Posting Payments
- Government (Medicare & Medicaid)
- Third Party Payers
- Electronic Health Records (EHR)
- Electronic Medical Records (EMR)
- Front Office Operations
- Medical Office Procedures
- Scheduling
- Medical Terminology
- Anatomy & Physiology
- HIPAA Compliance
- Medical Coding (ICD-10-CM HCPCS CPT)
Accomplishments
- Dean's List (Ultimate Medical Academy)
- Honor Roll (Ultimate Medical Academy)
- Leadership & Appreciation Award (CareCo Apartment, Inc.)
Timeline
Medical Billing Specialist
Corner Home Medical
04.2024 - 09.2024
Health Unit Coordinator
Lake House Rehabilitation Center
01.2024 - 04.2024
Pharmacy Technician Trainee
Walgreen's Pharmacy
10.2023 - 01.2024
Program Manager
Mary T, Inc.
10.2022 - 04.2023
House Manager
R & M Welty, Inc.
07.2022 - 11.2022
Float Direct Support Specialist
Lifetime Resources, Inc.
05.2022 - 07.2022
Program Supervisor
AXIS
04.2022 - 12.2023
Medical Records Retrieval Specialist
Aston Carter / Blue Cross Blue Shield (BCBS)
01.2022 - 04.2022
Patient Care Representative
Robert Half Staffing / Miracle Ear Hearing Center
09.2021 - 11.2021
Nutritional Service Assistant
Saint Paul Public School (Nutritional Service Program)
07.2020 - 02.2021
Overnight Mental Rehabilitation Technician
Residential Transitions, Inc. (RTI-MN)
09.2019 - 07.2020
Program Coordinator
PHS, Inc.
12.2017 - 08.2018
Supervisor of Visitation / Mental Health Practitioner Worker
Families in Transitions, Inc.
11.2015 - 12.2018
Overnight Mental Health Worker
Northeast Residence, Inc.
08.2014 - 03.2016
Lead Counselor / Group Home Counselor
CareCo Apartments, Inc.
03.2008 - 04.2013
Associate of Applied Science - Health Information Technology
Rasmussen University
Associate of Applied Science Degree - Medical Billing and Coding
Ultimate Medical Academy
Diploma - Medical Billing and Coding
Ultimate Medical Academy
Certified Nursing Assistant (CNA) / Home Health Aide (HHA) Program -
St. Paul College
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