Artesia Mays
Toledo,US
Summary
Experienced professional seeking full-time position utilizing knowledge and skills in medical office support, direct care support, office and computer skills, and medical insurance knowledge. Decisive and persuasive communicator with a proven track record of problem-solving, leadership, and planning abilities. Strong analytical, communication, and teamwork skills, with the ability to adapt quickly to new environments. Eager to contribute to team success and further develop professional skills. Brings a positive attitude and a commitment to continuous learning and growth.
Overview
9
9
years of professional experience
Work History
Medical Auditor
Hype of Lucas
09.2024 - Current
- Detect and fix discrepancies, errors, or inconsistencies within medical records, coding, or documentation
- Provide recommendations to prevent future discrepancies.
- Prepare approximately 100 working papers per day, reports and supporting documentation for audit findings.
- Prepare working papers, reports and supporting documentation for audit findings.
- Organize and detail-oriented with a strong work ethic.
- Strengthen communication skills through regular interactions with others.
Direct Support Professional
C & J Tenderheart
09.2022 - Current
- Support clients with disabilities to enhance their independence and well-being.
- Maintain clean, safe, and well-organized patient environment.
- Develop and implement individualized care plans to meet individual needs of each client.
- Monitor clients to assess and report physical and behavioral changes to supervisors.
- Provide compassionate and patient-focused care to cultivate well-being.
- Support daily hygiene needs of patients by assisting with bathing, dressing, dental care and personal grooming.
- Record status and duties completed in logbooks for management.
- Built and maintained rapport with clients and family members to facilitate trusting caregiver relationshi
Resupply Coach
Medical Service Company (Hybrid)
10.2022 - 08.2024
- Handled 40-60 patient calls per day, educating patients on the products and insurance approved supply schedules, follows insurance guidelines and coverage limits regarding supplies for diabetic, ostomy, urology, incontinence, etc.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Offered constructive feedback to clients to help reach goals.
- Encouraged clients to find creative solutions to problems and maintain motivation.
- Developed relationships with clients to provide ongoing support and encouragement.
Customer Service Representative
Promedica Home Medical Equipment
12.2021 - 10.2022
- Managed approximately 30-60 incoming calls and customer service inquires for medical supplies.
- Investigated and resolved customer inquiries and complaints quickly.
- Responded proactively and positively to rapid change.
- Developed highly empathetic client relationships and earned reputation for exceeding service standard goals.
- Met customer call guidelines for service levels, handle time and productivity.
- Followed up with customers about resolved issues to maintain high standards of customer service.
- Collaborated with staff members to enhance customer service experience and exceed team goals through effective client satisfaction rates.
Insurance Verifier
Wall Management
08.2017 - 08.2021
- Verified all patient demographic information when registering for services.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Updated patient records with accurate, current insurance policy information.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Reviewed 200 patient cases and insurance coverage information per week.
Billing Adjudicator
CVS Pharmacy/Omnicare
01.2016 - 08.2017
- Worked a backlog of denied claims researching, reviewing, resolving and resubmitting each one in a timely manner, ensuring HIPPA and other government regulations were not violated at any time.
- Developed and maintained courteous and effective working relationships.
- Organized and detail-oriented with a strong work ethic.
- Learned and adapted quickly to new technology and software applications.
- Strengthened communication skills through regular interactions with others.
- Demonstrated strong organizational and time management skills while managing multiple projects.
- Worked flexible hours across night, weekend, and holiday shifts.
Education
Some College (No Degree) - Medical Office Support
Owen Community College
Some College (No Degree) - Health Sciences
South University (Online)
Skills
- ICD-10 proficiency
- Medical record review
- HIPAA compliance
- Clinical documentation
Timeline
Medical Auditor
Hype of Lucas
09.2024 - Current
Resupply Coach
Medical Service Company (Hybrid)
10.2022 - 08.2024
Direct Support Professional
C & J Tenderheart
09.2022 - Current
Customer Service Representative
Promedica Home Medical Equipment
12.2021 - 10.2022
Insurance Verifier
Wall Management
08.2017 - 08.2021
Billing Adjudicator
CVS Pharmacy/Omnicare
01.2016 - 08.2017
Some College (No Degree) - Medical Office Support
Owen Community College
Some College (No Degree) - Health Sciences
South University (Online)