Beniquea James
Tacoma,WA
Summary
Dynamic and detail-oriented Customer service professional with medical and administrative experience, offering strong communication , problem solving , and critical -thinking skills in a fast paced enviroment.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Pre Registration Specialist
MultiCare Health
04.2022 - Current
- Maintained a comprehensive understanding of medical terminology, insurance regulations, and hospital policies to effectively assist patients during the registration process.
- Coordinated patient registration processes, ensuring compliance with MultiCare Health policies.
- Verified insurance benefits and obtained pre-authorizations before any medical procedures were performed.
- Entered patient information into payment system accurately for billing purposes.
- Upheld HIPAA regulations and standards for protecting patient information.
- Effectively handle a high volume of customer calls throughout the day.
- Provided exceptional customer service to patients during registration, addressing concerns and answering questions promptly.
- Used Epic to record and organize patient insurance and medical information.
- Assisted in processing patient payments via cash, checks and credit cards.
MEDCAL CODER II
IKS Health
02.2017 - 04.2025
- Ensured coding quality and consistency by developing comprehensive coding standards.
- Streamlined workflows and enhanced communication through effective cross-functional collaboration.
- Assigned accurate diagnostic codes by applying AMA and CMS coding conventions.
- Analyzed patient charts to gain insights into health histories and treatments.
- Managed coding of outpatient medical records for diagnostic and treatment procedures.
- Maintained HIPAA compliance, ensuring patient confidentiality in coding processes.
- Verified signatures and checked medical charts for accuracy and completion.
- Followed up with medical staff regarding missing information in patient records.
- Developed a comprehensive understanding of ICD-10-CM, CPT, and HCPCS codes to ensure proper use in medical coding assignments.
- Optimized revenue generation through diligent monitoring of denied claims, resubmitting corrected information when needed.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Maintained high coding standards by adhering to industry best practices and staying current with emerging technologies.
Patient Access Tech
MultiCare Health
01.2020 - 04.2022
- Enhanced patient care through adaptability in high-stress environments.
- Executed patient intake and triage efficiently for diverse populations.
- Streamlined registration processes during peak hours, managing high-volume patient flow.
- Maintained patient confidentiality in compliance with HIPAA regulations and protocols.
- Facilitated transitions between ER departments by effectively communicating patient information.
- Contributed to a positive work environment by consistently providing exceptional customer service to both patients and colleagues.
- Obtained payments from patients and scanned identification and insurance cards.
- Registered and verified patient records before triage with most up-to-date information.
- Conducted patient intake interviews, recording and documenting relevant information.
- Worked effectively in fast-paced environments.
Certified Medical Coder I
MultiCare Health
02.2008 - 02.2017
- Ensured compliance with regulatory standards by accurately coding medical records.
- Interpreted outpatient documentation to identify appropriate diagnoses and procedures.
- Maintained coding knowledge through ongoing education and certification renewal efforts.
- Audited coded data to verify accuracy, ensuring data integrity and reliability.
- Reduced backlogs by addressing incomplete charts during high-volume staffing shortages.
- Collaborated with providers to streamline billing processes and resolve discrepancies.
- Verified, coded and added modifiers to diagnoses.
- Utilized advanced knowledge of anatomy, physiology, and medical terminology to accurately assign codes for complex or rare diagnoses and procedures.
- Demonstrated commitment to ongoing professional development by participating in relevant industry conferences, workshops, and webinars to stay current with emerging trends in medical coding best practices.
- Reduced claim denials by consistently applying knowledge of payer-specific coding requirements while preparing claims for submission.
- Coded APV charts at rate of 7 per hour.
- Verified signatures and checked medical charts for accuracy and completion.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
Education
Certificate - American Academy of Professional Coders
Clover Park Technical College
Lakewood, Washington, WA07.2008
Certificate - Medical Coding And Billing
Bryman College
Tacoma, WA01-2004
Certificate Medical Office Support - Health Management And Clinical Assistance
Clover Park Technical College
Lakewood, Washington, WA2002
High School Diploma -
Tacoma Community College
Tacoma, WA11-1998
Skills
- Epic, 3Mcoding, kronos, Citrix
- Experience with Microsoft suite, Excel and Power point
- Certified professional coder (CPC)
- Billing procedures
- Verification and eligibility
- Admissions and registrations
- Multitasking and prioritization
- Patient transfer coordination
- Payment processing
- Process claim edits and denials
- Interpersonal and written communication
- Medical terminology
- Patient scheduling
- HIPAA compliance
- Teamwork and collaboration
- High-volume call centers
- Customer service
- Confidentiality
Certification
- Certified Professional Coder, Academy of Professional Coders - current
Timeline
Pre Registration Specialist
MultiCare Health
04.2022 - Current
Patient Access Tech
MultiCare Health
01.2020 - 04.2022
MEDCAL CODER II
IKS Health
02.2017 - 04.2025
Certified Medical Coder I
MultiCare Health
02.2008 - 02.2017
Certificate - American Academy of Professional Coders
Clover Park Technical College
Certificate - Medical Coding And Billing
Bryman College
Certificate Medical Office Support - Health Management And Clinical Assistance
Clover Park Technical College
High School Diploma -
Tacoma Community College