Summary
Overview
Work History
Education
Skills
Timeline
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Caliana Hardman

Raleigh,NC

Summary

Medical Billing and Coding Professional with over 6 years of experience, adept at HIPAA compliance and insurance verification. Demonstrates strong analytical skills by streamlining record-keeping processes, reducing retrieval time by over 40%, and enhancing service delivery. Committed to maintaining high standards of quality control and operational efficiency in healthcare settings.

Overview

6
6
years of professional experience

Work History

MEDICAL BILLER AND CODER SPECIALIST

Highmark health
01.2024 - Current
  • Utilized strong organizational skills to manage workflow in timely manner
  • Correctly coded and billed medical claims for various hospital and nursing facilities.
  • Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
  • Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
  • Reviewed patient charts to better understand health histories, diagnoses, and treatments.
  • Expedited payment processing by promptly addressing any discrepancies or issues raised by insurance carriers.

MEDICAL RECORDS CLERK

Sentara Norfolk General
12.2021 - 06.2024
  • Manage patient records, ensuring accuracy and confidentiality, improving data retrieval efficiency.
  • Streamline record-keeping processes, reducing retrieval time by over 40%, enhancing service delivery.
  • Collaborate with medical staff to address documentation discrepancies, ensuring compliance with regulations.
  • Implemented advanced data retrieval system, significantly reducing record access time and enhancing overall efficiency in patient care delivery.
  • Fostered strong interdepartmental relationships, facilitating seamless information flow and resolving documentation discrepancies promptly.

CUSTOMER SERVICE REPRESENTATIVE

Conduent
05.2019 - 03.2020
  • Managed high-volume customer inquiries, resolving complex issues efficiently.
  • Consistently exceeded service targets, earning recognition for exceptional performance.
  • Fostered positive relationships with clients and team members.
  • Contributed to process improvements, enhancing overall customer experience and team productivity.
  • Developed creative solutions to streamline customer service processes.
  • Implemented new approaches that reduced response times and improved customer satisfaction rates.
  • Meticulously documented customer interactions, ensuring accurate record-keeping.
  • Analyzed trends to identify recurring issues and propose effective solutions.
  • Resolved customer inquiries, enhancing satisfaction and retention rates.

Education

ASSOCIATE OF SCIENCE DEGREE - MEDICAL BILLING AND CODING

Ultimate Medical Academy
Clearwater, Florida
03.2024

DIPLOMA - undefined

Princeton High School
Princeton, NC
01.2019

Skills

  • Medical Billing (Expert), Accounts Receivable, Collections, Revenue Cycle, Electronic Health Records, Managed Care, Insurance Verification, Medical Coding, ICD Coding, HIPAA Compliance, Infection Control, Quality Control, Inventory Management, Microsoft Word

Timeline

MEDICAL BILLER AND CODER SPECIALIST

Highmark health
01.2024 - Current

MEDICAL RECORDS CLERK

Sentara Norfolk General
12.2021 - 06.2024

CUSTOMER SERVICE REPRESENTATIVE

Conduent
05.2019 - 03.2020

ASSOCIATE OF SCIENCE DEGREE - MEDICAL BILLING AND CODING

Ultimate Medical Academy

DIPLOMA - undefined

Princeton High School

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Caliana Hardman