Caressa Triplett
Cleveland,Ohio
Summary
Reliable Medical Biller with coding and medical terminology knowledge. Polished and hardworking performer with background overseeing accounts and handling records management tasks. Team-oriented person with great decision-making skills.
Overview
6
6
years of professional experience
Work History
Provider Services Representative
AmeriHealth Caritas
Philadelphia, PA
10.2023 - Current
- Provided customer service to clients regarding their insurance coverage and billing inquiries.
- Assisted customers in navigating the online portal for self-service requests.
- Resolved customer complaints and escalated more complex issues to senior staff members.
- Processed high volumes of medical claims accurately and efficiently under tight deadlines, ensuring prompt payment for services rendered.
- Verified patient insurance coverage and benefits for medical claims.
- Paid or denied medical claims based upon established claims processing criteria.
Member Health Accessor
CareSource
Dayton, OH
05.2022 - Current
- Answered inbound calls
- Made outbound calls
- Completed health assessments for members and refer to case management when appropriate.
- Acquired and maintained knowledge of with all Caresource's policies and procedures.
Community Health Worker
Somatus
Cleveland, OH
09.2021 - 05.2022
- Returned calls, emails and faxes according to departmental policy.
- Answered calls and interacted with community members to provide information on advocacy services.
- Performed blood pressure, breast cancer and communicable disease screenings as part of community wellness initiative.
- Delivered healthy living and disease management information to specific population groups.
- Received processed and tracked patient documentation with speed and accuracy.
Medical Assistant
Cleveland Clinic Pediatrics
07.2018 - 09.2021
- Conducted patient interviews to gather health history, vital signs and information about current medical issues.
- Kept facility stocked with necessary supplies, equipment and instruments.
- Administered rapid tests such as step and urinalysis to help clinical staff assess conditions.
- Returned calls, emails and faxes according to departmental policy.
- Delivered healthy living and disease management information to specific population groups.
- Helped people enroll in programs, arrange transportation and coordinate paperwork.
- Assisted individuals with navigating health care systems, appointments and classes.
- Answered calls and interacted with community members to provide information on advocacy services.
Education
Diploma - Medical Assistant
Cuyahoga Community College
Cleveland, Oh2017
Diploma - Phlebotomy
Maple, OH2016
Associate of Arts - Liberal Arts
Cuyahoga Community College
Cleveland, Ohio2010
Skills
- Claims Processing
- Claims review
- Medical claims submission
- ICD-10 Coding
- Patient Billing
- Medical terminology expert
Timeline
Provider Services Representative
AmeriHealth Caritas
10.2023 - Current
Member Health Accessor
CareSource
05.2022 - Current
Community Health Worker
Somatus
09.2021 - 05.2022
Medical Assistant
Cleveland Clinic Pediatrics
07.2018 - 09.2021
Diploma - Medical Assistant
Cuyahoga Community College
Diploma - Phlebotomy
Associate of Arts - Liberal Arts
Cuyahoga Community College