CAREY LOVE
Summary
Professionally trained finance advisor with over 10 years' experience in healthcare. Educated in medical terminology HCPCS and ICD-10/CPT codes. Well-versed healthcare administrator dedicated to providing comprehensive care. Adept at ensuring high standards of culturally competent care for a wide variety of patients with diverse needs. Skilled in providing executive medical care with all technical skills in medical practice.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Facility Admissions Coordinator
UMMS Shore Regional Health
02.2023 - Current
- Maintain regulatory and functional knowledge of all registration information required
- Serves as the first point of contact for patients and visitors who visit the Emergency Dept
- Educate patients regarding adequate insurance coverage
- Understand applicable hospital and physician billing requirements and communicates
- Monitor and restock medical equipment and supplies
- Obtains all required signatures, and performs clerical duties as necessary for HIPPA
- Responsible for all aspects of customer service for Patient Access.
CO Charge Entry Specialist
Johns Hopkins University
08.2021 - Current
- Review and resolve Epic Charge review edits daily
- Register new patients for upcoming lab procedures performed
- Bill high-volume $2,000-$4,000 Skin Biopsy, EMG, EEG, Labs for Neurological procedures
- Process 100-165 charges daily
- Analyze Sleep Lab reports for appropriate time and dx codes
- Generate new providers in Epic when appropriate
- Verify place of service for inpatient and outpatient visits and code appropriately
- Run reports for possible billable encounters
- Send queries to providers for accurate coding of office note
- Exercise independent, routine judgment and decision-making with respect to code selection.
Sr. Financial Clearance Specialist
Johns Hopkins Health System
05.2015 - 08.2021
- Answered an average of 20 calls per day addressing customer inquiries
- Lead a team of 6 junior account professionals, enhancing cumulative performance by 15%
- Addressed customer questions regarding medical copay with eligibility of insurance coverage
- While specializing with commercial and private insurance carriers
- Completed 35-40 cases a day with over 150 a week using the work queue in EPIC
- Clarified documentation for patients;' types of services to provided, and responsibilities to be taken by personal financial advisor
- Informed patient/guarantor of financial liabilities and document in appropriate system
- Integral communication with patients, insurance companies, department administrator and other departmental staff
- Determined prior authorization procedures for specialties in Neurology; Orthopedic; Sleep; Ophthalmology; and Acupuncture clinic for testing or surgery.
Insurance Verification Rep/Follow Up
Advanced Radiology
01.2014 - 04.2015
- Updated daily status records using Excel spreadsheet with referring notes from specialist Doctor's offices
- Maintained good rapport with referring physicians, secretaries and clinical site staff
- Processed new cases with notes attached for review of appropriate insurance companies
- Utilized third-party payer website Med Solutions for denial reasoning and/or appropriate approval information
- Verified CPT codes for correct procedure needing completed for testing
- Faxed reports scanned document; input clinical data as needed for appointment and request films as needed
- Maintained good rapport with referring physicians, secretaries and clinical site staff
- Documented appropriate information on UB 1500 form to send to each insurance company.
Accounts Receivable Specialist
Physician Support Services
12.2013 - 01.2014
- Received payments and post amounts paid to customer accounts
- Investigated and problem-solved customer billing disputes
- Advised customers of necessary actions and strategies for debt repayment
- Produced reports for leadership on account status.
Data Entry Cashier
Total Health Care Inc.
03.2007 - 11.2013
- Posted receipts to appropriate general ledger accounts
- Coded and entered at least 30 invoices each day into the in-house accounting software
- Created daily and weekly cash reports for accounting management
- Processed daily insurance verification schedules for departments
- Using the Maryland Medicaid website
- Preformed appointment scheduling with contact follow-up as needed
- Updated registration and demographics for patients' medical record.
Education
ACCC- Associate Degree- Studying Healthcare Business Management -
01.2021
AAPC- Certificate of Completion CPC Future: Medical Coding -
Coding Visions LLC. - Baltimore County Community College
01.2017
Diploma: Medical Billing/Coding -
Allstate Career - Broening Highway
05.2006
Skills
- Strong analytical skills with patient-focused care
- Identify with analyzing problems
- Receptive with learning new knowledge related to ICD-10/ CPT codes
- Full charge entry processing with Superior self-management approach
- Computer applications: MS Office, MS Outlook, MS PowerPoint, EPIC
- Edit and streamline various templates spreadsheets with typing 35 wpm
- Competent meeting deadlines while working efficiently under pressure
- Flexible when given multiple tasks
- Accelerate with ability to achieve 100% on monthly audit reports
- Certificate of achievement for exceeding productivity
- Medical terminology course
- Strong practical skills
- Report Preparation
- Process Management
Certification
CPR
- American Heart Association -10/2023
Timeline
Facility Admissions Coordinator
UMMS Shore Regional Health
02.2023 - Current
CO Charge Entry Specialist
Johns Hopkins University
08.2021 - Current
Sr. Financial Clearance Specialist
Johns Hopkins Health System
05.2015 - 08.2021
Insurance Verification Rep/Follow Up
Advanced Radiology
01.2014 - 04.2015
Accounts Receivable Specialist
Physician Support Services
12.2013 - 01.2014
Data Entry Cashier
Total Health Care Inc.
03.2007 - 11.2013
ACCC- Associate Degree- Studying Healthcare Business Management -
AAPC- Certificate of Completion CPC Future: Medical Coding -
Coding Visions LLC. - Baltimore County Community College
Diploma: Medical Billing/Coding -
Allstate Career - Broening Highway
CPR
- American Heart Association -10/2023
Similar Profiles
Mary HynesMary Hynes
Occupational Therapist at Shore Regional Health/UMMSOccupational Therapist at Shore Regional Health/UMMS
Laura RichardsonLaura Richardson
Registered Nurse, Emergency Department at UMMS Charles RegionalRegistered Nurse, Emergency Department at UMMS Charles Regional
Faunda H. CrowsonFaunda H. Crowson
Behavioral Health Response Team at University of MD, Shore Regional HealthBehavioral Health Response Team at University of MD, Shore Regional Health