Carlestra Grant-McNeill
Greensboro,NC
Summary
Experienced healthcare billing professional with strong background in medical coding, insurance claims processing, and patient account management. Known for exceptional accuracy, attention to detail, and ability to navigate complex billing systems. Focused on team collaboration and achieving optimal results, adaptable to changing needs, and reliable in delivering high-quality work. Skilled in CPT, ICD-10, and HCPCS coding, with strong understanding of HIPAA regulations and insurance policies.
Overview
1
1
Certification
Work History
Medical Billing Specialist
Provider Network
- Revenue cycle management
- Worked denied claims as well as rejected claims through clearinghouse
- Accounts Receivables with Aged Run
- Generated financial reports for accountants
- Trained new hires
Credentialing Specialist (Remote)
Benson Consulting
- Initiated and revalidated credentialing for commercial insurance(s), Medicare, and Medicaid (individual, dual & group, IPAs, etc.)
- Submitted demographic updates in accordance with payers' policies, forms including W-9 documents
- Monitored, updated, attested, and submitted required documents to CAQH
- Tracked and monitored licenses, medical malpractice coverage, certificates (i.e., DEA), board certifications for all providers
- Obtained letters of hospital privileges
- Compiled and maintained current contact list of payers, provider relations and contracting
- Interacted with billers to resolve any contract issues or concerns for claim/reimbursement
Site Coordinator/Office Manager
Benson Consulting
- Managed day-to-day operations for 9 communities facilities
- Supervised all billing procedures/processes
- Reviewed aged accounts and collections
- Generated monthly reports for accountants and outreach coordinator
- Addressed and resolved issues with patients
- Liaison between facility and financial manager
- Posted/reconciled cash
- Developed staff schedules
- Approved payroll/overtime
- Hired, terminated, and trained employees
- Implemented uniform policies and procedures
Program Chair/Instructor Medical Billing and Coding
Anthem Institute
- Maintained and compliance of all NY State, federal and accreditation standards
- Monitored classroom activities through methods consisting of instructor observations, student critiques and/or corporate level student surveys and student meetings
- Scrutinized instructor recordkeeping (grade books and daily attendance rosters)
- Provided adequate learning environment which includes proper scheduling/classroom coverage, ample supplies, textbooks, supplemental supplies, clean environment, and qualified instructors
- Collaborated extensively with Dean of Education, Student Services, Career Services and Externship sites
- Participated in reviewing text and additional curriculum materials as required
- Submitted curriculum revision request to the home office in a timely manner
- Developed lesson plans and completed all required paperwork and other documents as required
- Attended graduations, scheduled meetings, seminars, or conferences as required
- Hired, trained, counseled, and terminated instructors
- Taught theory and practical application in all areas of medical billing, coding and insurances utilizing manual and electronic practice management software
Education
Medical Office Administration - Medical Billing And Coding
GTCC
Jamestown, NC05-2026
Associate of Applied Science - Business Management
ANTHEM COLLEGE
Phoenix, AZ01.2012
Skills
- Revenue Cycle Management
- Timely Claim Submissions
- Aged Run Reports
- Insurance Verification
- Accounts Receivable
- Claim Appeals
- ICD-10, CPT, HCPCS Coding
- Medical Terminology & Anatomy
- Medical Records
- HIPAA
- Medical Scheduling
- Problem-solving skills
- Microsoft Office Suite
- NC Tracks
- Medicare
- E-Clinical Works
- Practice Fusion
- Medical Manager
- Medisoft
- Collaborate MD
- Office Ally
Certification
Full Teacher's License New York State Education Department Medical Billing/Coding, Insurance, Office Administration
Timeline
Medical Billing Specialist
Provider Network
Credentialing Specialist (Remote)
Benson Consulting
Site Coordinator/Office Manager
Benson Consulting
Program Chair/Instructor Medical Billing and Coding
Anthem Institute
Medical Office Administration - Medical Billing And Coding
GTCC
Associate of Applied Science - Business Management
ANTHEM COLLEGE
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