Summary
Overview
Work History
Education
Skills
Certification
Hobbies and Interests
Languages
Timeline
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Carl Jordan Cave

Carson,United States

Summary

Medical Billing and Coding professional with several years of experience in patient account management, insurance verification, accounts receivable, and billing resolution. A dependable and team-oriented professional who brings strong analytical and problem-solving skills, with a proven ability to identify trends, resolve complex accounts, and improve accuracy and efficiency. Committed to providing excellent service, supporting team goals, and continuously finding ways to improve processes and outcomes.

Overview

1
1
Certification
13
13
years of professional experience

Work History

Patient Account Representative

Knowtion Health
Boca Raton, FL
09.2021 - Current
  • Collaborated with insurance companies and healthcare providers to verify coverage, follow up on claims and outstanding balances, and resolve billing discrepancies while maintaining patient confidentiality.
  • Assisted patients with billing inquiries by explaining account balances and payment options, resolving concerns, and providing professional customer service.
  • Managed patient accounts by reviewing medical bills, processing payments, and updating account information to maintain accurate and up-to-date billing records.

Special Projects

  • AR Cleanup Projects — Reviewed outstanding accounts receivable, researched aging balances, identified discrepancies, and corrected billing issues to improve account accuracy.
  • Write-Off Projects — Reviewed accounts for write-off eligibility, verified supporting documentation and account history, and processed adjustments in accordance with company policies.
  • Coding Projects — Reviewed billing and coding information for accuracy, identified discrepancies, and worked with appropriate teams to correct errors and improve claim and account accuracy.

Core Strengths

  • Analytical Problem-Solving — Identify trends and patterns within accounts, uncover underlying issues, and develop creative and effective solutions for complex billing and patient account matters.
  • Attention to Detail — Thoroughly review account, billing, insurance, and coding information to ensure accuracy and resolve discrepancies.
  • Communication & Collaboration — Communicate clearly and professionally with patients, insurance companies, healthcare providers, and team members while working effectively in a team environment.
  • Initiative & Adaptability — Take on special projects, adapt to changing priorities, and find efficient ways to resolve challenging accounts and improve processes.

Youth Fitness Coach

YMCA
Torrance, United States
06.2018 - Current
  • Led youth fitness department in developing inclusive programs that enhance basic skills and performance across all levels.
  • Coached basketball and soccer teams, fostering teamwork and skill development among young athletes.

Restaurant Manager

Flame Broiler
Torrance, United States
01.2017 - 06.2017
  • Oversaw daily operations and resolved issues to maintain seamless restaurant functionality.
  • Created employee schedules and managed staff to keep operations running smoothly.
  • Supported kitchen staff during busy hours to enhance service efficiency and meet customer needs.
  • Managed cash register, assisted customers, organized supplies, and maintained cleanliness to ensure a welcoming environment.

Carson Park Employee

Carson City Hall
Carson, United States
05.2016 - 08.2016
  • Maintained order in the park and gym, managed front office activities, and supported coaching efforts for the park league.

Media & Technology Volunteer

First Christian Church of Carson
Carson
07.2013 - Current
  • Operated MediaShout, projectors, and audio equipment to manage presentations and mix music for the praise team during services.
  • Directed service programs, coordinated transitions, and troubleshot technical issues to ensure smooth services.

Education

Educational Partnership Program

American Academy of Professional Coders
08-2026

Associate of Science - Community College

Los Angeles Harbor College
05-2021

Skills

  • Medical Coding
  • Medical Billing
  • Medical Terminology
  • Leadership
  • Knowledge in HIPAA
  • Communication
  • Technology
  • 10Key by Touch
  • Reliability
  • Networking
  • Team collaboration
  • Problem solving
  • Billing accuracy

Certification

  • Associates degree, Achieved a total of 4 AA degrees at LAHC: math & natural sciences, social & behavioral sciences, arts & humanities, fitness & health
  • Certified Professional Coder (CPC), 11/01/20, Present, Primary responsibilities are to oversee and direct medical coding for a clinic or medical practice

Hobbies and Interests

  • Nursing
  • Medical Coding
  • Medical Billing

Languages

  • English, Full Professional Proficiency
  • Tagalog, Full Professional Proficiency

Timeline

Patient Account Representative

Knowtion Health
09.2021 - Current

Youth Fitness Coach

YMCA
06.2018 - Current

Restaurant Manager

Flame Broiler
01.2017 - 06.2017

Carson Park Employee

Carson City Hall
05.2016 - 08.2016

Media & Technology Volunteer

First Christian Church of Carson
07.2013 - Current

Educational Partnership Program

American Academy of Professional Coders

Associate of Science - Community College

Los Angeles Harbor College
Carl Jordan Cave