Summary
Overview
Work History
Education
Skills
Timeline
Generic

Carolyn Taylor

Montgomery,TX

Summary

Dynamic professional with 40 years as a Medical Billing and Coding Specialist and Owner at C.A.R.E. Solutions. Proven expertise in medical coding and compliance, enhancing reimbursement rates through effective denial management. Adept at fostering communication with clients and healthcare providers, ensuring exceptional service and adherence to HIPAA regulations. Committed to improving operational efficiency and client satisfaction.

Overview

16
16
years of professional experience

Work History

Personal Assistant/Live-In Caregiver

Russell /Irene Henry
10.2006 - 01.2018
  • Ensured safety and well-being of clients through rigorous health monitoring and medication administration.
  • Facilitated open communication between client families and healthcare providers regarding updates on client progress or changes in care.
  • Supported clients in maintaining independence by assisting with daily activities such as personal grooming, mobility, and meal preparation.
  • Transported clients to medical appointments or social engagements as needed while prioritizing safety during travel.
  • Identified needs and coordinated plans for travel and out-of-town functions.
  • Handled incoming mail, bills and invoices and completed appropriate actions, to include managing household projects, bill payment and review of medical and household claims for appeal or fruition.
  • Handled incoming mail, bills and invoices and completed appropriate actions.

C.A.R.E. Solutions

Owner
07.2002 - 01.2004
  • Developed and implemented comprehensive curriculum for medical billing and coding courses.
  • Facilitated hands-on training sessions using industry-standard software tools.
  • Mentored students to enhance understanding of coding compliance and regulations.
  • Analyzed patient records for accurate coding and billing, ensuring compliance with federal regulations.
  • Collaborated with healthcare providers to resolve discrepancies in medical claims and documentation.
  • Managed appeals for denied insurance claims, increasing reimbursement rates through effective communication strategies.
  • Led initiatives to streamline workflow processes, resulting in reduced turnaround time for claim submissions.
  • Provided exceptional customer service to patients, addressing their concerns regarding insurance claims or billing issues with empathy and professionalism.
  • Maintained patient confidentiality by adhering to strict HIPAA regulations during all aspects of the coding and billing processes.
  • Collaborated with healthcare providers to obtain necessary documentation for accurate code assignment and claim submission.

Education

Certified Nursing Assistant - HealthCare

Lone Star College
Kingwood, TX
04-2015

Certified Medical Assistant - Healthcare

National Institute Of Technology
Houston, TX
03-1992

Skills

  • HIPAA compliance
  • Claim submission
  • Insurance verification
  • CPT knowledge
  • Denial management
  • Medicare and medicaid process
  • Medical coding expertise
  • Collections management
  • Disability claims process
  • Medical terminology
  • Claims review
  • 25 WPM

Timeline

Personal Assistant/Live-In Caregiver

Russell /Irene Henry
10.2006 - 01.2018

C.A.R.E. Solutions

Owner
07.2002 - 01.2004

Certified Nursing Assistant - HealthCare

Lone Star College

Certified Medical Assistant - Healthcare

National Institute Of Technology

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Carolyn Taylor