Carrie “Sissy” Malone
Gilmer,TX
Summary
Experienced with medical billing procedures and coding standards. Utilizes strong analytical skills to ensure accurate claim submissions and resolution. Knowledge of insurance guidelines and healthcare regulations, consistently delivering precise billing operations.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Medical Billing Specialist
1st Choice Healthcare
01.2022 - Current
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Located errors and promptly refiled rejected claims.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Identified and resolved patient billing and payment issues.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
- Collected payments and applied to patient accounts.
- Precisely evaluated and verified benefits and eligibility.
Family Service Worker
BRAD CHILD DEVELOPMENT
01.2014 - 01.2020
- Maintained confidential records and documentation in Type database.
- Attended and participated staff meetings and training seminars.
- Increased family stability by providing crisis intervention and connecting them to appropriate community supports.
- Promoted community resources to families, assisting them in accessing necessary services for their specific needs.
- Safeguarded children''s welfare through thorough risk assessments and timely interventions in high-risk cases.
- Established strong partnerships with community organizations; working together to address systemic issues affecting families in the region.
- Strengthened relationships among families by facilitating group sessions and providing conflict resolution support.
- Facilitated monthly parenting groups to strengthen parenting abilities and provide access to knowledge and skills to encourage positive environments.
- Documented data and completed accurate updates to case records.
- Developed and implemented strategies to reduce and prevent family conflict.
Teacher Assistant
BRAD CHILD DEVELOPMENT
01.2013 - 01.2014
- Organized educational materials for streamlining lesson preparation and enhancing instructional delivery.
- Enhanced student understanding with tailored support in academic tasks and personalized guidance.
- Collaborated with teachers for creating inclusive learning environments that promoted student participation.
- Supported classroom activities by assisting lead teacher with lesson implementation and student engagement.
- Assisted lead teacher in managing classroom behavior, ensuring a safe and supportive learning environment for all students.
- Promoted a growth mindset among students by encouraging perseverance and resilience in overcoming challenges.
Nutrition
BRAD CHILD DEVELOPMENT
01.2012 - 01.2013
- Streamlined operations by implementing efficient processes within the student nutrition department.
- Collaborated with healthcare professionals to optimize patient nutrition and overall health.
- Assisted in meal preparation according to dietary guidelines for optimal nutrition intake.
- Developed nutrition plans addressing individual patient diabetes and food allergies.
Education
Family Service Credential - Service worker
12.2019
Associate's degree - Early Childhood Education
12.2017
Skills
- Toddler Care
- Case Management
- Childcare
- Medical receptionist
- Medical billing
- Social Work
- CPT Coding
- Excel/Word
Certification
Arch Pro Coding, 08/01/23, Present, Community coding for FQHC/RHC clinics
Personal Information
Work Permit: Authorized to work in the US for any employer
Relocation
Gilmer, TX
Timeline
Medical Billing Specialist
1st Choice Healthcare
01.2022 - Current
Family Service Worker
BRAD CHILD DEVELOPMENT
01.2014 - 01.2020
Teacher Assistant
BRAD CHILD DEVELOPMENT
01.2013 - 01.2014
Nutrition
BRAD CHILD DEVELOPMENT
01.2012 - 01.2013
Family Service Credential - Service worker
Associate's degree - Early Childhood Education
Arch Pro Coding, 08/01/23, Present, Community coding for FQHC/RHC clinics
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