Chaulaun McZeal
Carencro,LA
Summary
Knowledgeable AHIMA Certified Medical Coder. Offering over a decade of combined experience in cross-functional collaboration, administrative support, leadership, customer service, and claims follow-up; while operating in efficiency, reliability, and integrity. In pursuit of aligning with an organization that fosters support and growth, allowing the use of skills to add value to the team. Trained in data abstraction, applying and sequencing of codes, and reimbursement/claims submission.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Accounts Receivable Specialist
ENSEMBLE HEALTH PARTNERS
07.2023 - Current
- Follow-up of claims (denied, pending, etc.) including resolving open accounts and claim appeals
- Contact payors and patients regarding information needed to reprocess claims for payment
- Process requests for medical records and letters to be sent to payors and patients
- Process contractual and denial adjustments/write-offs.
- Reduce outstanding claims balances by diligently following up on overdue payments.
- Review accounts daily to assess priority and pursue collection of claims.
Financial Clearance Specialist
ENSEMBLE HEALTH PARTNERS
05.2022 - 07.2023
- Prepared cost estimates utilizing ICD-10 CM, CPT and HCPCS codes
- Collected pre-payment for surgical, cosmetic, and radiology services
- Pre-registered patients for upcoming appointments
- Analyzed insurance and eligibility for patients for various payors
- Counseled patients on various payment options for services
- Maintained daily/monthly productivity and collection goals
- Processed Good Faith Estimates in accordance with Medicare mandates/NSA guidelines
- Coordinated with multiple departments for prompt information gathering and verification, expediting pre-registration process.
- Collaborated with team members to achieve shared goals and maintain a high level of productivity within the department.
Carrier Pricing Analyst
ALTICE USA
03.2015 - 04.2022
- Capitalized on company sales growth and customer retention through strategic analysis, evaluation, and quantifying pricing quotas for carrier telecom services
- Facilitated open means of communication between stakeholders for inquiries, seeking knowledge acquisitions, forming tactical decisions, and resolving pricing conflicts.
- Collaborated with team members to meet and exceed performance goals consistently.
Executive Assistant
RED DOOR TEAM, KELLER WILLIAMS
11.2014 - 02.2015
- Orchestrated team marketing strategies by publicizing persuasive social media management, email correspondence, and newsletter releases.
- Handled confidential and sensitive information with discretion and tact.
Office Manager
BIG BROTHER BIG SISTER OF ACADIANA
05.2013 - 10.2014
- Made monetary deposits, prepared checks for payment approval, and managed agency petty cash flow
- Prepared financials for CPA and reconciled checkbook with board treasurer
- Supervised Student Workers.
- Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records.
Administrative Assistant
HUNTINGTON OILFIELD SERVICES
04.2012 - 05.2013
- Improved analytical processes by creating / maintaining Excel databases that tracked budgets, outstanding invoices, and expense reports
- Prepared office documents and correspondence, payroll timesheets, and office policies and procedures
- Organized records and files, ordered office supplies, and entered / processed AR / AP in QuickBooks.
- Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
Bonding Coordinator / Office Manager
LAFAYETTE PARISH SHERIFF'S OFFICE
03.2002 - 08.2010
- Orchestrated office management and employee supervision for fine collections, bond preparation, and deposit postings from various government agencies
- Recruited diligent new hires and executed training for those employees
- Collaborated with city, parish, and state government offices in researching and processing paperwork for property bonds and payment of fines.
Education
Medical Coding Certification -
Medical Coding Certificate Program, Dallas College-Brookhaven Campus
Farmers Branch, TX12.2021
Technical Diploma -
Accounting Technology, South Louisiana Community College (formerly LA Technical College)
Lafayette, LA08.2001
Skills
Epic
Time Management
Medical Claims
- ICD 10-CM
- ICD 10-PCS
- HCPCS
- CPT
- EMR
- Data Abstraction
- Microsoft Office
Certification
- Certified Coding Associate (CCA), 2021, ICD-10 CM, ICD-10 PCS, CPT, HCPCS ProficientEpic/Cerner/ECW/CHC/Medicare and Medicaid/Reimbursements/ClaimsMicrosoft Office
- Certified Revenue Cycle Representative (CRCR), 2022, Revenue Cycle process, Financial Care/Pre-Service/ Time of Service/ Post Service
Volunteer Experience
Lafayette General Medical Center (HIM Department), Volunteer, Medical Records, 2012
Timeline
Accounts Receivable Specialist
ENSEMBLE HEALTH PARTNERS
07.2023 - Current
Financial Clearance Specialist
ENSEMBLE HEALTH PARTNERS
05.2022 - 07.2023
Carrier Pricing Analyst
ALTICE USA
03.2015 - 04.2022
Executive Assistant
RED DOOR TEAM, KELLER WILLIAMS
11.2014 - 02.2015
Office Manager
BIG BROTHER BIG SISTER OF ACADIANA
05.2013 - 10.2014
Administrative Assistant
HUNTINGTON OILFIELD SERVICES
04.2012 - 05.2013
Bonding Coordinator / Office Manager
LAFAYETTE PARISH SHERIFF'S OFFICE
03.2002 - 08.2010
Medical Coding Certification -
Medical Coding Certificate Program, Dallas College-Brookhaven Campus
Technical Diploma -
Accounting Technology, South Louisiana Community College (formerly LA Technical College)
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