Highly passionate and motivated medical professional with over 20 years of experience in the medical field. With a commitment to serving others through best practices and superior care. Skilled in developing and implementing patient education programs, patient care processes, and conducting research on healthcare disparities. Adapted at managing medical equipment inventory systems, coordinating patient referrals.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Credit Balance Specialist/Analyst
Cape Fear Valley Medical Center
North Carolina
10.2025 - Current
Review and analyze credit balance accounts to determine proper refund, transfer, adjustment, or recoupment action.
Research EOBs, payer payments, patient responsibility, COB, denials, takebacks, offsets, and overpayments to ensure accurate account resolution.
Process patient and insurance refunds according to payer guidelines and company policy.
Work undistributed credits, unapplied payments, duplicate payments, and patient responsibility corrections.
Communicate with posting, billing, coding, clinics, and insurance payers to resolve credit balance issues.
Document account actions clearly in Epic, including refund reason, payer details, denial/adjustment information, and next steps.
Perform weekly process checks to review credit balance workqueues, identify errors or trends, ensure timely resolution, and maintain compliance with refund deadlines.
Maintain accuracy, HIPAA compliance, and productivity while supporting clean account balances and proper reimbursement.
Received inbound customer calls related to credit and accounts receivable.
Processed recurring automated payments and credit card payments.
Established strong working relationships with colleagues across various departments, facilitating effective cross-functional collaboration.
Streamlined credit balance processes for increased efficiency and accuracy in financial reporting.
Demonstrated outstanding analytical skills while evaluating complex financial data and identifying root causes of credit balance issues.
Scheduler Coordinator
Integrated Pain Solutions
Southern Pines, NC
01.2024 - Current
Coordinated daily schedules for healthcare teams across departments to maintain staffing efficiency.
Effectively coordinated staff schedules, patient appointments, and workload distribution through PrognoCIS and e Clinical Works systems and MDToolBox.
Managing patient records, scheduling appointments, answering phones, and assisting with billing and insurance
Clearly and proactively communicated all schedule changes, updates, and adjustments to relevant medical and administrative personnel through various channels, ensuring everyone was informed, and maintaining accurate records within the scheduling systems.
Maintained meticulous accuracy in data entry and comprehensive record maintenance across various platforms, contributing to organized and reliable information management within the healthcare setting.
Consistently answered a high volume of incoming telephone calls promptly and professionally, providing a superior standard of customer service, addressing inquiries, and directing calls appropriately.
Expertly managed the clinic's appointment calendar, encompassing the scheduling of new patient consultations, follow-up visits, specialized procedures, and recurring appointments to optimize physician and patient time.
Efficiently handled all appointment-related modifications and cancellations, proactively notifying affected patients of any changes and diligently rescheduling appointments in a timely and convenient manner to maintain patient satisfaction and continuity of care.
Managed patient demographics and pertinent information within electronic health records to meet regulatory standards.
Reduced scheduling conflicts and ensured timely execution of tasks through proactive rescheduling and resource allocation adjustments.
Patient Care Coordinator
Medicaid Contact Center
Raleigh, NC
01.2023 - 01.2024
Initiated outbound customer service and customer satisfaction calls according to client specifications and requirements to proactively address customer needs and gather feedback.
Thoroughly completed call guides and diligently gathered and verified all necessary information from callers to ensure accurate record-keeping and efficient issue resolution.
Reviewed and explained coverage details to clients, including specifics related to Medicaid Behavioral coverage, ensuring clients understood their benefits and limitations.
Provided support to the claims department by undertaking additional tasks as required, contributing to the smooth and efficient processing of claims.
Strictly adhered to contact center scheduling protocols and maintained consistent telephone coverage during all operational hours to ensure uninterrupted service availability.
Systematically reviewed and addressed a variety of claim-related issues reported via telephone, working to understand the nature of the problem and provide appropriate solutions or guidance.
Conducted thorough investigations into discrepancies found within Medicaid medical claims to identify the root cause of issues and facilitate accurate resolution.
Proactively identified errors in medical coding and billing practices through careful review of claim details, contributing to the accuracy and integrity of financial records and compliance with regulations.
Managed sensitive patient information with strict adherence to HIPAA guidelines, maintaining confidentiality and privacy at all times.
Coordinated scheduling of appointments to maximize healthcare providers' availability and patient convenience.
Facilitated communication between patients and healthcare teams, ensuring clarity and understanding of treatment options.
Medical Coder/Insurance Verification/Medical Records
Eye Surgery and Laser Center
Sebring, FL
11.2020 - 03.2023
Warmly welcomes patients upon arrival, offering assistance and directing them as needed. Provides all required registration and medical history forms, ensuring patients understand and complete them accurately.
Maintains a detailed daily balance of all financial transactions, meticulously reconciling cash, checks, and credit card payments received from patients.
Accurately records all patient and insurance payments on the designated deposit log, ensuring proper documentation and facilitating accurate financial reporting.
Conducts thorough research into patient insurance coverage, meticulously reviewing policy details and contacting insurance providers to ascertain coverage limitations, co-pays, deductibles, and any amounts for which patients will be financially responsible.
Engages in clear and professional telephone communication with patients to discuss their medical bills, providing detailed explanations of charges, outstanding balances, and payment options, and addressing any patient inquiries or concerns.
Efficiently schedules patient surgical procedures, coordinating with physicians, surgical facilities, and patients to determine optimal dates and times while providing patients with necessary pre-operative instructions and scheduling information.
Skillfully scans a wide range of documents and accurately uploads them into patients' electronic health records, ensuring seamless and organized digital charting.
Diligently prepares, organizes, and meticulously maintains diverse office files, both physical and electronic, and implements efficient filing systems to ensure easy retrieval of information.
Upholds the highest standards of confidentiality regarding all client and employee information, adhering to privacy policies and legal requirements.
Efficiently processes a high volume of medical claims, thoroughly reviews each claim for accuracy and completeness, and ensures timely submission for reimbursement.
Proactively investigates and resolves discrepancies in medical claims by gathering necessary information, communicating with relevant parties, and implementing corrective actions to ensure accurate payment.
Expertly identifies errors in medical coding and billing practices through careful review and analysis, and takes appropriate steps to rectify inaccuracies and prevent future errors, ensuring compliance with coding guidelines and regulations.
Medical Terminology, type 45-55 words per minute accurately,
Provides exceptional customer service to healthcare providers and insurance companies by responding to inquiries promptly, addressing concerns effectively, and building positive working relationships.
Maintains accurate and up-to-date records and documentation related to patient information, billing processes, and other administrative tasks, ensuring data integrity and compliance.
Performs administrative and clerical duties, including managing patient records, scheduling appointments, answering phones, and assisting with billing and insurance.
Strictly complies with all applicable federal, state, and local laws, regulations, and organizational policies related to healthcare operations, patient privacy, and data security.
Medication Technician
Lakeshore Manor
Sebring, FL
01.2021 - 01.2022
Answered inquiries about specific medication use.
Administrative duties such as ordering supplies, answering phone and scheduling appointments
Administer prescribed medication to patients
Provide support to Nurses and Healthcare Professionals
Assist with the administration of medications, including oral, topical, and sometimes injectable medications, under the supervision of a qualified professional.
Keeps accurate records of medication administration, including dosages, times, and any adverse reactions observed.
Observes patients for signs of adverse reactions to medications and reports any changes to the supervising nurse
Adheres to facility policies, procedures, and relevant regulations regarding medication handling and administration.
Monitored medication storage area to maintain medication security and control.
Prepared medication doses accurately by following medication administration record (MAR) written by healthcare providers.
Reduced medication errors by implementing a double-check system before administering medications to patients.
Documented medication administration into electronic medical records (EMR) to avoid duplication of medication dosages.
Assisted in training new Medication Technicians on best practices and company policies, fostering a culture of continuous learning.
Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
Explained treatment procedures, medications, and diets to inform patient and patient's family of care and progress.
Turned and repositioned patients to prevent bedsores.
Streamlined medication storage and inventory processes, ensuring timely reordering and minimizing waste.
Reduced stress for patients and families by providing compassionate communication regarding medication management.
Ensured cleanliness and safety in medication storage areas, preventing potential medication cross-contamination.
Improved patient satisfaction with personalized medication counseling, addressing concerns and questions effectively.
Pharmacy Technician Trainee
AdventHealth
Sebring, FL
01.2019 - 01.2021
Tracking Inventory
Gathering and preparing medications according to a nurse's orders and hospital protocols.
Assisting nurses with the safe and accurate administration of medications to patients.
Effectively communicating with the healthcare team about patient medication status and any concerns.
Becoming familiar with hospital procedures, policies, and safety guidelines related to medication management.
Professionally and effectively addressing customer inquiries, providing information, and resolving concerns in a timely manner.
Maintaining accurate and up-to-date patient records, including medication history, allergies, and insurance information.
Precisely locating, accurately dispensing, carefully packing, and correctly labeling prescribed medications to ensure patient safety.
Skillfully processing insurance claims, verifying coverage, and resolving billing issues with insurance providers and patients.
Completed mandatory training hours, gaining valuable knowledge of pharmaceutical industry practices and procedures.
Developed strong relationships with healthcare providers through prompt and professional handling of prescription requests and inquiries.
Successfully completed Pharmacy Technician Trainee program, gaining comprehensive understanding of industry practices while demonstrating readiness for advancement within the field.
Completed insurance forms and billed insurance companies.
Supported inventory audits, minimizing losses and discrepancies in stock levels.
Handled confidential patient information with discretion, upholding strict HIPAA regulations at all times during tenure as a Pharmacy Technician Trainee.
Billing Specialist/Technician
Wyndham Bonnet Creek
Buena Vista, FL
01.2009 - 01.2019
Conduct comprehensive balance sheet account reviews and prepare detailed reconciliations, identifying and resolving discrepancies to ensure accuracy and compliance with accounting principles.
Thoroughly review and efficiently process accounts payable invoices, ensuring proper documentation, coding, and approvals prior to payment execution.
Contribute valuable accounting insight and provide critical review during the annual budget preparation process, assisting in the development of realistic and achievable financial targets.
Manage the full cycle of accounts payable billing and/or collections activities, including generating invoices, monitoring outstanding balances, and proactively following up with clients to ensure timely payments.
Accurately assign vendors to appropriate categories and manage account member information within the accounting system, maintaining data integrity and facilitating efficient reporting.
Professionally handle all incoming correspondences, including mail, email, and phone calls, ensuring timely and appropriate responses and directing inquiries to the relevant personnel.
Prepare a wide range of reports, documents, and other communications, utilizing strong written and verbal communication skills to convey financial information clearly and concisely to both internal and external stakeholders.
Efficiently answer a variety of questions related to accounting procedures and policies, and meticulously maintain the accuracy and integrity of the company database.
Verified accuracy of accounts payable payments, resulting in [Number]% reduction in payment errors and check reissues.
Education
Associate of Science - Medical Administrative Billing and Coding
Keiser University
Ft. Lauderdale, FL
01.2021
Diploma - Pharmacy Technician
Everest University
Pompano Beach, FL
01.2008
Diploma - undefined
Avon Park High School
Avon Park, FL
01.2002
Skills
Vital signs, phlebotomy, pharmacology
Proper sterile techniques, universal precautions, and EKG
Patient preparation, positioning, and documented patient charts
Medical terminology
Customer service
Excel, Word, typing 35 WPM, Windows, Microsoft SQL Server
Senior care/hospice care
Problem solving
Mathematical proficiency
ICD-10
Clerical
Medical claims processor
Kronos
Microsoft Office (Excel, Word, Outlook)
Zoom, Microsoft Teams
PrognoCIS
EClinical Works
MDToolBox
Certification
HIPAA Certification
CPR Certification
Area of certification Training - Timeframe
Accomplishments
Achieved Result by completing Task with accuracy and efficiency.
Documented and resolved Issue which led to Results.
Used Microsoft Excel to develop inventory tracking spreadsheets.
Supervised team of Number staff members.
Resolved product issue through consumer testing.
Achieved Result through effectively helping with Task.
Timeline
Credit Balance Specialist/Analyst
Cape Fear Valley Medical Center
10.2025 - Current
Scheduler Coordinator
Integrated Pain Solutions
01.2024 - Current
Patient Care Coordinator
Medicaid Contact Center
01.2023 - 01.2024
Medication Technician
Lakeshore Manor
01.2021 - 01.2022
Medical Coder/Insurance Verification/Medical Records
Eye Surgery and Laser Center
11.2020 - 03.2023
Pharmacy Technician Trainee
AdventHealth
01.2019 - 01.2021
Billing Specialist/Technician
Wyndham Bonnet Creek
01.2009 - 01.2019
Diploma - Pharmacy Technician
Everest University
Diploma - undefined
Avon Park High School
Associate of Science - Medical Administrative Billing and Coding
Lead Viral Hepatitis Nurse Specialist at University Hospitals of Derby and BurtonLead Viral Hepatitis Nurse Specialist at University Hospitals of Derby and Burton