Strong leader and problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency. Uses independent decision-making skills and sound judgment to positively impact company success.
Dedicated professional with a history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges.
Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills.
Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level position.
Detail-oriented individual with exceptional communication and project skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for taking proactive approach to identifying and addressing issues,
Overview
39
39
years of professional experience
1
1
Certification
Work History
Business Owner
TC Trucking LLC
09.2021 - Current
Established strong customer relationships through excellent communication and attentive service.
Managed daily operations for a successful small business, ensuring efficient processes and quality services.
Established a loyal customer base of 10 by providing personalized attention, addressing concerns promptly, and exceeding expectations.
Enhanced company reputation by consistently delivering exceptional service quality to customers.
Researched trends and current innovations to determine competition and develop competitive pricing points.
Maintained compliance with industry regulations through regular audits and updates of policies or procedures as needed.
Collaborated with multidisciplinary teams to ensure timely submission of documentation required for insurance approval.
Improved patient care by efficiently coordinating authorizations for up to 75 medical procedures and treatment plans per day.
Facilitated timely renewals of ongoing authorizations by closely monitoring expiration dates and initiating renewal processes proactively.
Calculated estimated copay based on current insurance benefits.
Reviewed authorizations from payer to determine approved or denied items.
Enhanced communication between healthcare providers and insurance companies, reducing delays in patient treatment approvals.
Submitted for prior authorization with required documentation to appropriate funding source.
Maintained consistent follow-up on status of prior authorization requests.
Reviewed documentation for accuracy and assessment of necessity.
Provided exceptional customer service to patients, addressing their concerns related to insurance coverage and authorizations promptly and empathetically.
Streamlined authorization processes by implementing a centralized tracking system for pending and approved requests.
Stayed informed about regulatory changes relevant to the healthcare industry, ensuring compliance in all authorization activities.
Participated in regular audits of authorization files, addressing discrepancies and implementing corrective actions as needed.
Reduced errors in documentation submissions by performing meticulous quality checks before forwarding them to insurance companies.
Decreased processing time for authorizations by establishing strong relationships with insurance representatives and case managers.
Acted as a resource for clinical staff, providing guidance on insurance requirements and authorization protocols.
Increased efficiency in handling authorization cases through effective prioritization based on urgency and complexity levels.
Gathered records pertinent to specific problems, reviewed for completeness and accuracy and attached records to correspondence as necessary.
Maintained files and controlled records to show correspondence activities.
Data Entry
Wulfenstein Construction
10.2010 - 06.2019
Data entry, fleet maintenance records, fire extinguisher inspections and safety records.
Accuracy in yearly inspections.
Timely inspections, accurate record keeping.
Supported project success with precise data entry and thorough documentation of observations.
Applied data entry knowledge skills to resolve indecipherable or garbled messages.
Increased efficiency by streamlining processes for data entry and file management tasks.
Streamlined data entry processes for increased accuracy and productivity.
Reduced errors in data entry by meticulously reviewing and validating information before submission.
Completed recordkeeping, filing and data entry duties.
Office Manager
The Rock Yard
02.2010 - 02.2011
All aspects of office functions. Billing, receiving, taking and filling up to 50 orders a day, taking inventory, etc.
Customer service and built customer base. Collected on collection bills.
Skills Used
Exceptional customer service, filing, telephones, etc.
Co Owner
Kinkade Trucking
11.1986 - 06.2010
Responsibilities
All aspects of running and maintaining a business.
Accomplishments
Ran a successful trucking company for 25 years.
Skills Used
Ordering, scheduling, A/P, A/R, filing, billing, record keeping, etc.
Education
High School Diploma -
Apple Valley High School
Apple Valley, CA
06-1980
Certificate - Medical Terminology
Victor Valley ROP
Apple Valley, CA
Certificate - Medical Billing and Coding
Hesperia School District ROP
Hesperia, CA
Skills
Thorough documentation review
Experience in medical records
Experienced in medical terminology usage
Five years of ICD-10 experience
Five years of CPT coding experience
Experience with EMR implementation
Clinical experience in hospital settings
Insurance eligibility verification
Skilled in patient scheduling
Proficient in data entry
Five years of HIPAA experience
Document organization
Attention to detail
Work Planning and Prioritization
Issue resolution
Process improvement
Certification
Certificate in Medical Terminology
Attended a college class and received certification in Medical Terminology.
Certificate in Medical Billing and Coding
Attended a college class and received certification in Medical Coding and Billing.