Summary
Overview
Work Availability
Work History
Education
Skills
Certification
Timeline

Connie McClain

Arlington,VA

Summary

I am an organized and dedicated candidate with proven track record of providing exceptional customer service in fast-paced environments. I offer keen attention to detail and strong decision-making skills to manage multiple, concurrent tasks. I am motivated by my professional work ethic to perform effectively in independent or team environments.

Overview

10
10
years of professional experience
1
1
Certificate

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Work History

Insurance Specialist

Rayus Radiology
08.2023 - 09.2023
  • Maintained high standards of customer service by building relationships with clients.
  • Processed eligibility and benefits verification and authorization requests for up to or over 40 patients per day.
  • Maintained confidentiality of patient finances, records, and health statuses.
  • Resolved discrepancies in insurance payments by collaborating with carriers.
  • Followed up on denials, late payments, extensions and other special circumstances.
  • Tracked pending authorizations to resolve discrepancies and avoid revenue loss.

Medical Secretary/Receptionist

Anderson Orthopaedic Clinic
01.2023 - 08.2023
  • Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
  • Confirmed appointments, communicated with clients, and updated client records.
  • Managed master calendar and scheduled appointments for providers based on optimal patient loads and clinician availability.
  • Submit authorization request for Musculoskeletal surgical procedures, including drugs, and durable medical equipment.
  • Supported office staff and operational requirements with administrative tasks.
  • Enhanced office productivity by handling high volume of up to 60 callers per day.

Administrative Assistant

Gym-Jam Therapeutics
08.2021 - 11.2022
  • Managed up to 50 or more phone calls and email correspondence and handled incoming and outgoing mail and faxes
  • Perform monthly clearance check on all clinical providers licenses through PA State OIG, DSSH, and SAM database
  • Query rendering providers to correct documentation errors for accurate billing
  • Contact insurance to verify insurance information and obtain billing authorization
  • Document patient demographic information, medical data and insurance details to facilitate smooth appointments and payment processing
  • Managed master calendar and scheduled appointments for clinicians based on optimal patient loads and provider's availability

HOME LEARNING COACH

K12 Cyber School
09.2020 - 06.2021
  • Complete logs and updated student documents for institutional and personal recordkeeping
  • Supported two homebound students with complete instructional assistance
  • Implemented instructional technology support using various tools for teaching and learning
  • Guided students in comprehension and completion of homework as well as for ongoing literacy work
  • Documented course development and archival processes as requested

Overnight Price Management Specialist

Walmart
08.2017 - 12.2019
  • Responsible for setting up racks and units used for displays, and work in conjunction with sales associates, merchandising staff, and managers
  • Interpret instructions when assembling new displays
  • Inspected floor displays, noted missing items and immediately replenished merchandise
  • Maintained current knowledge of shelf planograms and end cap plans to effectively merchandise products
  • Evaluated customer needs and feedback to drive product and service improvements
  • Help increase marketing, retail sales by over 20% daily

Environmental Service Technician

A.C.G. Enterprise Ltd
09.2016 - 01.2017
  • Applied correct chemical solutions and used proper equipment to avoid damage to floors and fixtures
  • Established and maintained clean and comfortable environments in warehouse buildings by vacuuming, cleaning windows and dusting
  • Hand-dusted and wiped down office furniture, fixtures and windowsills to keep areas clean and comfortable
  • Supervised supplies in inventory, including sanitation supplies and office supplies and submitted lists to office administrator for items requiring immediate reorder

Salad Bar Attendant/ Prep Cook

Hoss's Steak & Seafood Restaurant
12.2015 - 09.2016
  • Complied with safety standards while handling food and buffet equipment
  • Recorded, monitored, and maintained optimal and required food temperatures through kitchen, restaurant, and storage areas
  • Utilized culinary and cutlery tools to prepare various foods for cooking or cold dish presentations
  • Prepared cooking supplies, ingredients and workstations during opening and closing procedures to maximize efficiency
  • Promoted customer satisfaction by preparing food according to standard recipes with modifications based on individual customer requirements
  • Prepare and cook appetizers, side dish and salads for over 500 customers at times.

Prep/Breakfast Cook

Paradise Hotel
03.2015 - 10.2015
  • Conferred with cooks to produce accurate orders, verifying accuracy prior to delivery
  • Created orders, documented special requests and followed up with kitchen personnel to foster top-quality service and minimize complaints
  • Assisted preparation of food plates, overseeing quality and appearance
  • Maintained kitchen productivity, guaranteeing timely preparation and serving of dishes in alignment with customer specification
  • Can host up to 500 pax per day

Education

C.B.C.S - Medical Billing And Coding

PrimeTech America, Pottsville, PA
09.2020

Medical Coding

Medical Insurance Billing Processing & Claims

Medical Terminology

Reporting Guidelines Credit and Collections Legal Competencies

CBCS Certification # T9L6J7T6 - NationalHealthCareer Association - September 2024

Skills

  • 10 years experience, customer service
  • 6 years experience, administrative support
  • Certified medical and billing coder specialist (CBCS)
  • ICD 10 codes, CPT Codes
  • HIPAA Compliance
  • Medical terminology
  • Organizational skills
  • Attention to detail
  • Empathy and Understanding
  • Technical proficiency

Certification

  • CBCS Certification # T9L6J7T6 NationalHealthCareer Association - September 2024

Timeline

Insurance Specialist - Rayus Radiology
08.2023 - 09.2023
Medical Secretary/Receptionist - Anderson Orthopaedic Clinic
01.2023 - 08.2023
Administrative Assistant - Gym-Jam Therapeutics
08.2021 - 11.2022
HOME LEARNING COACH - K12 Cyber School
09.2020 - 06.2021
Overnight Price Management Specialist - Walmart
08.2017 - 12.2019
Environmental Service Technician - A.C.G. Enterprise Ltd
09.2016 - 01.2017
Salad Bar Attendant/ Prep Cook - Hoss's Steak & Seafood Restaurant
12.2015 - 09.2016
Prep/Breakfast Cook - Paradise Hotel
03.2015 - 10.2015
PrimeTech America - C.B.C.S, Medical Billing And Coding
Connie McClain