Well-rounded professional backed by patient care and customer service experience. Able to provide timely and accurate data to ensure reimbursement for patient services. Follow policies, procedures, and guidelines to ensure consistent quality. Maintain and assure patient privacy and confidentiality.
Manage deadlines and meet quality standards with accuracy and consistent attention to detail.
Able to make decisions based on facts and experience and implement course of action.
Critical thinking skills necessary to interpret and apply information and resolve problems. Communication Platforms – Zoom, Skype, Google Meet, and MS Teams Microsoft Office Applications – Word, Excel, and PowerPoint | Type65 WPM Medical Billing Accounts Receivable Collections Co-Pay Deductibles Co-Insurance EOBs Revenue Cycle Management Posting Payments Government (Medicare & Medicaid) Third Party Payers Insurance Verification Medical Office Procedures Electronic Health Records (EHR) Electronic Medical Records (EMR) Managed Care (HMO PPO POS) Workers Compensation Insurance Claim Processing CMS1500 CMS1450 (UB-04) eClinicalWorks Front Office Operations Scheduling Medical Terminology Anatomy & Physiology HIPAA Compliance Medical Coding (ICD-10-CM HCPCS CPT) Authorized to work in the US for any employer
Overview
4
4
years of professional experience
1
1
Certification
Work History
Patient Access Specialist
Rural Health Group
09.2023 - Current
Responsible for managing and processing patient accounts, ensuring accurate billing and payment processes
Key duties typically include:
Billing and Coding: Verify and prepare billing statements, ensuring compliance with insurance policies and regulations
Insurance Verification: Confirm patient insurance coverage and eligibility prior to services rendered
Account Management: Monitor and manage patient accounts, including follow-ups on outstanding balances and payment plans
Customer Service: Address patient inquiries regarding billing, insurance, and account status, providing assistance and resolving issues
Documentation: Maintain accurate records of patient interactions, payments, and adjustments in the database
Collaboration: Work closely with healthcare providers, insurance companies, and other departments to ensure smooth account processing
Compliance: Stay updated on healthcare regulations and billing practices to ensure compliance
Skills required often include attention to detail, strong communication abilities, and proficiency in billing software or electronic health records (EHR) systems
Jewelry Consultant / Customer Service
KAY Jewelers-Roanoke Rapids, NC
Roanoke Rapids, NC
08.2022 - Current
Train new hires, answer inbound telephone calls, and verify and confirm internal stock
Greet customers, identify customer's needs, offer financing options, handle repairs and warranty, and meet sales goals
Upsell products, operate cash register, scan items, accept payment, and maintain accurate cash holdings
Front Desk Receptionist/Administrative Assistant
Liberty Commons Rehabilitation-Weldon, NC
Weldon, NC
08.2020 - 08.2022
Welcoming guests: Greeting visitors verbally or on the phone
Responding to phone calls: Addressing phone inquiries, jotting down messages, and transferring calls to the right departments
Organizing schedules: Managing schedules for the office and colleagues
Organizing paperwork: Arranging important paperwork and ensuring they are orderly
Supervising office supplies: Monitoring office supplies and ordering more when needed
Updating records: Keeping records and files up to date
Overseeing finances: Monitoring office spending and expenses
Giving guidance: Offering suitable directions to visitors
Direct Support Professional
LIFE Inc-Roanoke Rapids, NC
Roanoke Rapids, NC
01.2021 - 04.2022
Responsible for the care and wellbeing of the adult
Set a positive example in conduct and maintained safety and cleanliness of the establishment
Organized and prepared meals and assist with daily tasks
Education
Associate of Applied Science - Health Administration
Halifax Community College
Weldon, NC
11.2024
Diploma - Medical Billing and Coding
Ultimate Medical Academy
Tampa, FL
01.2024
High school diploma - High school diploma
Roanoke Valley Early College
Weldon, NC
05.2020
Skills
Medical Billing
Accounts Receivable
Collections
Co-Pay
Deductibles
Co-Insurance
EOBs
Revenue Cycle Management Posting Payments
Government (Medicare & Medicaid)
Third Party Payers
Insurance Verification
Medical Office Procedures Electronic Health Records (EHR)
Electronic Medical Records (EMR)
Managed Care (HMO
PPO
POS) Workers Compensation
Insurance Claim Processing
CMS1500
CMS1450 (UB-04)
Front Office Operations
Scheduling Medical Terminology
Anatomy & Physiology
HIPAA Compliance
Medical Coding (ICD-10-CM
HCPCS
CPT)
Medical terminology
Medical coding
EMR systems
ICD-10
HIPAA
Sales
Medical records
Accounting
Customer service
Cash handling
Accounts receivable
Communication skills
Medical billing
Typing
ICD-9
Microsoft Excel
Time management
Front desk
Bookkeeping
Windows
Marketing
Office management
Retail sales
Social media marketing
Social media management
Facebook Advertising
Google Ads
Telemarketing
Merchandising
Upselling
QuickBooks
Data entry
Accounting software
Email Marketing
Google Analytics
Microsoft Excel (4 years)
Certification
First Aid Certification
Assessments
Protecting patient privacy — Proficient August2022 Understanding privacy rules and regulations associated with patient records Full results: Proficient
Sales skills — Proficient February2024 Influencing and negotiating with customers Full results: Proficient
Call center customer service — Proficient November2021 Demonstrating customer service skills in a call center setting Full results: Proficient
Customer service — Proficient April2021 Identifying and resolving common customer issues Full results: Proficient
Work style: Reliability — Proficient August2021 Tendency to be reliable, dependable, and act with integrity at work Full results: Proficient
Technical support — Proficient June2022 Performing software, hardware, and network operations Full results: Proficient
Medical receptionist skills — Proficient June2024 Managing physician schedules and maintaining accurate patient records Full results: Proficient
Customer focus & orientation — Proficient November2021 Responding to customer situations with sensitivity Full results: Proficient
Principles of accounting — Proficient January2024 Preparing financial records according to federal policies Full results: Proficient
Bookkeeping — Proficient January2024 Calculating and determining the accuracy of financial data Full results: Proficient
Timeline
Patient Access Specialist
Rural Health Group
09.2023 - Current
Jewelry Consultant / Customer Service
KAY Jewelers-Roanoke Rapids, NC
08.2022 - Current
Direct Support Professional
LIFE Inc-Roanoke Rapids, NC
01.2021 - 04.2022
Front Desk Receptionist/Administrative Assistant
Liberty Commons Rehabilitation-Weldon, NC
08.2020 - 08.2022
Associate of Applied Science - Health Administration
Patient Access Specialist at Ensemble Health Partners – Mercy Health West HospitalPatient Access Specialist at Ensemble Health Partners – Mercy Health West Hospital