Cynthia McCain
Rifle,CO
Summary
Dedicated healthcare professional with a proven ability to thrive in fast-paced environments and adapt to evolving demands. Committed to delivering exceptional service to customers and colleagues, leveraging strong attention to detail and a diligent work ethic. Actively seeks opportunities to enhance processes and foster positive employee relations, demonstrating a proactive approach to problem-solving. Eager to embrace continuous learning and development, with aspirations for growth into a leadership role.
Overview
43
43
years of professional experience
Work History
MEDICAL BILLING SPECIALIST
Grand River Hospital
Rifle, CO
01.2023 - Current
- Expertly managed Medicare and Medicaid billing processes to ensure compliance and accuracy.
- Managed claims processing to ensure timely and accurate resolution.
- Tracked claim advancements to facilitate efficient resolution and customer satisfaction.
- Reviewed and analyzed work claim denials to identify trends and improve resolution strategies.
- Engaged with coding teams to streamline project workflows and improve efficiency.
- Collaborated with revenue integrity analyst to enhance financial accuracy and compliance.
- Collaborated with nursing staff to enhance patient care delivery.
- Collaborated with clinic managers to enhance operational efficiency.
- Integral part of training clinic managers and registrars on Insurance/data entry
- Fluent in Next Bar, Experian, One Source, Ability, Medicare Web Portal
- Train internally throughout PFS on Meditech, Next Bar, Experian and Ability
- Managed tasks effectively to support the achievement of monthly goals.
- Championed patient advocacy in resolving insurance and billing discrepancies.
- Attend Bi-Monthly meetings to ensure clean claims are processed
LEAD CUSTOMER SERVICE SPECIALIST
AeroCare
Silt, CO
06.2013 - 11.2019
- In charge of workflow for CSR's
- Integral part of hiring and discipline
- Trained employees in BrightTree
- Data Entry
- Prior Authorization Training
- Customer Service Skills
- Phone etiquette
- Trained employees in the field
- Delivery and set up of DME
- Oxygen, Nebulizers, Wheel Chairs, Walkers etc.
- To include delivery of such items to patient homes and hospitals.
- Worked directly with nurses
- Met monthly goals
- Kept supply costs down without affecting patient care
- Managed after hour orders from hospitals and hospice/Instructed delivery personnel on proper equipment and details of delivery location
- Morning meetings (Every morning)
- Discussed after hours care
BOOKKEEPING CLERK
High Pro Roofing-Family Business
New Castle, CO
02.1992 - 06.2002
- Writing Contract
- Ordering Materials
- Customer Service
- Data entry
- HIPAA compliance
- Insurance billing
- Customer service
- Payment collection
- Verify data
- Access software
- Correct errors
- Process payments
- Relationship building
- Goal Oriented
- Billing (Quick Books)
- Any and all office jobs.
MEDICAL ASSISTANT
High Country Urology
Glenwood Springs, CO
04.1995 - 12.1996
- Provided clinical support for patient care delivery.
- Assisted physicians and clinicians with examinations, procedures and vital signs monitoring.
- Cleaned, prepared and maintained examination rooms and treatment areas.
- Sterilized and positioned instruments and equipment for examinations and procedures.
- Contributed to reduction in patient wait times with actionable solutions surrounding patient check-in processes.
- Prepared patients for examinations, procedures and treatments.
- Communicated with patients and families proactively to gather information on patient's condition.
- Remained calm and poised in emergencies by calmly interacting with patients to avoid stress and panic.
- Prepared treatment rooms for patient examinations.
- Greeted patients warmly and assisted Physician in preparing patients for exams and procedures by assessing vital signs and recording medical histories.
- Measured vital signs, including pulse rate, temperature, blood pressure, weight and height.
- Administered injections and medications, dressed wounds and collected lab specimens for tests.
- Engaged with patients, learning about each individual and establishing rapport to encourage personal comfort.
- Administered oral medications and immunizations as directed by supervising physicians.
- Supported front office billing, scheduling and patient check-ins.
- Delivered excellent patient service and strengthened patient-clinician relationship through positive interactions.
- Prepared and administered medications and vaccines to patients.
- Interviewed patients to obtain medical information and document vital signs.
CNA
Glenwood Care Center
Glenwood Springs, CO
08.1990 - 11.1992
- Responded immediately to calls from patients for assistance or treatment and alerted medical staff to emergency situations.
- Documented and reported to nurses patient behavior observations, complaints, or physical symptoms.
- Communicated with physicians, nurses and caregivers to support continuum of care.
- Monitored patients' mental and emotional wellbeing and reported concerns.
- Completed daily shift reports for smooth and informative handovers.
- Safeguarded residents' rights and confidentiality.
- Cleaned patient rooms and changed bed linens to reduce fungi and bacteria buildup.
- Bonded and worked with patients to encourage exercise and therapeutic activity participation.
- Answered call lights to aid patient comfort.
- Recorded vitals to monitor patient condition.
- Built patients' trust through compassionate, person-centered care.
- Physically supported patients with mobility issues to stand, walk and use bathroom facilities.
- Followed moving and handling procedures to lift and transport patients safely.
- Provided caring companionship to support patients' social and emotional needs.
- Safeguarded patient confidentiality by observing HIPAA and company-established protocols.
- Helped patients with daily living requirements by bathing, dressing and assisting with mobility needs.
- Provided feeding assistance to patients where necessary.
- Documented vital signs to track medical symptoms and the progress of treatments.
- Repositioned bedridden patients to prevent sores and blood clots.
- Recorded vital signs following instructions from medical staff.
CERTIFIED MEDICATION AIDE
Regency Health Care Center
Halstead, KS
05.1987 - 04.1989
- Apportioned, mixed and assembled drugs for administration to residents.
- Kept patients' MAR documentation current with name, strength and dosage of medications.
- Collected vital signs and observed patients for undesirable reactions to administered medications.
- Tracked residents' conditions and behaviors and promptly reported concerns to offer consistent protection.
- Prepared medication and documented administration to maintain optimal safety standards.
- Administered oral and topical medications to treat residents' diverse conditions.
- Assisted residents' with personal needs, including hygiene, ambulation and other Activities of Daily Living.
- Leveraged body mechanics to safely transfer, position and turn clients.
- Administered medications in accordance with physician orders and recorded distribution.
- Stored medication safely to prevent unauthorized access and theft.
- Maintained clean and organized medication cart and medication room to quickly locate and administer required medication.
- Conducted walking rounds and med cart counts with previous and oncoming shifts.
- Encouraged highest level of function, facilitating participation in self-care and medicating.
- Noted adverse drug reactions and medication side effects in patient charts.
CERTIFIED NURSING ASSISTANT
Regency Health Care Center
Halstead, KS
05.1983 - 04.1989
- Communicated with physicians, nurses and caregivers to support continuum of care.
- Documented and reported to nurses patient behavior observations, complaints, or physical symptoms.
- Responded immediately to calls from patients for assistance or treatment and alerted medical staff to emergency situations.
- Recorded vitals to monitor patient condition.
- Helped residents perform housekeeping tasks.
- Completed daily shift reports for smooth and informative handovers.
- Observed patients' by checking open wounds and existing conditions.
- Monitored patients' mental and emotional wellbeing and reported concerns.
- Prioritized assigned tasks when managing high patient caseload.
- Reviewed patient dietary restrictions, food allergies and preferences to facilitate appropriate diet.
- Bonded and worked with patients to encourage exercise and therapeutic activity participation.
- Answered call lights to aid patient comfort.
- Built patients' trust through compassionate, person-centered care.
- Communicated urgent needs to multidisciplinary team of clinical staff.
- Delivered outstanding care following individualized treatment plans.
- Safeguarded residents' rights and confidentiality.
- Cleaned patient rooms and changed bed linens to reduce fungi and bacteria buildup.
- Helped patients with daily living requirements by bathing, dressing and assisting with mobility needs.
- Recorded vital signs following instructions from medical staff.
- Repositioned bedridden patients to prevent sores and blood clots.
- Physically supported patients with mobility issues to stand, walk and use bathroom facilities.
- Provided feeding assistance to patients where necessary.
- Followed moving and handling procedures to lift and transport patients safely.
- Provided caring companionship to support patients' social and emotional needs.
- Safeguarded patient confidentiality by observing HIPAA and company-established protocols.
Education
HIGH SCHOOL DIPLOMA -
Newton High School
Newton, KS08.1984
No Degree - prerequisites for a Medical Assistant
Colorado Mountain College
Rifle, COCertified Professional Biller - Billing/Coding
AAPC
CPC - Coding
AAPC
Rifle, CO10-2025
CAH CBS - Healthcare
Arch Pro Coding
Rifle, CO10-2022
RH CBS - Healthcare
Arch Pro Coding
Rifle, CO10-2024
Skills
- Efficiently structured tasks
- Foster open dialogue
- Patient support specialist
- Deliver results beyond requirements
- Consistent adherence to deadlines
- Trustworthy in commitments
- Proficient in medical terminology
- Team leadership
Timeline
MEDICAL BILLING SPECIALIST
Grand River Hospital
01.2023 - Current
LEAD CUSTOMER SERVICE SPECIALIST
AeroCare
06.2013 - 11.2019
MEDICAL ASSISTANT
High Country Urology
04.1995 - 12.1996
BOOKKEEPING CLERK
High Pro Roofing-Family Business
02.1992 - 06.2002
CNA
Glenwood Care Center
08.1990 - 11.1992
CERTIFIED MEDICATION AIDE
Regency Health Care Center
05.1987 - 04.1989
CERTIFIED NURSING ASSISTANT
Regency Health Care Center
05.1983 - 04.1989
Certified Professional Biller - Billing/Coding
AAPC
HIGH SCHOOL DIPLOMA -
Newton High School
No Degree - prerequisites for a Medical Assistant
Colorado Mountain College
CPC - Coding
AAPC
CAH CBS - Healthcare
Arch Pro Coding
RH CBS - Healthcare
Arch Pro Coding