Summary
Overview
Work History
Education
Skills
Timeline
Generic

Cynthia Walker Antoine

Summary

As an Office Administrator my primary objective is to support the business operations by coordinating operations and ensuring exceptional customer service. Creating a positive and productive work environment by communicating with clients and team members, setting clear goals, achieving advances in revenue. To seek and maintain a position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.

Overview

31
31
years of professional experience

Work History

Customer Service Representative

Pizza Hut
10.2023 - 05.2024
  • Developed rapport with customers through active listening skills, leading to higher sales and tip retention rates and positive feedback from clients.
  • Utilized computer report data to monitor sales performance trends regularly, identifying areas for improvement.
  • Fostered a customer-centric culture within the team by consistently reinforcing the importance of empathy, understanding, and patience in all interactions with clients.
  • Enhanced customer satisfaction by promptly addressing concerns and providing accurate information to Store and Shift Manager.

Medical Billing Specialist

BayMark Health Services of LA
1720 Lakepointe, Suite 117, Lewisville, TX 75057, TX
12.2020 - 05.2022
  • Revenue Cycle Billing 1500 Claims for a Behavioral Health Facility serving Substance Abuse Clients and providing Counseling with Clinical Services.
  • Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience with Primary Care Physicians.
  • Coordinated with Office staff, Accounting, Human Resource, Management to address any discrepancies or concerns related to charge capture or data entry accuracy.
  • Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
  • Weekly and Monthly Financial Production Reports to Management Team.

Consulting Medical Biller

Choices of Louisiana
128 Woodland Street, LaPlace, LA
10.2020 - 12.2020
  • Organized filing system for Veterans and Behavioral Health patient records, expediting access to essential documents for Counselors and Physicians when needed.
  • Assisted patients in understanding insurance benefits, copays, deductibles and importance of Medication treatment, referral to Primary Care Physician.
  • Ensured timely payments from insurance providers through submission of accurate Revenue Cycle clean 1500 electronic claims with Change Healthcare Software.
  • Retrieve and Resolved discrepancies in accounts receivable reports, contributing to improved cash flow management. Updating front office staff on patients responsibility.

Medical Billing Specialist

Behavioral Health Solutions
01.2020 - 08.2020
  • Provided exceptional customer service to both patients and insurance representatives, resolving inquiries quickly and professionally.
  • Reduced errors in medical billing by meticulously reviewing EMR, current insurance and verification ensuring demographics accurate claim processing.
  • Coordinated with Medical Assistant, Social Worker, APRN, Physician, NP to address any discrepancies or concerns related to charge capture and coding accuracy.
  • Enhanced revenue collection through diligent follow-up on secondary and third party unpaid claims and denials with insurance companies.

Healthcare Reimbursement Externship

Premier Health Consultants
10319 Jefferson Highway, Baton Rouge, LA 70809, LA
04.2014 - 06.2014
  • Processed two thousand HCFA's and CMS 1500 Claims valued at $436 thousand dollars of unprocessed Urgent Care claims.
  • Assigned and executed Special Accounting Project using Excel, auditing patient accounts effectively, resoling discrepancies and addressing outstanding balances in a timely manner.
  • Managed budgetary resources allocated towards administration of the externship program efficiently while maximizing impact on student success rates.

Lead Medical Insurance Biller

Medical Management Options
01.2006 - 01.2007
  • Increased revenue by accurately coding medical procedures according to Centers for Medicare and Medicaid and Blue Cross Blue Shield of LA guidelines.
  • Maintained excellent professional relationships with insurance company representatives, facilitating efficient claim processing and reimbursement including denials and appeals.
  • Ensured compliance with HIPAA regulations while managing sensitive patient information during the billing process.
  • Resolved complex billing issues for Revenue Recycle Hurricane Katrina claims by collaborating with insurance departments and claim external agencies in resolving discrepancies for payment.

Medical Biller and Medical Coder

CalMed Incorporated
37463 Dutton Rd, Suite 100 Prairieville, LA 70769, LA
02.2004 - 09.2005
  • Participated in team projects, Auditing and Reestablish Medical Revenue Applications. Demonstrating an ability to work with various software (Data Strategies System, Eiligence, Med-Soft, PTOS, Medical Manager, Zurmid Software effectively.
  • Provided Revenue Recycle Billing and Coding Services to Urgent Care, Family Practice, Physical Therapy, Orthopedic, Durable Medical Equipment Facilities.
  • Adhere to Centers of Medicare and Medicaid Requirements and HIPPA Guidelines, for Managed Care, Health Maintenance Organizations, Preferred Provider Organizations, Blue Cross Blue Shield of LA and Private delivering services to customer locations within specific timeframes.
  • Resolved problems, improved operations and provided exceptional Accounting Service, Denial bucket system and Appeals.

Receptionist, Medical Coder, Medicare Biller

St. Philip Family Clinic, Dr Roland Waguespack Jr.
1108 St. James Street, Vacherie, LA 70090, LA
07.1993 - 12.2003
  • Supported office efficiency by performing clerical tasks such as data entry, photocopying, scanning, and faxing documents.
  • Handled cash transactions and maintained Day Sheet payments records accurately.
  • Coded patient charts, collected copayments, deductibles processed transactions and updated relevant records.
  • Reduced claim denials by maintaining thorough knowledge of payer-specific requirements and guidelines.
  • Contributed to revenue growth by identifying undercoded services for proper reimbursement.
  • Demonstrated strong multitasking abilities while managing appointment schedule, walk-ins, authorizations, referrals, filing system.
  • Maintained confidentiality of information regarding clients and company.

Education

AS - Office Administration

Nicholls State University
Thibodaux, LA
Dec 1979

AS - Healthcare Reimbursement

Virginia College
Baton Rouge, LA
May 2014

Certificate Medical Coding -

University of New Orleans
New Orleans, LA
May 1995

Skills

  • Customer Service
  • Insurance Verifications
  • Electronic Billing
  • Revenue Recycle Billing
  • Medical Coding
  • Accounting-Accounts Receivable-Posting Payments
  • Filing Medicare Appeals
  • Proficient ICD-9,10 CM, CPT-4, HCPC's Coding, Durable Medical Equipment
  • Microsoft Office 365
  • Collaboration and Teamwork
  • Data Entry Efficiency
  • Excellent Communication
  • Problem-Solving
  • Time management abilities
  • Word Processor
  • MEMBERSHIP
  • American Academy of Professional Coders
  • National Honor Society Alpha Beta Kappa
  • Knights of Peter Claver Ladies Auxiliary
  • 5th Station Social Apostolate

Timeline

Customer Service Representative

Pizza Hut
10.2023 - 05.2024

Medical Billing Specialist

BayMark Health Services of LA
12.2020 - 05.2022

Consulting Medical Biller

Choices of Louisiana
10.2020 - 12.2020

Medical Billing Specialist

Behavioral Health Solutions
01.2020 - 08.2020

Healthcare Reimbursement Externship

Premier Health Consultants
04.2014 - 06.2014

Lead Medical Insurance Biller

Medical Management Options
01.2006 - 01.2007

Medical Biller and Medical Coder

CalMed Incorporated
02.2004 - 09.2005

Receptionist, Medical Coder, Medicare Biller

St. Philip Family Clinic, Dr Roland Waguespack Jr.
07.1993 - 12.2003

AS - Office Administration

Nicholls State University

AS - Healthcare Reimbursement

Virginia College

Certificate Medical Coding -

University of New Orleans

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Cynthia Walker Antoine