Highly effective Medical professional with excellent written and verbal communication skills, demonstrated expertise with training and technical writing, problem solving, and increasing customer retention; looking to pursue a challenging career with an exceptional healthcare organization that will give an opportunity to contribute skills and abilities.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Medical Office Associate/Rehab Assistant
Centra health
Lynchburg, VA
07.2022 - Current
Worked under the direction of a licensed therapist to provide therapy needs of a patient, including doing mobile specific exercises with a patient within their scope of injury
Communicated with patients with compassion while keeping medical information private.
Provided support to clinical staff by preparing exam rooms and assisting with patient care needs.
Prepared treatment rooms for patients by cleaning surfaces and restocking supplies.
Scheduled appointments for patients via phone and in person.
Collected payments from patients for co-pays or services rendered.
Maintained smooth flow of examinations to keep appointments on schedule.
Adhered to HIPAA requirements to safeguard patient confidentiality.
Communicated with patients to resolve inquiries, schedule appointments and address billing questions.
Monitored inventory levels of medical office supplies and coordinated orders when needed.
Managed front office activities, such as filing paperwork, maintaining records and ordering supplies.
Assisted with scheduling appointments and verifying insurance coverage.
Medicare/medicaid Caseworker I
Centra Health
Lynchburg, VA
10.2020 - 07.2022
Verified and processed Medicare claims with accuracy and efficiency.
Maintained a working knowledge of CPT and HCPCS codes, ICD-10 codes, modifiers, fee schedules, insurance plans.
Provided customer service support via telephone or email to resolve any outstanding issues or inquiries.
Monitored aging reports to ensure timely reimbursement from payers.
Reviewed daily correspondence to determine proper handling
Reviewed account information to confirm patient and insurance information is accurate and complete.
Input details into accounts and tracked payments.
Trained new employees on proper procedures for handling Medicare claims submissions.
Identified trends in denials or rejections in order to proactively address problems before they occur.
Participated in weekly team meetings to discuss case management strategies and review progress towards established goals.
Resolved discrepancies in billing information and updated patient accounts accordingly.
Reviewed medical records, identified relevant diagnosis codes, and applied appropriate procedure codes for billing purposes.
Clinical System & Revenue Analyst Intern
Centra Health
Lynchburg, VA
06.2018 - 10.2020
Assisted with implementing Cerner Go-live
Validated data prior to importing into PowerChart
Maintained various data tables for AR Reduction Project
Created clinical workflow checklist for General Surgery nurses and surgeons
Assisted in creating and maintaining various Spanish consent forms
Processed and maintained Commercial, Workers Comp, and Veteran Administration claims.
Part-time aide COUNSELOR
ymca Child care
08.2016 - 05.2018
Observed and monitored children’s play activities
Completed individual children’s record with daily observations, activities and meals served
Implemented grade appropriate study techniques
Followed USDA’s food guideline for meals and snacks.
SALES ASSOCIATE/ 2ND ASSISTANT MGR
CATO CORPORATION
02.2015 - 08.2016
Ensured maximum customer satisfaction
Maintained daily transaction records and generated store manager’s reports
Checked inventory and completed requests to replenish merchandise
Assisted in sales floor design and training of new sale associates.
Education
Bachelor of science - Biology
university of lynchburg
05.2020
associate of arts and science -
Central VA community college
05.2016
Skills
Thrive in a high-pressure, fast paced, deadline driven environment
Build partnerships and foster collaborative relationships
Well-versed with Cerner apps: Revenue Cycle, PowerChart, and NThrive
Microsoft Office and Outlook proficiency
Versed in FormDesigner and FormImprint
Meticulous attention to detail
Dedicated team player
Resourceful
Self-directed
Strong problem solver
Excel spreadsheets
Certification
BLS and CPR Certified
U.S Health Insurance Portability and Accountability Act (HIPAA) Certification