Verified patient eligibility for medical claims and determined benefit coverage.
Submitted and tracked medical claims to insurance companies via electronic or paper methods.
Resolved issues related to denied or underpaid claims in a timely manner.
Assisted claimants, providers and clients with problems or questions regarding claims.
Coordinated and planned investigations of claims to confirm compensability and coverage.
Retained strong medical terminology understanding in effort to better comprehend procedures.
Medical Assistant
Huntsville Hospital Physician Care
Madison, AL
06.2021 - 02.2022
Assisted physicians with patient care by taking vital signs, patient histories and preparing patients for examinations
Administered injections, medications and treatments as directed by the physician.
Performed basic laboratory tests such as urinalysis and blood glucose levels under direct supervision of a physician or registered nurse.
Maintained accurate medical records through filing, charting, transcription and data entry into electronic health record system.
Assign and maintain proper condition codes/ICD-10 codes/procedure codes into billing system
Specialized in insurance verification causing a 30% reduction in returned claims for the billing department
Acted as liaison between patients, insurances, and physicians to obtain authorizations and medical records
Perform venipuncture, process collected specimen and prepare for shipping
Prepared patients for doctor examination by performing various diagnostic procedures including medical history, vital signs, urinalysis, flu and strep resting
Implemented quality assurance and ensured compliance of HIPPA and OSHA regulations.
Patient Care Technician
UAB Hospital
Birmingham, AL
12.2019 - 03.2021
Assisted in preparing patients for examinations and treatments, including vital signs monitoring.
Administered prescribed medications under the supervision of a Registered Nurse.
Performed EKGs, phlebotomy, and other laboratory tests as directed by physician or RN.
Ensured that all medical equipment was properly maintained and sterilized.
Maintained accurate records of patient care, condition, progress, and concerns.
Explained treatment procedures to patients and their families.
Provided emotional support for patients and families during difficult times.
Collected specimens such as urine samples for testing purposes according to established protocols.
Answered call lights promptly and responded appropriately to requests from patients, families, staff members.
Reported any observed changes in behavior or physical condition to the nursing staff immediately.
Education
Bachelor of Science - Public Health
The University of Alabama Birmingham
12-2019
Skills
CODING AND FILLING OUT INSURANCE FORMS
STRONG COMMUNICATION & LEADERSHIP SKILLS
DIAGNOSTIC CODING FOR INSURANCE
MEDICAL TERMINOLOGY
MEDICAL CODING/BILLING
PERFORMING DATA ENTRY TASKS TO DOCUMENT PATIENT RECORDS WITHIN FACILITY DATABASES
Insurance Customer Service Specialist at Brian Moore State Farm & Brent Holman State FarmInsurance Customer Service Specialist at Brian Moore State Farm & Brent Holman State Farm