Elgin Spencer
Tacoma,WA
Summary
Competent Medical Insurance Qualifier with experience in handling wide variety of medical coding and billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Expertise in accurately inputting procedure and diagnosis codes into billing software to generate invoices.
Overview
5
5
years of professional experience
Work History
Qualifier/Billing Department
Performance Home Medical
01.2024 - Current
- Oversaw the transition from manual to automated billing systems, enhancing overall department productivity.
- Ensure accuracy and currency of patients' insurance details, including coverage, policy numbers, and necessary pre-authorizations
- Verify suitable medical codes utilizing standard code sets like ICD and CPT
- Compile and submit insurance claims to healthcare payers adhering to specific guidelines and deadlines
- Collaborated with sales and customer service departments to resolve complex billing issues, improving client satisfaction rates.
- Keep comprehensive records of billing and coding activities, including patient data, services provided, and communications with insurance companies
- Maintain compliance with healthcare regulations like HIPAA and stay updated on coding guidelines and insurance policies
- Communicate effectively with providers, administrative staff, and stakeholders to resolve billing issues and optimize reimbursement processes.
Owner/Designer
9Prints
01.2020 - Current
- Established and managed a successful clothing company, overseeing all aspects of operations, including design, production, marketing, and sales
- Managed day-to-day business operations.
- Managed the end-to-end product lifecycle, from conceptualization and design to sourcing materials, production, and quality control
- Managed budgeting, financial planning, and inventory control to optimize profitability and minimize operational costs
- Adapted to industry changes and challenges by innovating product lines and adjusting business strategies accordingly.
- Developed and maintained strong relationships with clients, resulting in repeat business and referrals.
Contracted Driver
Uber/Lyft
01.2022 - 12.2023
- Developed strong relationships with clients through excellent customer service and professionalism.
- Managed accurate record-keeping for hours driven, mileage, fuel purchases, and expenses for reporting purposes.
- Maintained a clean and well-maintained vehicle, ensuring a comfortable and secure travel experience
- Exhibited excellent customer service skills, receiving positive ratings and feedback from passengers
- Provided safe and reliable transportation services to passengers using the Lyft platform.
- Increased route efficiency with thorough knowledge of local roads, highways, and traffic patterns.
- Maintained a high safety rating by adhering to all traffic laws and company safety protocols.
Over-The-Road Truck Owner/Operator
Globex Transport
04.2022 - 04.2023
- Established and managed an over-the-road trucking company, overseeing all operational facets, including fleet management, logistics, and compliance
- Maintained high standards of safety through thorough pre-and post-trip inspections and adherence to federal regulations.
- Ensured compliance with federal and state regulations, maintaining up-to-date knowledge of safety standards and transport laws
- Utilized technology and software solutions for tracking, reporting, and optimizing transportation operations, streamlining processes and enhancing productivity.
- Achieved on-time delivery rates by effectively managing time, prioritizing tasks, and utilizing GPS technology.
Over-The-Road Truck Owner/Operator
Landstar
04.2019 - 04.2023
- Established and managed an over-the-road trucking company, overseeing all operational facets, including fleet management, logistics, and compliance
- Ensured compliance with federal and state regulations, maintaining up-to-date knowledge of safety standards and transport laws
- Utilized technology and software solutions for tracking, reporting, and optimizing transportation operations, streamlining processes and enhancing productivity.
- Achieved on-time delivery rates by effectively managing time, prioritizing tasks, and utilizing GPS technology.
- Maintained high standards of safety through thorough pre-and post-trip inspections and adherence to federal regulations.
- Managed financial aspects of the business effectively to maximize profits while minimizing costs such as insurance premiums or equipment leasing fees.
Education
CBCS Certification - Medical Billing And Coding
University of Incarnate Word
San Antonio03.2024
High School Diploma -
Fayette County High School
Fayetteville, GA01.2002
Skills
- Leader
- HIPAA knowledge
- Claims Processing
- Insurance Verification
- Accounts receivable management
- Team Management
- Adaptable
- Service Orientated
Timeline
Qualifier/Billing Department
Performance Home Medical
01.2024 - Current
Over-The-Road Truck Owner/Operator
Globex Transport
04.2022 - 04.2023
Contracted Driver
Uber/Lyft
01.2022 - 12.2023
Owner/Designer
9Prints
01.2020 - Current
Over-The-Road Truck Owner/Operator
Landstar
04.2019 - 04.2023
CBCS Certification - Medical Billing And Coding
University of Incarnate Word
High School Diploma -
Fayette County High School
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