Haley Ridge
Livermore,ME
Summary
Newly certified CPC with hands-on training in documentation review and basic billing processes. Bringing strong analytical skills, a detail-focused mindset, and enthusiasm for developing expertise in coding accuracy and compliance. Excited to begin a career in medical coding and contribute to efficient revenue cycle operations.
Overview
9
9
years of professional experience
Work History
Case Facilitator
Unum
Portland, ME
02.2022 - Current
- Accurate set up of case files in Salesforce and Case Tracker, generation of letters, letter revisions, withdrawals, broker of record changes, and case name changes
- Accurate data collection
- Create and maintain spreadsheets
- Collaborate with partners for accurate case handlings
- Actively participate in partners calls to effective resolve issues to achieve superior customer satisfaction
Customer Service Representative
Colonial Life & Accidental Insurance
Portland, ME
11.2020 - 02.2022
- Established membership loyalty, executing flawless customer retail account management
- Assisted the claims department with doctor letter follow-ups
- Engaged in team activities such as sending out a weekly newsletter promoting metric goals and updates throughout the business
- Escalated customer satisfaction ratings by offering valuable insights to customers' needs and expectations
- Documented and tracked customer account details using multiple complex systems
- Exceeded team goals by partnering with staff to share and implement best practices
Client Service Representative
Androscoggin Bank
Auburn, ME
05.2020 - 11.2020
- Served customers by completing account transactions
- Provided account services to customers by receiving deposits and loan payments, cashing checks, issuing savings, transfers, and wires
- Sold cashier's checks, traveler's checks, and series e bonds
- Answered questions in person or on telephone and refers customers to other bank services as necessary
- Used strong call management skills control of conversations and consistently meet performance targets
- Navigated multiple computer programs during each call to locate information, document interactions, and put solutions into motion
- Performed administrative support functions such as processing payments and reconciling accounts
- Educated clients on how to conduct transactions with convenient online solutions
- Promoted client satisfaction by working with operational teams in proper resolution of service issues
IMMPACT Specialist
Central Maine Pediatrics
Lewiston, ME
06.2019 - 05.2020
- Upload our patient's historical immunization records all of whom are under the age of 19 which include 8,000 patients just in our office into IMMPACT
- Correct and ensure our records align with those that are in IMMPACT
- Uploading live vaccines given in our office daily into the repository
- Order needed vaccines that are given on a daily bases to keep our patients on their vaccine schedule
- Count vaccines in our refrigerator daily to confirm that all clinical staff is charting vaccines correctly, to keep track of how many vaccines we are administering on a day to day basis, and to make sure our count is aligned with that in IMMPACT
- Protected business from unnecessary liability by carefully following security and safety standards
- Updated records with current vaccinations and information for effective business recordkeeping
- Recorded and reported job-related activities, findings, discrepancies and decisions
Referrals Coordinator
Central Maine Pediatrics
Lewiston, ME
11.2018 - 05.2020
- Manage multi-patient records ensuring all pertinent documentation is sent to specialists including but not limited to: growth charts, vitals, labs, imaging, and office visit notes
- Follow up with families and specialty offices to continue the best of care for our patients, assuring an appointment is made and insurance is able to cover the visit so our patients families are not burdened with a bill for health care
- Due diligence for 9 providers in our offices to stay up to date with what facilities are accepting, how long wait lists are, and what specific diagnosis are best t with our patients needs and compatible facility
- Managed up to 50 patient referrals daily through multi-line telephone system
Patient Service Representative
Central Maine Pediatrics
Lewiston, ME
11.2017 - 11.2018
- Check-in patients correctly imputing insurance information and collecting co- payments
- Other jobs include answering phones regarding medical care questions and scheduling, build providers templates for their day to day operations, building the patient service representative monthly schedule, referrals, do the deposit for the intake of co-payments daily
- Onboarded and trained new hires on daily duties and responsibilities
- Provided front desk support and customer service satisfaction to patients, with courtesy, respect, and professionalism
- Participated in meetings and coordinated patient care requirements with other care providers
- Documented and managed patient information in computer system
Skills
- Medical Records & Documentation Review
- Medical Terminology
- Compliance Knowledge
- Attention to detail
- ICD-10-CM Coding
- HCPS & CPT
- Electronic health records navigation
- HIPAA compliance awareness
Timeline
Case Facilitator
Unum
02.2022 - Current
Customer Service Representative
Colonial Life & Accidental Insurance
11.2020 - 02.2022
Client Service Representative
Androscoggin Bank
05.2020 - 11.2020
IMMPACT Specialist
Central Maine Pediatrics
06.2019 - 05.2020
Referrals Coordinator
Central Maine Pediatrics
11.2018 - 05.2020
Patient Service Representative
Central Maine Pediatrics
11.2017 - 11.2018