Imani Abdulrahman
La Vergne,US
Summary
Proven expert in Documentation Management and Advanced Communication, I excelled at Fast Pace Urgent Care by enhancing revenue collection and maintaining high-quality patient care. Collaborate efforts led to consistently exceeding performance targets, demonstrating exceptional problem-solving abilities and a commitment to customer relations. Achieved top performer status through diligent work and effective teamwork.
Overview
10
10
years of professional experience
Work History
Medical-billing-and-coding-specialist
Fast Pace Urgent Care
05.2021 - 08.2024
- Developed strong client relationships through consistent communication and attentive service.
- Attended training programs to deepen professional skillset and assisted in training fellow store associates on existing and new training programs.
- Followed all company policies and procedures to deliver quality work.
- Earned recognition as a top performer consistently exceeding targets throughout my tenure as a specialist in the field.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Filed and updated patient information and medical records.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Liaised between patients, insurance companies, and billing office.
- Posted and adjusted payments from insurance companies.
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
- Located errors and promptly refiled rejected claims.
- Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Efficiently processed refunds or adjustments for patients when necessary, ensuring accuracy and compliance with company policies.
- Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Verified insurance of patients to determine eligibility.
- Adhered to established standards to safeguard patients' health information.
Benefit Verification Specialist
Acadia Healthcare
05.2018 - 03.2020
- Collaborated with cross-functional teams to address discrepancies in patient information, ensuring accurate billing and reimbursement.
- Maintained up-to-date knowledge of insurance regulations, enabling accurate benefit verifications for various plans.
- Contributed to departmental goals by consistently meeting or exceeding performance metrics related to benefit verification accuracy and turnaround time.
- Assisted with developing new departmental policies and procedures to increase efficiency and maintain compliance with regulatory requirements.
- Supported the revenue cycle through diligent follow-ups on pending claims and unresolved issues.
- Provided exceptional customer service by addressing patient concerns regarding coverage and out-of-pocket expenses.
Medical Receptionist
Capstone Pediatrics
01.2016 - 07.2019
- Helped patients complete necessary medical forms and documentation.
- Contributed to a positive work environment by collaborating effectively with colleagues and supporting team initiatives.
- Assisted healthcare providers with administrative tasks, enabling them to focus on quality patient care.
- Checked patient insurance, demographic, and health history to keep information current.
- Ensured accurate record-keeping by diligently updating patient information and verifying insurance coverage.
- Supported office staff and operational requirements with administrative tasks.
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Maintained current and accurate medical records for patients.
- Provided compassionate customer service, creating a welcoming atmosphere for patients and their families.
- Managed high call volumes, directing calls to appropriate departments while maintaining a polite and professional demeanor.
- Obtained payments from patients and scanned identification and insurance cards.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Certified Nursing Assistant
Southerland Place Nursing
06.2014 - 10.2015
- Provided high-quality personal care services such as bathing, grooming, dressing, and feeding to ensure patient dignity.
- Assisted patients with daily living activities for enhanced comfort and wellbeing.
- Promoted good oral and personal hygiene by aiding patients with shaving, bathing, and teeth brushing.
- Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
- Maintained a clean, safe environment by sanitizing surfaces, changing linens, and disposing of waste properly.
- Performed accurate documentation of patient information according to established protocols for record-keeping purposes.
- Cared for residents in assisted living facility and delivered high-quality support to meet needs.
- Oversaw and maintained patients' rooms, group living areas, and nurse stations.
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
Education
Trevecca Nazarene University
Nashville, TNHigh School Diploma -
Cane Ridge High School
Antioch, TN06.2012
Skills
- Customer Relations
- Management collaboration
- Quality Assessment
- Documentation Management
- Advanced Communication
- Expert Problem Solving
- Expert in Microsoft Office
- Teamwork and Collaboration
- Time Management
- Problem-solving abilities
- Multitasking
Timeline
Medical-billing-and-coding-specialist
Fast Pace Urgent Care
05.2021 - 08.2024
Benefit Verification Specialist
Acadia Healthcare
05.2018 - 03.2020
Medical Receptionist
Capstone Pediatrics
01.2016 - 07.2019
Certified Nursing Assistant
Southerland Place Nursing
06.2014 - 10.2015
Trevecca Nazarene University
High School Diploma -
Cane Ridge High School
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