Keely Poindexter
Rocky Mount,VA
Summary
Recent graduate with a certification in medical billing and coding, possessing extensive knowledge in ICD-10, CPT, and HCPCS coding systems. Attention to detail and strong analytical skills enable maintenance of accuracy and confidentiality in patient records. Committed to ensuring compliance and optimizing reimbursement processes, contributing to the healthcare team's success.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Enrollment/Eligibility Specialist
United Healthcare
01.2024 - Current
- Enrolling and analyzing data for members to assist in assuring appropriate services and reimbursements as required
- Direct correspondence with CMS to guarantee policy compliance as well as cross training throughout various staff positions to accurately process insurance applications for multiple states within the US.
Outbound Customer Service Advocate
United Healthcare
05.2021 - 12.2023
- Continuous proficient skills in claim handling and eligibility processes including Loss of Entitlement requiring direct correspondence with CMS
- Specially trained for outbound campaigns, PCP assignments, ADP (Application Denial Process) in addition to handling multiple callback lines
- Work with FEDS Employer Groups including UHC Feds, SAMBA, Compass Rose and APWU.
Lead Childcare Teacher
Kids Clubhouse Learning Center
03.2018 - 04.2021
- Lead teacher in infant classroom overseeing 10-20 students daily
- Assuring required curriculum is communicated daily, introducing potty training as well as creating home plans appropriate for each child
- Implement all objectives on health care plans for students with behavioral or attention disorders
- CPR, First Aid & AED certified required.
Bank Teller/ Bookkeeper
Carter Bank & Trust
Ferrum, VA
01.2017 - 12.2017
- Managed high-volume transactions during peak hours while maintaining attention to detail, ensuring seamless customer experience.
- Balanced cash drawers accurately at the end of each shift, minimizing discrepancies in financial records.
- Answered customer inquiries regarding account balances, transaction history, services charges, and interest rates.
- Established trust with clients by maintaining confidentiality and protecting sensitive financial information.
Assistant Manager
Olympia Sports Inc.
Franklin County, VA
09.2016 - 01.2017
- Supervised day-to-day operations to meet performance, quality and service expectations.
- Maintained a clean, safe, and organized store environment to enhance the customer experience.
- Developed strong working relationships with staff, fostering a positive work environment.
- Monitored cash intake and deposit records, increasing accuracy, and reducing discrepancies.
Education
Health Sciences with Medical Billing and Coding Certification -
Rasmussen University
06.2024
High School Diploma - General
Franklin County High School
Rocky Mount, VA06.2016
Skills
- ICD-10, CPT and HCPCS Coding: Proficient in applying current coding systems to patient records
- Medical Terminology: Strong understanding of medical terms, anatomy, and physiology
- Electronic Health Records (EHR) Software: Experience with EHR systems ie: Clintegrity and 3M coder
- Medical Billing: Knowledge of billing procedures, insurance claims processing, and reimbursement methodologies
- HIPAA Compliance: Familiarity with patient privacy regulations and confidentiality standards
Communication Skills
Accurately document codes and billing information, ensuring clarity and consistency in medical records., Communicate effectively with healthcare providers to clarify diagnoses, treatments, and procedures for accurate coding., Collaborate with insurance companies to resolve claim issues while ensuring correct reimbursement., Explain billing procedures and insurance coverage to patients, addressing their questions and concerns w/ empathy and professionalism., Work closely with medical staff and billing members to ensure consistently smooth workflow and accurate coding practices.
Leadership Experience
Co-founder and key member of the Outbound Engagement Team with United Healthcare in various states throughout the US.
References
Available upon request.
Certification
Medical Billing & Coding
Timeline
Enrollment/Eligibility Specialist
United Healthcare
01.2024 - Current
Outbound Customer Service Advocate
United Healthcare
05.2021 - 12.2023
Lead Childcare Teacher
Kids Clubhouse Learning Center
03.2018 - 04.2021
Bank Teller/ Bookkeeper
Carter Bank & Trust
01.2017 - 12.2017
Assistant Manager
Olympia Sports Inc.
09.2016 - 01.2017
Health Sciences with Medical Billing and Coding Certification -
Rasmussen University
High School Diploma - General
Franklin County High School