Kesia Costanzo
New Waterford,OH
Summary
Experienced in customer service and knowledgeable about the healthcare system, I offer a wealth of skills and expertise. Demonstrating a track record of delivering exceptional customer service and resolving complaints efficiently, I excel in handling challenging situations with ease. With strong problem-solving abilities and adeptness at multitasking in fast-paced environments, I am a valuable asset to any team. I am enthusiastic about utilizing my abilities to contribute to the success of your team as a claims processor.
Overview
4
4
years of professional experience
Work History
Medical Coder/Biller
Fenner physician Billing
Boardman, US
- Maintained a working knowledge of current ICD-10-CM and PCS guidelines and CPT code sets
- Used ICD-10-CM and CPT coding to complete records
- Analyzed medical documents to ensure accuracy of codes, modifiers, and units
- Reviewed medical records and identified relevant diagnoses and procedures for accurate coding of claims
- Trained new coders and provided guidance and feedback to colleagues
- Submitted clean claims in a timely manner to insurance companies for payment processing.
Acting Trainer
BCBSMA
Quincy, Massachusetts
04.2024 - Current
- Developed assessment tests to evaluate trainees' knowledge of course material.
- Collaborated with subject matter experts to ensure accuracy of content being delivered to trainees.
- Facilitated group discussions between participants to promote active engagement in learning activities.
- Adapted teaching methods according to the needs of individual learners or groups.
Sr Service Representative
Blue Cross Blue Shield
10.2022 - Current
- Meeting or exceeding individual and quality goals
- Educating members on their benefits, claims and plan inquiries in a timely, efficient and accurate manner
- Proficient in Blueview, RTMS, COS, MHK, Carelon
- Volunteering to help with projects and individual development opportunities
- Working in the lab a cohort, facilitating trainings
- Coaching new associates in the lab, and advising of best practices
- Blue ambassador junior leader position assisting new hires through their onboarding journey into their blue cross blue shield role
- Demonstrated excellent communication skills, both verbal and written, in order to effectively interact with customers.
Medical Receptionist/Medical Biller/ Medical Coder
Dr. Alex Vrable D.O.
10.2020 - 08.2021
- Managed patient check-ins by verifying insurance coverage, collecting payments, and updating accounts accordingly
- Answered phones promptly and directed calls appropriately
- Processed payment transactions for cash, checks, and credit and debit cards
- Scanned and documented new patient information in electronic health records for registration purposes
- Evaluated daily schedules, accommodating patient flow and minimizing missed appointments
- Organized and filed patient medical records
- Scheduled appointments, managed calendars, and coordinated meetings efficiently.
Education
Associate in Health Information Technology -
Mercy College of Ohio
04.2023
Certification in Medical Billing -
Mercy College
05.2021
Skills
- Empathy and patience
- Escalation handling
- Conflict resolution
- Presentations and demonstrations
- Accuracy and Precision
- Highly motivated
- Advanced oral and written communication skills
Timeline
Acting Trainer
BCBSMA
04.2024 - Current
Sr Service Representative
Blue Cross Blue Shield
10.2022 - Current
Medical Receptionist/Medical Biller/ Medical Coder
Dr. Alex Vrable D.O.
10.2020 - 08.2021
Medical Coder/Biller
Fenner physician Billing
Associate in Health Information Technology -
Mercy College of Ohio
Certification in Medical Billing -
Mercy College