CPC certified professional offering a keen understanding of data confidentiality and HIPAA regulations. Trained in the use of ICD-10, HCPC's, and CPT codes and knowledgeable in the CMS coding rules.
Overview
3
3
years of professional experience
1
1
Certification
Work History
Billing and Enrollment Specialist
Humana Military
Louisville, KY
03.2022 - 01.2023
Responsible for answering phone calls from military members and their families to assign Primary care managers/transfer from another region/or process a new enrollment
Processed payments for members enrolled in a paying Tricare Plan
Worked within teams to complete requests from beneficiaries to stay within government compliance.
Business Office Clerk
Appalachian Regional Healthcare
Whitesburg, KY
09.2020 - 03.2022
Responsible for the continuation of cash flow and revenue for the company
Conducting accurate adjustments and correcting Medicare insurance claims for billing
Followed and enforced the rules and policies of HIPAA.
Graduate Assistant
University of Pikeville
Pikeville, KY
08.2019 - 08.2020
Responsible for assisting students with schedules and transcript requests
Answering phones and emails in a professional manner
Conducting typical office duties such as scanning, copying, filing, and shredding documents.
Education
Master of Business Administration - Healthcare Management
University of Pikeville
Pikeville, KY
08.2020
Bachelor of Science - Healthcare Management
University of Pikeville
Pikeville, KY
12-2018
Skills
Microsoft Office Suite (Word, Excel, etc)
Hospital Billing Procedure
HIPPA Trained
Knowledge of anatomy/physiology and disease medical terminology
Knowledge of Medicare/Medicaid and Commercial
Payers coding and billing guidelines, compliance regulations, including medical policies (LCD's and NCD's)
Knowledge of CPT, ICD-10 and HCPCS Level 2
Knowledgeable in medical terminology , EMR (Meditech) and multiple types of Insurance
Data Entry and computer skills
Attention to critical detail
Certification
Certified Professional Coder, American Academy of Professional Coders 2023
Timeline
Billing and Enrollment Specialist
Humana Military
03.2022 - 01.2023
Business Office Clerk
Appalachian Regional Healthcare
09.2020 - 03.2022
Graduate Assistant
University of Pikeville
08.2019 - 08.2020
Master of Business Administration - Healthcare Management