Leah Rae Marshall
Halls,TN
Summary
Highly motivated and fast learner seeking to utilize skills, education, and experience to be a positive asset to the company. Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts, and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing, and managing medical record information to obtain prior authorizations from insurance companies and ensure payment.
Overview
15
15
years of professional experience
Work History
Claims processor
IAS/IAAWG
07.2022 - 08.2023
- Operations department claims processor
- Evaluated accuracy and quality of data entered into agency management system.
- Managed workload and priorities to meet claims processing meet deadlines.
- Reviewed applications and supporting documents to verify claims eligibility and accuracy.
- Utilized excellent analytical and problem-solving skills to quickly and accurately assess insurance claims.
- Followed up with customers on unresolved issues.
- Developed and implemented quality assurance processes to check accuracy of claims processing.
- Established positive and trusting relationships with injured clients, administering efficient customer service and processing claims quickly.
- Responded to customer inquiries, providing detailed explanations of insurance policies and claims processes.
- Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
- Documented all findings in concise reports.
- Examined photographs and surveillance and any other documents relating to claims.
- Generated, posted and attached information to claim files.
- Checked documentation for accuracy and validity on updated systems.
- Processed and recorded new policies and claims.
- Modified, updated and processed existing policies.
- Notified insurance agents and accounting departments of policy cancellations and changes.
Business owner/Distributor
Brighton Nutrition
01.2020 - 08.2022
- Managed fundraisers and community involvement
- Mitigated business risks by working closely with staff members and assessing performance.
- Prepared bank deposits and handled business sales, returns and transaction reports.
- Consulted with customers to assess needs and propose optimal solutions.
- Put together realistic budgets based upon costs and fees for successfully operating business.
- Developed and implemented marketing strategies to generate new customers and increase sales and profit margins.
- Oversaw business budget planning and administration, accounting functions, purchasing, and bi-weekly payroll to handle financial needs.
- Trained and motivated employees to perform daily business functions.
- Conducted target market research to discover customer needs and analyze competitor trends.
- Adhered to regulatory and policy changes and made necessary adjustments to maintain overall success.
- Interacted well with customers to build connections and nurture relationships.
- Managed purchasing, sales, marketing and customer account operations efficiently.
- Negotiated price and service with customers and vendors to decrease expenses and increase profit.
- Implemented business strategies, increasing revenue and effectively targeting new markets.
- Cultivated and strengthened lasting client relationships using strong issue resolution and dynamic communication skills.
- Trained new employees on proper protocols and customer service standards.
- Handled problematic customers and clients to assist lower-level employees and maintain excellent customer service.
- Trained and guided team members to maintain high productivity and performance metrics.
- Scheduled employees for shifts, taking into account customer traffic and employee strengths.
- Recruited, hired, and trained initial personnel, working to establish key internal functions and outline scope of positions for new organization.
- Tracked employee attendance and punctuality, addressing repeat problems quickly to prevent long-term habits.
- Managed orders and inventory
- Managed all accounting aspects for tax purposes
Patient care technician
Dr. Zaidi & Associates
01.2018 - 01.2020
- Implemented and managed Care Management program for insurance companies
- Triage- vital signs, SOAP note, ordering physician tests/procedures and providing coding for each
- Phlebotomy and all lab procedures-coding for each
- Managed patient’s yearly physical/medical goals and outcomes for insurance guidelines
- EKG and PFT
- Pre-Auth/Pre-Certifications for procedures and medications
- Medical Office- insurance verification, billing and coding, scheduling, co-payments
- Wound care and clinical procedures- papsmear, visual acuity, skin lesion removal, sutures
- Ordering medical supplies and managing inventory
- Injections and administering medications- ordered in patient chart and provided correct coding for each
- Managed vendor relationships and meetings
- Managed employee schedules
- Maintained state regulations
- Managed log books for patient clinical procedures
- Collected and transported specimens to prepare for lab testing.
- Maintained clean and safe environment to promote patient safety and comfort.
- Applied oxygen via nasal cannula, simple masks and nebulizer masks under direction of physician.
- Educated patients and families on proper care and treatment to facilitate successful home care.
- Documented patient information and care activities in electronic health record.
- Collaborated with physicians to design at-home medication guidelines and educated patients and families on correct medication administration.
- Managed patient account billing with outside lab vendors
Patient care technician
Hometown urgent care
01.2013 - 01.2017
- Implemented and managed Care Management program for insurance companies
- Triage- vital signs, SOAP note, ordering physician tests/procedures and providing coding for each
- Phlebotomy and all lab procedures-coding for each
- Managed patient’s yearly physical/medical goals and outcomes for insurance guidelines
- EKG and PFT
- Pre-Auth/Pre-Certifications for procedures and medications
- Medical Office- insurance verification, billing and coding, scheduling, co-payments
- Wound care and clinical procedures- papsmear, visual acuity, skin lesion removal, sutures
- Ordering medical supplies and managing inventory
- Injections and administering medications- ordered in patient chart and provided correct coding for each
- Managed vendor relationships and meetings
- Managed employee schedules
- Maintained state regulations
- Managed log books for patient clinical procedures
- Collected and transported specimens to prepare for lab testing.
- Maintained clean and safe environment to promote patient safety and comfort.
- Applied oxygen via nasal cannula, simple masks and nebulizer masks under direction of physician.
- Educated patients and families on proper care and treatment to facilitate successful home care.
- Documented patient information and care activities in electronic health record.
- Collaborated with physicians to design at-home medication guidelines and educated patients and families on correct medication administration.
- Managed patient account billing with outside lab vendors
Patient care technician
Primary Care Center
01.2011 - 01.2012
- Implemented and managed Care Management program for insurance companies
- Triage- vital signs, SOAP note, ordering physician tests/procedures and providing coding for each
- Phlebotomy and all lab procedures-coding for each
- Managed patient’s yearly physical/medical goals and outcomes for insurance guidelines
- EKG and PFT
- Pre-Auth/Pre-Certifications for procedures and medications
- Medical Office- insurance verification, billing and coding, scheduling, co-payments
- Wound care and clinical procedures- papsmear, visual acuity, skin lesion removal, sutures
- Ordering medical supplies and managing inventory
- Injections and administering medications- ordered in patient chart and provided correct coding for each
- Managed vendor relationships and meetings
- Managed employee schedules
- Maintained state regulations
- Managed log books for patient clinical procedures
- Collected and transported specimens to prepare for lab testing.
- Maintained clean and safe environment to promote patient safety and comfort.
- Applied oxygen via nasal cannula, simple masks and nebulizer masks under direction of physician.
- Educated patients and families on proper care and treatment to facilitate successful home care.
- Documented patient information and care activities in electronic health record.
- Collaborated with physicians to design at-home medication guidelines and educated patients and families on correct medication administration.
- Managed patient account billing with outside lab vendors
PATIENT CARE TECHNICIAN
RURAL HEALTH CENTER
01.2009 - 01.2011
- Implemented and managed Care Management program for insurance companies
- Triage- vital signs, SOAP note, ordering physician tests/procedures and providing coding for each
- Phlebotomy and all lab procedures-coding for each
- Managed patient’s yearly physical/medical goals and outcomes for insurance guidelines
- EKG and PFT
- Pre-Auth/Pre-Certifications for procedures and medications
- Medical Office- insurance verification, billing and coding, scheduling, co-payments
- Wound care and clinical procedures- papsmear, visual acuity, skin lesion removal, sutures
- Ordering medical supplies and managing inventory
- Injections and administering medications- ordered in patient chart and provided correct coding for each
- Managed vendor relationships and meetings
- Managed employee schedules
- Maintained state regulations
- Managed log books for patient clinical procedures
- Collected and transported specimens to prepare for lab testing.
- Maintained clean and safe environment to promote patient safety and comfort.
- Applied oxygen via nasal cannula, simple masks and nebulizer masks under direction of physician.
- Educated patients and families on proper care and treatment to facilitate successful home care.
- Documented patient information and care activities in electronic health record.
- Collaborated with physicians to design at-home medication guidelines and educated patients and families on correct medication administration.
- Managed patient account billing with outside lab vendors
Education
Bachelor of Science - Business Management/Organizational Leadership
Bethel University
McKenzie05.2023
CPC
AAPC
2023
Medical Billing And Coding - Medical Billing And Coding
US Career Institute
05.2023
Human Resources Management Certificate -
University Of Minnesota
2023
Applied Office Technology
Tennessee College of Applied Technology
Ripley2016
Patient Care Technician
Tennessee College of Applied Technology
Alamo, TN2009
High School Diploma -
HALLS HIGH SCHOOL
Halls05.2007
Skills
- Validation of Discrepancies
- Financial Assistance
- Accounts Payable and Accounts Receivable
- Medical Coding and billing- chart documentation, procedure and lab coding, lab billing
- Past Due Balance Management
- Transactions Reconciliation
- Office Operations
- Payments Posting
- Microsoft Office
- Insurance Terminology
- Office Organization
- Spreadsheet Tracking
- Digital Filing
- Office Supplies and Inventory
- Insurance Plan Verification
- Customer Relationship Management
- Customer Retention
- Premium Calculations
- Prior Authorization Processing
- Secure Data Practices
- Policy Requirements and Eligibility
- Insurance Coverage Limits
- Policy and Procedure Explanations
- Data Entry Software
- Electronic Authorization Processing
- Claims
Accomplishments
CPC - AAPC certified
CPR certified, Excel certified, Microsoft Office Certified, Quickbooks Certified, Human Resources & Recruiter, Medical Billing & Coding, Leadership
Affiliations
Member of AAPC, member of NHA, Member of the South Tipton Chamber of Commerce, former
member of FFA, FBLA, Student Council, Skills USA, American Heart Association, and Relay for Life.
I support community projects and goals, participate in community events, and encourage others to be
motivated to help and be involved. I do school fundraisers for sports or other school-involved activities.
References
Krista Fleming, billing and coding, 731-445-9168, Ripley, TN
Kristen Martin, PA at Dr. Zaidi & Associates, 731-607-0877, Ripley, TN
Paige Davis, Billing and office manager, Hometown Urgent Care, 731-445-9726, Dyersburg, TN
Mandy Brigman Owens (Bethany. A. Owens), Care Management at Lebonheur, 901-403-3853
Tracie Woodward, Owner/FNP at Hometown Urgent Care, 843-437-5456, South Carolina
Heidi Bockholdt, manager at Dr. Zaidi & Associates, 731-413-8584, Ripley, TN
Kim Byrd, DNP at Dr. Zaidi & Associates, 731-413-7776, Ripley, TN
Jessica Goforth, billing and coding at Methodist Hospital, 731-413-4545, Halls, TN
Mallory Pittman, Progressive remote Customer Service work from home, 731-413-7923, Halls, TN
Timeline
Claims processor
IAS/IAAWG
07.2022 - 08.2023
Business owner/Distributor
Brighton Nutrition
01.2020 - 08.2022
Patient care technician
Dr. Zaidi & Associates
01.2018 - 01.2020
Patient care technician
Hometown urgent care
01.2013 - 01.2017
Patient care technician
Primary Care Center
01.2011 - 01.2012
PATIENT CARE TECHNICIAN
RURAL HEALTH CENTER
01.2009 - 01.2011
Bachelor of Science - Business Management/Organizational Leadership
Bethel University
CPC
AAPC
Medical Billing And Coding - Medical Billing And Coding
US Career Institute
Human Resources Management Certificate -
University Of Minnesota
Applied Office Technology
Tennessee College of Applied Technology
Patient Care Technician
Tennessee College of Applied Technology
High School Diploma -
HALLS HIGH SCHOOL
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