Experienced professional with 20+ years in customer service and regulatory compliance, transitioning to medical billing and coding. Proficient in ICD-10, CPT, HCPCS, EHR systems (AdvanceMD), and insurance portals (Availity). Skilled in data entry, Microsoft Office, and tools like Zendesk. Strong track record of process improvement and accuracy. Recognized for problem-solving, communication, and results-driven mindset. Ready to utilize compliance and service excellence background to support healthcare operations and improve financial documentation accuracy.
Customer Service; Problem-Solving and Phone Etiquette
Medical Billing and Coding
Availity; Cohere and Carelon
ICD-10-CM; CPT and HCPCS
EHR systems (eg, Practice Fusion, AdvanceMD)
Checking eligibility through insurance providers (Cigna, UHC, UMR, Optum)
Account Management (within healthcare and banking context)
Banking; Anti-money Laundering and Regulatory Compliance