Marlene Caraballo
Spring Hill,FL
Summary
Trained Professional Coder with previous working experience in patient care. Skilled in verifying insurance, working in a fast pace environment and coding invoices.
Overview
29
29
years of professional experience
Work History
Certified Nursing Assistant
Granny Nannies
2014.04 - Current
- Provide assistance to clients with activities of daily living in the privacy and comfort of their home.
- Including bathing, dressing, grooming, mobility and accompaniment to appointments.
- Provide compassionate and respectful care promoting their dignity and independence.
- Assistance with meal preparation, hydration and medication reminders to ensure proper nutrition.
- Assistance with transfers and positioning and report changes to the family.
- Maintain a clean and safe environment free of fall risks while providing emotional support and engagement in meaningful interactions and activities.
Certified Nursing Assistant
Loving Care LLC
2013.07 - 2022.05
- Provide assistance to clients with activities of daily living in the privacy and comfort of their home.
- Including bathing, dressing, grooming, mobility and accompaniment to appointments.
- Provide compassionate and respectful care promoting their dignity and independence.
- Assistance with meal preparation, hydration and medication reminders ensure proper nutrition.
- Assistance with transfers and positioning and reporting changes to the family.
- Maintain a clean and safe environment free of fall risks while providing emotional support and engagement in meaningful interactions and activities.
Medical Biller & Coder
Access Healthcare
2016.01 - 2016.03
- Submitted Claims to Insurance Companies, Organized files, Performed International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) Coding, Performed Current Procedural Terminology (CPT) Coding, Performed Healthcare Common Procedural Coding System (HCPCS Level II) Coding, Processed Managed Care and Medicare Claims, Submitted Insurance Verifications, Processed claims through EMR (Electronic Medical Records), Submitted claims with knowledge of Medical Terminology, Submitted claims with knowledge of Anatomy
Business Office Manager
Brookdale Senior Living
2007.03 - 2013.06
- Greeted visitors, patients and vendors to determine the nature of business, and refers to appropriate department via telephone and in person. Typed, edited and distributed documents and incoming mail, Filed correspondence and patient records, Tracked inventory and ordered supplies, Assisted in the preparation and coding of invoices for payment, Obtained new hire documentation for new associates and residents, Maintained personnel and community files and staff work schedules, Prepared payroll for Executive Director's approval. Collect rent. Assist in dining room at meal time. Give tours of community if the sales manager was not available.
Registration Counselor
Regional Medical Center Bayonet Point
1995.03 - 2003.07
- Greeted and interviewed patients to obtain pertinent account information, Verified all insurance and obtained authorization and precertification prior to hospitalization, Calculated and collected patient liability amounts, Checked physician orders and attached to patient's medical records to ensure that patient receives appropriate tests prior to scheduled admission. Distributed relevant paperwork to appropriate departments to maintain patient confidentiality and adhere to HIPPA laws, Assigned hospital bed upon admission and notified charge nurse and housekeeping to ensure that room is clean prior to patient's arriving of the floor, Ordered and maintained office supplies.
Education
Certified Professional Coder -
American Academy of Professional coders
08.2016
Diploma in Professional Coding -
ATA Career Education
03.2016
Skills
- Ability to perform and multi-task front desk operations, including but not limited to:
- Patient and Physician Scheduling
- Answering and appropriately directing telephone calls, faxes, and all types of correspondence
- Maintaining patient demographics, insurance eligibility, and collecting monies due at time of service
- Ability to post patient payments and manage accounts receivable
- Review medical records for appropriate release/ authorization forms
- Obtain referrals/ authorizations from insurance companies and other entities
- Proficient in Current Procedural Terminology(CPT), Healthcare Common Procedural Coding System(HCPCS Level II), International Classification of Diseases, 9th Revision, Clinical Modification(ICD-9-CM and ICD-10)
- Create, batch, and submit electronic claims, submit paper claims to carriers and prepare secondary/ tertiary claims properly
- Payment posting through Remittance Advice/ EOB review, follow-up of denied claims through re-submittal or the appeal process
- Auditing the aging report to prevent loss of revenue
- Respond to patient account inquiries in a timely manner
References
- Loving Care in Home Services, LLC, P.O. Box 2498, Inverness, FL, 34451, (352)596-9259
- Granny Nannies Home Health Care, 10491 Heley Road, Spring Hill, FL, 34609, (352)684-8791
- Brookdale Senior Living, 10400 Palmgren Lane, Spring Hill, FL, 34609, (352)684-7400
- Regional Medical Center Bayonet Point, 14100 Fivay Road, Hudson, FL, 34667, (727)863-2411
Timeline
Medical Biller & Coder
Access Healthcare
2016.01 - 2016.03
Certified Nursing Assistant
Granny Nannies
2014.04 - Current
Certified Nursing Assistant
Loving Care LLC
2013.07 - 2022.05
Business Office Manager
Brookdale Senior Living
2007.03 - 2013.06
Registration Counselor
Regional Medical Center Bayonet Point
1995.03 - 2003.07
Certified Professional Coder -
American Academy of Professional coders
Diploma in Professional Coding -
ATA Career Education
Similar Profiles
Shannon BergamoShannon Bergamo
Home Health Aide at Granny NanniesHome Health Aide at Granny Nannies
Shenendoah ShilowShenendoah Shilow
Home Care Provider at Granny NanniesHome Care Provider at Granny Nannies
Richeland Fils-AimeRicheland Fils-Aime
Certified Nursing Assistant at Granny NanniesCertified Nursing Assistant at Granny Nannies