Michelle Boyer
Staples,MN
Summary
Detail-oriented team player with strong organizational skills. Ability to handle multiple projects and priorities simultaneously with a high degree of accuracy. Willingness to take on added responsibilities to meet team goals.
Overview
7
7
years of professional experience
Work History
Sr. Claims Representative
United Healthcare Group
11.2021 - Current
- Maintained strong knowledge of extensive medical terminology to better understand complex claims/services and procedures.
- Generated, posted, researched and attached information to claim files.
- Dedicated rep for LTD and ULICNY claims.
- Back up rep for UHG employee claims
- Reviewed guidelines, benefit plan documents, contracts and certificates to ensure proper handling of claims.
- Maintained confidentiality of patient finances, records and health statuses.
- Verified client information by analyzing existing evidence on file.
- Carried out administrative tasks by communicating effectively with clients, reviewing mail and indexing documents.
- Checked documentation for accuracy and validity on updated systems.
- Utilized multiple software/platform applications to research claims and policies; SBM, Facets, Iset, Doc360, ICUE, UHOPS, PRIME, Cirrus
- Acted as point of contact on answering internal and external questions and inquiries.
- Communicated effectively with staff members of operations and various departments.
- Established rapport and relationships with claimants to support staff and team members.
Phlebotomist
Tri County Healthcare
07.2019 - 12.2019
- Protected patients by following infection control, sharps disposal and biohazardous waste disposal procedures.
- Followed physician orders when administering therapeutic phlebotomy.
- Collected blood samples using vacutainer tubes, tourniquets, syringes, butterfly needles, and straight needles.
- Stocked phlebotomy cart or carrier with appropriate supplies.
- Spoke with patient to gather information for lab records, reduce fear or anxiety and optimize cooperation.
- Tracked collected specimens by initialing, dating and noting times of collection.
- Performed bedside tests like bleeding time tests and entered results into patient charts.
- Selected proper ICD-10 codes for billing purposes
- Extracted data and results
- Assisted with office procedures by monitoring patient flow, performed and answered telephone calls, responded to calls from patients
Certified Medical Assistant
Centra Care Health- Baxter Specialty Clinic
08.2018 - 07.2019
- Communicated clearly and effectively with patients to verify and obtain medical history, medications, allergies, symptoms and patient vital signs
- Assisted provider during examinations and procedures including sterile field and procedure setup
- Obtained patient consent and explained procedures to patients to reduce anxieties and increase patient cooperation
- Performed EKG's, Collected blood samples and other diagnostic tests
- Assisted with chart preparation and other administrative duties as needed
- Sanitized, restocked and organized exam rooms and medical equipment
- Protected patients by following infection control, sharps disposal and biohazardous waste disposal procedures
- Selected proper ICD-10 codes for billing purposes
- Responded to telehealth questions, messages and provided customer service to patients.
- Remained calm during high-stress, critical situations, demonstrating sustained focus and problem-solving in real-time.
- Provided training to new team members for daily job functions.
Roomer- Certified Medical Assistant
Northern Orthopedics Ltd.
03.2018 - 08.2018
- Directed patients to exam rooms, fielded questions and prepared for physician examinations
- Obtained and researched surgical reports and medical diagnostic test results such as MRI's, CT Scans and Fluoroscopy guided injections
- Prepared Paper Medical Charts for assigned provider
- Sanitized, restocked and organized exam rooms and medical equipment
- Performed Clerical duties such as word processing, data entry, copying, sorting and delivering mail
- Directed patients to and from different departments
- Performed patient outreach and prior authorizations
- Answered phone calls from patients and scheduling questions
Clinical Assistant
Essentia Health
08.2017 - 06.2018
- Verified patient medical history, medications, allergies and symptoms
- Stocked, maintained supplies and cleanliness of rooms
- Assisted provider during examinations and procedures
- Performed hearing and vision screenings, EKG's per provider request
- Administered shots, immunizations and other injections as requested by provider
- Assisted with flu shot clinics
- Drew blood from veins by vacuum tube, syringe or butterfly venipuncture methods
- Comforted anxious patients before procedures and listened to concerns, offering support and compassion
- Coordinated with appropriate administrative staff to address clinical, operational and financial questions.
- Assisted call center with answering customer telephone calls promptly to avoid on-hold wait times
Education
Bachelor of Arts - Psychology
College of Saint Scholastica
Duluth, MN12.2023
Associate of Applied Science - Healthcare Administrative Specialist
Central Lakes College
Brainerd, MN05.2021
Certificate - Certified Medical Assistant
Central Lakes College
Staples, MN05.2017
Certificate - Certified Nursing Assistant
Central Lakes College
Brainerd, MN03.2009
High School Diploma - undefined
Pillager Senior High School
Pillager, MN2000
Skills
- Multi tasking
- HIPPA compliance
- Medical Terminology
- Data Analysis, Research and Statistics
- Claims preparation and management
- Chart preparation and clinical documentation
- Critical thinking skills
- Customer Service and organizational Skills
- ICD 10 and CPT Coding
- Prior authorizations and Insurance verification
- Infection control and sterile technique
- Proficient in multiple computer systems/platforms
Timeline
Sr. Claims Representative
United Healthcare Group
11.2021 - Current
Phlebotomist
Tri County Healthcare
07.2019 - 12.2019
Certified Medical Assistant
Centra Care Health- Baxter Specialty Clinic
08.2018 - 07.2019
Roomer- Certified Medical Assistant
Northern Orthopedics Ltd.
03.2018 - 08.2018
Clinical Assistant
Essentia Health
08.2017 - 06.2018
Bachelor of Arts - Psychology
College of Saint Scholastica
Associate of Applied Science - Healthcare Administrative Specialist
Central Lakes College
Certificate - Certified Medical Assistant
Central Lakes College
Certificate - Certified Nursing Assistant
Central Lakes College
High School Diploma - undefined
Pillager Senior High School
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