Summary
Overview
Work History
Education
Skills
Websites
Education Certifications Affiliations
Certification
Linked.com/in Mytawaii Benton
Work Availability
Timeline
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Mytawaii Benton

Mytawaii Benton

Summary

  • Medical coder and Biling Insurances / Administrative Professional
  • 8 years of expertise acting from diverse backgrounds to ensure satisfaction. Dedicated and hard worker professional. Ability to multitask and complete project assignments. Continually abiding by all policies and guidelines to uphold compliances. Immense ability to communicate information and ideas in speaking so others understand. Expertise includes managed enterprise-wide managed and proof-reading documents on multiple projects simultaneously by assigning tasks, tracking Deliverables milestones deployment dates creating RACI, monitoring the health of project timelines. Engage with the governance team to adhere to cybersecurity standards. Experience with state government procurement and administrative procedure, Experience with working for Government Health and Human services eligibility systems, Programs such as OMNI and Amazon Connect, Centene Corporation ( Central Point Knowledge Expertise working in an enterprise outsourced environment.


  • Medical coder and Billing Insurances / Administrative Professional:
  • 7 years of experience working in a medical billing office / or remote environment. Front end & back end Medical Billing and working with Insurance claims Excellent knowledge of medical and billing terminology. Expertise includes transcribing medical reports, using medical necessity , understanding all steps in the revenue cycle for, knowledge of different systems used in Health Information Technician, such as Advanced MD billing system experience, recording records and electronic claims submissions along with using cyber security knowledge. Detailed oriented and well organized. Performed as Phase Gate reviews for projects census in the Information Security programs to ensure continuous improvements in SDLC adoption rates and adherence to SOX, PCI, and HIPAA policies. Using therapeutic communication with those of other cultures to promote effective communication with those of other cultures.
  • Explain barriers to communicating with those of other cultures.
  • Summarize how culture and religion can impact communication and attitudes toward healthcare.
  • Scribe ways to promote effective communication with those of other cultures.

Personable Health Information Technology offering 5 years of experience resolving account and services concerns for customers. Smoothly uncovers and solves challenges while promoting company products and maintaining loyal, satisfied customers. Focused on surpassing expectations and driving team success. Results-driven professional focused on delivering exceptional support for customer needs. Successfully manages concerns and resolves conflicts to maximize customer satisfaction. Offers strong background in customer relations and communication. Customer Service Representative bringing top-notch skills in oral and written communication, active listening and analytical problem-solving skills. Enhances customer experiences by employing service-oriented behaviors, understanding customer desires and providing customized solutions to build loyalty. Encouraging manager and analytical problem-solver with talents for team building, leading and motivating, as well as excellent customer relations aptitude and relationship-building skills. Proficient in using independent decision-making skills and sound judgment to positively impact company success. Dedicated to applying training, monitoring and morale-building abilities to enhance employee engagement and boost performance. Knowledgeable and dedicated customer service professional with extensive experience in PMP industry. Solid team player with outgoing, positive demeanor and proven skills in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Specialize in quality, speed and process optimization. Articulate, energetic and results-oriented with exemplary passion for developing relationships, cultivating partnerships and growing businesses. Strong leader and problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency. Uses independent decision-making skills and sound judgment to positively impact company success. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level [Project Management] position. Ready to help team achieve company goals.

Overview

7
7
years of professional experience
1
1
Certification

Work History

Ambetter Member Service Call Remote Rep

Roswell, GA
11.2022 - Current
  • Work from home taking members calls with concerns about their accounts through Ambetter Marketplace, assisting members with making payments and changes on their health plans thru OMNI third-party payers to promote a service-oriented environment for billing
  • Obtain complete and accurate information, select correct insurance plans, and enter information completely and accurately into the OMNI system
  • Maintain a healthcare database, including updating patient's medical history for diagnostic procedures and treatment, preauthorization from providers and using Microsoft Office tools, Teams (Excel, Word, HCPCS WORKGROUP etc.)
  • Assist with processing Third Party Payers Medicare, Medicaid, workers compensation, PPO, CMO, HMO and other insurance procedures
  • Maintaining of HIPAA rules.

Medical Coder

Smyrna, GA
05.2022 - 11.2022
  • Work with patients, the physician practices, and third-party payers to promote a service-oriented environment for billing discharged patients
  • Obtain complete and accurate information, select correct insurance plans, and enter information completely and accurately into the system
  • Maintain a healthcare database, including updating a patient's medical history for diagnostic procedures and treatment that requires billing charges
  • Manage projects that involve hospital census log for the ER, billing and coding and payment adjustments
  • Transcribe medical reports to process patient charges for different hospitals
  • Use accounting skills while completing insurance information and charges for various hospitals and patient's demographics within the AdvancedMD billing system
  • Utilized knowledge of coding and experience in (CPT) CURRENT PROCEDURAL TERMINOLOGY (ICD-10-CM and ICD-10-PCS, and understanding NCHS CMS and DHHS agencies, and knowing the purpose of HCPCS coding, and developing maintained by CMS
  • 90 wpm typing, understanding of CMS 1500 forms, knowledge of and using Microsoft Office tools (Excel, Word, HCPCS WORKGROUP etc.)
  • Assist with processing Third Party Payers Medicare, Medicaid, workers compensation, PPO, CMO, HMO and other insurance procedures
  • Responsible for Generating monitoring and tracking metrics for projects based on KPI Engage with program/ Project manager stakeholders and project teams to successfully ensure project timelines and meeting milestones Manage client relationships by creating opportunities to better support business objectives
  • Utilizing medical necessity.

Project Manager Systems Technician

GIH Events
Decatur
12.2016 - 05.2022
  • Employed XAMPP package (Apache, MySQL, PHP) HTML/CSS skills to build database driven web pages, online ticketing systems that manage enterprise ticket volumes from automated network alerts and user interface forms and use data analysis skills to develop algorithms that evaluate ticket data to produce automated results on dynamic reports and graphical tools
  • Utilize VI, Notepad++ or other text editors to modify PHP and SQL scripts for automation and daily system reporting
  • Troubleshoot Oracle 11g and 10g database issues, query customer and user data for trending and special projects and collaborate with key team members for solutions
  • Collaborate with system administrators, technical team leads and developers to analyze, test and resolve database system issues with user accounts, files permissions, and software installs
  • FT Blockchain Data Contracts
  • Reconciled transactions, financial data, and other information to an automated accounting system
  • Reviewed on-line transactions to verify frequent updates, accuracy, and erroneous proof-reading line entries
  • Posted financial data reports to appropriate accounts in an automated accounting system to track client ordering patterns and statistics
  • Retrieved routine accounting database figures to collaborate with store manager and director on vital processes and team effort changes
  • Applied previous accounting knowledge to accurately process advanced payment, document, invoice, journal entry voucher, employee reimbursement and other business financial capturing techniques
  • Experience with state government procurement and administrative procedure, Experience with working for Government Health and Human services eligibility systems
  • Expertise working in an enterprise outsourced environment.

Education

Associate of Science - Medical Insurance Coding Billing

Ultimate Medical Academy - Clearwater
Clearwater, FL
11.2023

Associate of Science - IT Degree & Project Management Certificate,

North Georgia Technical College
Atlanta, GA
07.2013

Skills

  • Customer Standards Compliance
  • Customer Support
  • USA Patriot Act
  • Information Updates
  • Phone Inquiries
  • Corrective Actions
  • Calm and Professional Under Pressure
  • Document and Records Management
  • Clear Verbal Communication Skills
  • Cultural Awareness
  • Call Volume Analysis

Education Certifications Affiliations

  • IT Project Management Certificate, Georgia Technical College, Atlanta, GA, 2016
  • Dean's List, Georgia Tech Institute Technical College, Atlanta, GA, 3.5 GPA
  • Medical Billing and Administrative Certificate, Everest Institute, Atlanta, GA, 2008
  • Everest Institute Honoree 2 Consecutive years, Everest Institute, Atlanta, GA, 3.8 GPA
  • Clark Atlanta University Excellence in Community Outreach Project Award, Clark Atlanta University, Atlanta, GA
  • Motivational Speaker for Young Adults Center (Founder)
  • Ultimate Medical Academy, currently enrolled - Medical Billing and Coding Associate Degree program, Ultimate Medical Academy, 2022- Oct 2023
  • Honor Roll Recipient, Ultimate Medical Academy, April 2023

Certification

  • PMP , [ Mytawaii Novelty - [Nov 2020]

Linked.com/in Mytawaii Benton

My Linked , is current & up to date .

Work Availability

monday
tuesday
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friday
saturday
sunday
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afternoon
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Timeline

Ambetter Member Service Call Remote Rep

Roswell, GA
11.2022 - Current

Medical Coder

Smyrna, GA
05.2022 - 11.2022

Project Manager Systems Technician

GIH Events
12.2016 - 05.2022

Associate of Science - Medical Insurance Coding Billing

Ultimate Medical Academy - Clearwater

Associate of Science - IT Degree & Project Management Certificate,

North Georgia Technical College
Mytawaii Benton