Rikia Adams
West Palm Beach,FL
Summary
Highly skilled healthcare professional with strong expertise in medical billing and coding. Adept at accurately processing patient data and insurance claims while ensuring compliance with regulations. Strong focus on team collaboration and achieving results, adaptable to changing needs. Proficient in medical terminology, coding systems, and electronic health records, with reliable and efficient work ethic.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Receptionist
Women’s Center
10.2023 - Current
- Check patient's in and out, create charts for current visit, enter information into computer
- Greet incoming patients professionally and provided friendly, knowledgeable assistance.
- Collect payments, answer financial question patient's may have, submit total count of money at end of day, maintain patient billing
- Managed approximately 40-50 incoming calls, scheduled patients and faxes per day from providers/patients
Clinical Support Specialist
Oscar Health
01.2022 - 10.2023
- Create inpatient tickets for case management when members were admitted to hospital
- Work with case managers to coordinate patient care, contact hospitals to obtain information, and notate 30-40 member accounts
- Developed strong relationships with patients through empathetic communication and active listening skills, fostering trust and rapport
- Streamlined internal processes for better coordination between medical staff and patients, leading to increased quality of care.
- Reviewed claims and prior authorizations with providers/clients
Office Administrator
Hanger Clinic
05.2018 - 04.2020
- Coordinated communications, financial processing, registration, recordkeeping, and other administrative functions.
- Verified insurance coverage, review and initiate prior authorizations, sent appeal responses to providers and required documents to complete process effectively
- Entered data and prepared patient charts via NextGen EHR Faxed, scanned, emailed, and filed documents and ensured privacy of protected health information
Office Administrator
Sallie Medical Management
06.2016 - 05.2018
- Received phone calls, provided information, and maintained up-to-date patient records
- Checked patients in and out, prepared patient charts for providers, and accepted payments
- Faxed, scanned, emailed, and filed paperwork
Education
Associate of Science Degree - Medical Billing and Coding
Ultimate Medical Academy
Tampa, FL01.2023
Applied Technology Diploma - Emergency Medical Technician
Palm Beach State College
Lake Worth, FL01.2020
Diploma -
William T. Dwyer High School
Palm Beach Gardens, FL01.2012
Skills
- MS Teams, Word, Excel, Powerpoint
- Type 39 WPM
- Accounts Receivable
- Collections
- EOBs
- Revenue Cycle Management
- Posting Payments
- Government (Medicare & Medicaid)
- Third Party Payers
- Electronic Health Records (EHR)
- Electronic Medical Records (EMR)
- Managed Care (HMO, PPO, and POS)
- Insurance Verification (Deductible, Co-Insurance, Co-Pay)
- Insurance Claim Processing
- CMS 1500
- CMS 1450 (UB-04)
- Medical Office Procedures
- Scheduling
- Medical Terminology
- Anatomy & Physiology
- HIPAA Compliance
- Medical Billing and Coding (ICD-10-CM, HCPCS, CPT)
- Appeals processing
Certification
- AAPC Certified Professional Coder
- High Academic Honors Recognition / Dean's List
- NREMT - Emergency Medical Technician (Certified in BLS and CPR)
- Ultimate Medical Academy - HIPAA Essentials for Healthcare Professionals Certificate
Softwareskills
NextGen EHR, Jira, Zoom, Slack, MS Teams, Word, Excel, Powerpoint, 39 WPM
Key Qualifications
- Medical Billing
- Accounts Receivable
- Collections
- Co-Pay
- Deductibles
- Co-Insurance
- EOBs
- Revenue Cycle Management
- Posting Payments
- Government (Medicare & Medicaid)
- Third Party Payers
- Electronic Health Records (EHR)
- Electronic Medical Records (EMR)
- Managed Care (HMO, PPO, and POS)
- Workers Compensation
- Insurance Verification
- Insurance Claim Processing
- CMS 1500
- CMS 1450 (UB-04)
- Front Office Operations
- Medical Office Procedures
- Scheduling
- Medical Terminology
- Anatomy & Physiology
- HIPAA Compliance
- Medical Coding (ICD-10-CM, HCPCS, CPT)
Languages
English
Native or Bilingual
Timeline
Receptionist
Women’s Center
10.2023 - Current
Clinical Support Specialist
Oscar Health
01.2022 - 10.2023
Office Administrator
Hanger Clinic
05.2018 - 04.2020
Office Administrator
Sallie Medical Management
06.2016 - 05.2018
Associate of Science Degree - Medical Billing and Coding
Ultimate Medical Academy
Applied Technology Diploma - Emergency Medical Technician
Palm Beach State College
Diploma -
William T. Dwyer High School
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