Rushon Howard
Tallahassee,FL
Summary
Dedicated Medical Billing Specialist with over ten years of experience in healthcare billing and HIPAA compliance. Known for exceptional attention to detail and customer service skills, consistently achieving high accuracy at 98% and higher in claims processing and financial reporting. And virtual communication tools
Overview
16
16
years of professional experience
Work History
Medical Claims Examiner II
Robert Half Staffing
Roseburg, OR
11.2025 - 01.2026
- Administrative Assistance
- Claims Processing
- Healthcare Billing
- Medical coding
- EMR- Electronic Medical Records
Medical Insurance Billing Associate
North Florida Medical Centers
Tallahassee, FL
07.2023 - 07.2025
- Processed billing statements accurately and efficiently for patient accounts.
- Reviewed insurance claims to ensure compliance with regulations and minimize denials.
- Resolved discrepancies in billing through detailed account analysis and communication with patients.
- Coordinated with healthcare providers to obtain necessary documentation for proper billing procedures.
Transaction Processor (REMOTE)
NTT Data
Plano, TX
10.2020 - 06.2023
- Adjudicated medical claims (CPT, ICD-10, HCPCS) with high accuracy (e.g., ≥98%) and
processed high volumes (50–100+ per day). - Verified patient eligibility and insurance details, significantly reducing claim denials.
- Tracked claim statuses, initiated appeals, and recovered substantial underpayments
(e.g., $500K+). - Utilized EHR/EMR systems (Epic, Cerner, Meditech, QNXT, eClinicals) and HIPAA-
compliant EDI formats.
Medical Billing Specialist
Tallahassee Memorial Hospital
Tallahassee, FL
07.2017 - 09.2020
- Collaborated with healthcare providers to resolve billing discrepancies effectively.
- Make adjustments to determine allowable costs for claims (Medicare, Medicaid, Tricare, HMOs, PPOs, and HSAs)
- Follow-up on claims, payment posting, and accounts receivable management.
- Analyzes documentation to support codes/DRGs and abstracted data (e.g., discharge disposition) for inpatient records for multiple facilities using ICD-10-CM and ICD-10-PCS
Claims Examiner II
Capital Health Plan
Tallahassee, FL
10.2009 - 06.2017
- Data entry, key and process insurance claims on UBs and HCFA forms
- Organize and manage health information data by ensuring that it maintains its quality, accuracy, accessibility, and security in both paper and electronic systems
- Coding claims and posting ERAs/EOBs.
- Knowledgeable for In and Out of network for Behavioral Health, Auto, and Commercial claims
Education
Medical Billing And Coding
Ultimate Medical Academy
Clearwater, FL06-2025
Skills
- Microsoft Office proficiency
- HIPAA compliance
- Utilization management
- Attention to detail
- Customer service excellence
- Problem solving skills
- CPT coding proficiency
- Collections management
- Payment processing efficiency
- Financial reporting accuracy
- Cash posting accuracy
Timeline
Medical Claims Examiner II
Robert Half Staffing
11.2025 - 01.2026
Medical Insurance Billing Associate
North Florida Medical Centers
07.2023 - 07.2025
Transaction Processor (REMOTE)
NTT Data
10.2020 - 06.2023
Medical Billing Specialist
Tallahassee Memorial Hospital
07.2017 - 09.2020
Claims Examiner II
Capital Health Plan
10.2009 - 06.2017
Medical Billing And Coding
Ultimate Medical Academy