SARA COX
Kalamazoo
Summary
Experienced administrative support professional with a strong background in the medical industry, offering over 10 years of dedicated service. Proficient in utilizing MS Office software applications and boasting a typing speed of 65 words per minute. Quick to grasp new programs and technologies. Exceptional at managing multiple projects simultaneously, demonstrating excellent organizational skills. Possesses a keen eye for detail and accuracy, ensuring precise data analysis. Known for unwavering work ethic and dependability. Committed to understanding client needs and delivering exceptional results.
Overview
17
17
years of professional experience
Work History
Medical Billing Specialist
OptiMed Health Partners
08.2022 - Current
- Generate claims for completed services to ensure timely submission
- File reconsiderations or appeals when necessary and monitor progress
- Verify insurance coverage and benefits
- Effectively communicate with patients regarding benefits, services, and billing to maintain high satisfaction levels
- Track and submit for PA's
- Post payments according to payers EOP
- Communicate directly with payers to ensure claims are processed with maximum reimbursement
- Work with accounting department to balancing AR
- QA claims and payment postings
- Development of Billing SOP
- Communicated with insurance providers to resolve denied claims and resubmitted.
COVID TESTING SUPERVISOR
OptiMed Health Partners
09.2020 - 08.2022
- Screen patient information for accuracy
- Effectively communicate to ensure patient knowledge prior to conducting desired COVID19 test
- Schedule up to 18 staff for multiple locations
- Streamlined operations and prioritized tasks, allowing scheduling to increase by 25%
- Ensure necessary PPE & supplies were adequately stocked
- Maintain accurate daily, weekly, monthly count sheets and QC logs
DIRECT CARE PROFESSIONAL
Beacon Specialized Living
09.2019 - 05.2020
- Assist residents in dressing, bathing, and completing basic hygiene tasks
- Followed care plan and directions to administer medications.
- Documented daily patient's vital signs, behaviors and eating habits.
- Monitored client behaviors and emotional states, reporting concerns to case manager and documenting information in files.
- Developed strong and trusting rapport with residents to facilitate smooth, quality care.
- Prepared optimal meals based on established nutritional plans.
- Used approved crisis intervention techniques in emergency situations.
PARAPROFESSIONAL
Galesburg-Augusta Middle School
09.2016 - 08.2019
- Supported students throughout academic instruction and assignments.
- Applied positive reinforcement to redirect negative behaviors.
- Offered students personalized educational, behavioral and emotional support.
- Supplied one-on-one attention to each student during group activities.
- Handled clerical duties, managed classrooms and coordinated documents for teachers.
- Supervised students in classrooms, halls, cafeterias, gymnasiums and field trips.
DATA ENTRY CLERK
Jasper Research Clinic, Inc.
01.2013 - 10.2016
- Generate study source documents & IRB submission
- Transfer required data from volunteer chart to sponsor database
- Assist in developing effective policies and procedures
- QC to ensure accuracy
- Remained focused for lengthy periods to accurately perform work with adequate speed.
- Followed data program techniques and procedures to maintain data entry requirements.
- Stored hard copies of data in organized files to optimize retrieval.
INSURANCE VERIFICATION SPECIALIST
Accretive Health
12.2007 - 12.2010
- Verified patients insurance coverage prior to scheduled appointment
- Obtain referral and PA
- Code patient services to determine patient responsibility
- QC for accuracy
- Created SOPs for patient registration and insurance verification teams
- Train off-shore team, working closely to ensure patient confidentiality and policies/procedures were followed
- Navigated through multiple online systems and payer portals to obtain necessary documentation
Education
Associate of Applied Science - Health Information Technology
Davenport University
Kalamazoo, MISkills
- Electronic medical record software
- Experienced with medical billing systems
- Knowledge of commercial and private insurance
- HIPAA Compliance
- Training and development
- Patient focused care
- Account Reconciliation
- Operations Support
Timeline
Medical Billing Specialist
OptiMed Health Partners
08.2022 - Current
COVID TESTING SUPERVISOR
OptiMed Health Partners
09.2020 - 08.2022
DIRECT CARE PROFESSIONAL
Beacon Specialized Living
09.2019 - 05.2020
PARAPROFESSIONAL
Galesburg-Augusta Middle School
09.2016 - 08.2019
DATA ENTRY CLERK
Jasper Research Clinic, Inc.
01.2013 - 10.2016
INSURANCE VERIFICATION SPECIALIST
Accretive Health
12.2007 - 12.2010
Associate of Applied Science - Health Information Technology
Davenport University
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