Detail-oriented professional with focus on deadlines and skilled in handling medical billing without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Certified Nursing Assistant
Temple University Hospital
2023.09 - Current
Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
Promoted good oral and personal hygiene by aiding patients with shaving, bathing, and teeth brushing.
Checked patient vitals such as temperature, blood pressure, and blood sugar levels.
Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
Medical Billing Specialist
Thomas Jefferson University Hospital-SKCC
2021.05 - Current
Communicated with insurance providers to resolve denied claims and resubmitted.
Located errors and promptly refiled rejected claims.
Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
Identified and resolved patient billing and payment issues.
Researched CPT and ICD-10 coding discrepancies for compliance and reimbursement accuracy.
Patient Service Representative
Thomas Jefferson University Hospital
2020.06 - 2021.05
Set up patients in system by documenting key data, confirming eligibility, and verifying insurance benefits.
Accurately inputted patient and insurance information into company's computer system using Epic.
Explained financial responsibilities to patients as well as payment options and potential collection procedures imposed upon patients and other responsible parties.
Verified insurance coverage to confirm patient coverage for necessary medical services.
Admissions Representative
Holy Redeemer Hospital
2018.10 - 2020.07
Created and updated physical records and digital files to maintain current, accurate and compliant documentation
Organized department in accordance with administrative guidelines in order to provide specified nursing services to meet legal, organizational and medical staff guidelines
Coordinated review, revision and creation of operational policies within ER Department
Accessed patient information through variety of office software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.
Education
Associate of Arts - Health Care Studies
Community College of Philadelphia
Philadelphia, PA
05.2022
High School Diploma - Health & Medical
Northeast High School
Philadelphia, PA
06.2017
Skills
CPR and BLS certified
Epic system
Commercial and Private Insurance
Multitasking and Organization
HIPAA Compliance
Medical Terminology Expert
ICD-10 Coding
Medicare and Medicaid Process
Certification
CPR certified through American Heart Association
Certified Medical Biller
Timeline
Certified Nursing Assistant
Temple University Hospital
2023.09 - Current
Medical Billing Specialist
Thomas Jefferson University Hospital-SKCC
2021.05 - Current
Patient Service Representative
Thomas Jefferson University Hospital
2020.06 - 2021.05
Admissions Representative
Holy Redeemer Hospital
2018.10 - 2020.07
Associate of Arts - Health Care Studies
Community College of Philadelphia
High School Diploma - Health & Medical
Northeast High School
CPR certified through American Heart Association
Certified Medical Biller
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