Shaniqua Pride
Lufkin,TX
Summary
Medical coding and billing professional with solid background in managing healthcare claims and ensuring compliance with industry standards. Proven ability to streamline billing processes and resolve discrepancies efficiently. Effective collaborator and adaptable team member, consistently meeting organizational goals and adapting to changing demands. Skilled in ICD-10, CPT, and HCPCS coding and maintaining patient confidentiality.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Certified Nursing Assistant
Southland Rehabilitation Center
01.2019 - 11.2019
- Abided by HIPAA guidelines to ensure patient privacy and confidentiality
- Documented patient activities and condition and promoted an environment of care
- Performed duties in accordance with safety and infection control procedures
- Provided assistance with personal hygiene, feeding, and ambulation
- Supported needs of 4+ residents under long-term care.
Certified Nursing Assistant
Village on MacArthur
11.2017 - 12.2017
- Provided Abided by HIPAA guidelines to ensure patient privacy and confidentiality
- Documented patient activities and condition and promoted an environment of care
- Performed duties in accordance with safety and infection control procedures
- Provided assistance with personal hygiene, feeding, and ambulation
- Supported needs of 4+ residents under long-term care.
Patient Sitter
PineCrest Retirement Community
06.2013 - 10.2014
- Contributed to overall hospital efficiency by completing assigned tasks in a timely manner, ensuring optimal levels of care were maintained at all times.
- Increased patient morale through engaging conversation and companionship throughout their hospital stay.
- Encouraged positive interactions among family members visiting the patient, fostering an environment conducive to healing.
- Collaborated effectively with interdisciplinary healthcare teams, contributing valuable insights from time spent observing individual patients closely over extended periods of time.
- Demonstrated strong observational skills, promptly reporting any changes in patient condition or behavior to appropriate medical personnel.
- Exhibited excellent problem-solving skills in addressing complex patient needs or situations, ensuring optimal outcomes for all involved parties.
- Enhanced patient comfort by attentively monitoring and addressing individual needs during hospital stays.
- Promoted a calm atmosphere within the hospital room, utilizing effective stress reduction techniques tailored to each patient's preferences.
Education
High School Diploma -
Lufkin High School
Lufkin, TX05-2012
Skills
- MS Excel
- MS Word
- MS PowerPoint
- Typing Speed: 43 WPM
- Written and verbal communication
- Decision-making skills
- Problem solving skills
- Time management skills
- Customer Service oriented
- Computer skills
- Leadership qualities
Certification
Ultimate Medical Academy, Tampa, FL, Associate of Science - Medical Billing and Coding, 2025, HIPAA taught the basic principle of Health Insurance Probability and Accountability Act (HIPAA). Covered fundamentals HIPAA privacy and security principles, such as, administrative, physical, and technical safeguards, handling and use of protected health information and many others.
Proficiencies
- MS Excel
- MS Word
- MS PowerPoint
Typing Speed
43 WPM
Honors Awards
- Ultimate Medical Academy Dean's List
- Ultimate Medical Academy Honor Roll
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, 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)
Timeline
Certified Nursing Assistant
Southland Rehabilitation Center
01.2019 - 11.2019
Certified Nursing Assistant
Village on MacArthur
11.2017 - 12.2017
Patient Sitter
PineCrest Retirement Community
06.2013 - 10.2014
High School Diploma -
Lufkin High School
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