Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Overview
26
26
years of professional experience
1
1
Certification
Work History
Insurance Billing Specialist
Frost Arnett Co.
USA
03.2022 - Current
Reviewed, monitored, and followed up on all payment denials and take backs from payers. Currently working VA Optum claims and TriCare claims.
Experienced in EMR and medical databases.
Submit appeals, contact payers and research patient accounts.
Utilized payer portals to gather EOB's, authorizations and other relevant information and correspondence.
Processed insurance claims efficiently, ensuring timely resolution and compliance with company guidelines.
Reviewed billing statements for accuracy, identifying discrepancies to prevent revenue loss.
Caregiver
Personal
USA
11.2020 - 03.2022
Delivered personalized care for an elderly gentleman with MS and dementia.
Administered medications, coordination of doctor's appointments, prepared meals, and ran errands.
Provided essential daily living assistance to clients, ensuring comfort and safety.
Developed personalized care plans tailored to individual client needs and preferences.
IV Pharmacy Technician
PharMerica Inc.
USA
03.2010 - 11.2020
Executed data entry, prepared and reconstituted IV medications, billed for IV medications, and ordered necessary supplies.
Compounded sterile IV medications in compliance with safety and quality standards.
Trained junior technicians on compounding techniques and regulatory requirements.
Collaborated with pharmacists to verify medication orders for accuracy and appropriateness.
Managed inventory control, ensuring accurate stock levels of pharmaceuticals and supplies.
Medical Assistant P/T
Glasgow Urgent Clinic
USA
02.2002 - 03.2010
Triaged patients, documented medical records in EMR systems, conducted phlebotomy, administered injections, performed medication administration, facilitated in-house testing, and handled nurse calls.
Administered medications and vaccines following safety protocols and physician directives.
Assisted in patient evaluations by recording medical histories and vital signs efficiently.
Managed electronic health records, ensuring accuracy and compliance with regulations.
Coordinated patient referrals to specialists or other healthcare providers as needed for comprehensive care management plans.
Enhanced clinic efficiency by assisting physicians with routine procedures and diagnostic tests.
Experienced in working directly with providers in the clinical division: triage,scribe, nursing.
Performed EKGs and other diagnostic tests, contributing to accurate and timely diagnoses.
Conducted routine laboratory tests to assist in diagnosis and treatment of conditions.
Improved clinical workflow with introduction of electronic health records system.
Assisted healthcare providers during examinations, documenting patient histories and vital signs efficiently.
Managed patient intake and registration processes, ensuring accurate data entry and compliance with clinic protocols.
Medical Assistant
Medical Center Of Bowling Green
Bowling Green, KY
06.2000 - 02.2002
Administered medications and injections under physician supervision, ensuring patient safety and compliance with protocols.
Assisted in patient examinations by preparing examination rooms and gathering necessary medical history information.
Coordinated patient scheduling, optimizing clinic flow and reducing wait times for appointments.
Conducted point-of-care testing, accurately performing lab procedures and reporting results to healthcare providers.
Experienced in working in VA clinic/workers comp clinic.
Directly worked with VA provider with military exams, case management and workman's comp claims.
Education
Associate Degree - Medical Assisting
Draughons Junior College
USA
05.2000
Associate - Health Information Medical Billing/Coding
Draughons Junior College
USA
01.2000
Skills
Proficient in EMR systems
Detail-oriented data entry
Independently motivated
Attention to detail
Proficient in medical and pharmaceutical terms
Teams
Meticulous attention to detail
Insightful knowledge application
ICD-10 knowledge
HCPCS coding
Expertise in HIPAA compliance
Ensuring confidentiality in patient care
Verbal communication
HIPAA compliance
Certification
Certified CPR/BLS
Timeline
Insurance Billing Specialist
Frost Arnett Co.
03.2022 - Current
Caregiver
Personal
11.2020 - 03.2022
IV Pharmacy Technician
PharMerica Inc.
03.2010 - 11.2020
Medical Assistant P/T
Glasgow Urgent Clinic
02.2002 - 03.2010
Medical Assistant
Medical Center Of Bowling Green
06.2000 - 02.2002
Associate Degree - Medical Assisting
Draughons Junior College
Associate - Health Information Medical Billing/Coding
Billing Coordinator for Specialty Billing Team at Children's Hospital ColoradoBilling Coordinator for Specialty Billing Team at Children's Hospital Colorado