Stephanie Carter
Frisco,TX
Summary
Enthusiastic about helping patients get necessary medical support by obtaining authorizations, scheduling procedures and coordinating paperwork. Detail-oriented and proactive with good relationship-building skills, a hardworking nature and an adaptable approach. Proficient in Epic, EClinical Works and AllScripts.
Overview
1
1
Certificate
10
10
Medical Billing/Coding
20
20
Healthcare Customer Service
16
16
years of professional experience
Education
Associate of Science - Healthcare Administration
Ashworth College
Norcross, GA01.2023
Technical Diploma - Medical Billing/Coding
Devry University
Irving, TX06.2019
Skills
- ICD-10 ,CPT, HCPCS
- Medicare and Medicaid and Commerical Billing
- Epic, Availity, AllScripts, NAVINET, PEAR
- Obtaining Vital Signs
- Healthcare reimbursement and billing
- Knowledge of healthcare laws and regulations
- Quality improvement and patient safety
- Insurance verification
- Medication Administration
- GOOGLE SUITE, SALESFORCE, ZENDESK
- Healthcare administration and Management
- Patient experience and satisfaction improvement
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Certification
Medical Billing and Coding Certification
Good Clinical Practice Research Certification
Customer Service Certification
Effective Communication Skills Certification
Professional Skill Certification
Successful Manager Certification
Telephone Skill Certification
Time Huddle Certification
Quote
There is a powerful driving force inside every human being that, once unleashed, can make any vision, dream, or desire a reality.
Tony Robbins
Timeline
Insurance Biller Representative
Acclara
05.2023 - Current
Medical Scheduler
Carenet
01.2023 - 04.2023
Medical Biller
Spectrum Staffing
01.2022 - 12.2022
Pharmacy Clerk
CVS Pharmacy
04.2021 - 12.2021
Pharmacy Clerk
BroadPath Healthcare
01.2020 - 08.2020
Medication Technician
Villages Of LakeHighlands
03.2010 - 07.2012
Patient Care Technician
Texas Specialty Hospital
01.2008 - 10.2009
Associate of Science - Healthcare Administration
Ashworth College
Technical Diploma - Medical Billing/Coding
Devry University
Work History
Insurance Biller Representative
Acclara
05.2023 - Current
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Researched and resolved complex medical claims issues to support timely processing.
- Retrieve patients medical records from EPIC to aid in appeals
- Followed up on denied claims to verify timely patient payment and resolution.
- Responsible for working payer correspondence, edits, and aged accounts receivable, identifying, and correcting billing errors
- Review and interpret contractual terms for managed care, commercial, Medicare, Medicaid and/or worker’s compensation
- Maintains ongoing knowledge of third-party billing requirements. Understands billing timeliness and urgency in meeting all claim and filing deadlines.
Medical Scheduler
Carenet
01.2023 - 04.2023
- Managed multiple schedules and prioritized tasks to meet demands of fast-paced work environment.
- Followed up with patients to reschedule missed appointments.
- Maintained confidentiality of patient information to comply with HIPAA regulations and protect patient privacy.
- Managed complex calendars for multiple medical practitioners, verifying accuracy of all appointments.
- Managed patient flow and triage calls to prioritize patient needs and put efficient use of clinic resources.
Medical Biller
Spectrum Staffing
01.2022 - 12.2022
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Posted payments and collections on regular basis.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Adhered to established standards to safeguard patients' health information.
- Verified accuracy of accounts payable payments, resulting in 20% reduction in payment errors and check reissues
Pharmacy Clerk
CVS Pharmacy
04.2021 - 12.2021
- Processed payments, returns and exchanges using pharmacy POS system to accurately manage transactions.
- Confirmed customer information and insurance eligibility for prescriptions.
- Communicated with patients to collect information about prescriptions and medical conditions or arrange consultations with pharmacists.
- Managed over 50 customer calls per day
- Answered customer questions regarding prescribed medications, over-the-counter products, and insurance coverage.
- Increased sales by 15%
Pharmacy Clerk
BroadPath Healthcare
01.2020 - 08.2020
- Confirmed customer information and insurance eligibility for prescriptions.
- Processed payments, returns and exchanges using pharmacy POS system to accurately manage transactions.
- Communicated with patients to collect information about prescriptions and medical conditions or arrange consultations with pharmacists.
- Answered customer questions regarding prescribed medications, over-the-counter products, and insurance coverage.
- Assisted customers with selecting cost-effective medications in line with health coverage.
Medication Technician
Villages Of LakeHighlands
03.2010 - 07.2012
- Prepared medication doses accurately by following medication administration record (MAR) written by healthcare providers.
- Reordered medication to maintain adequate supply.
- Documented medication administration into electronic medical records (EMR) to avoid duplication of medication dosages.
- Counted and recorded medication inventory routinely to maintain medication security and control.
- Unpacked, sorted, counted, and labeled all incoming medications to keep optimum inventory levels.
- Monitored patient responses to medication to report adverse reactions quickly.
- Identified and reported medication errors to avoid distributing wrong medication to patients.
- Offered immediate assistance in emergency and routine paging situations to evaluate needs and deliver care.
- Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
Patient Care Technician
Texas Specialty Hospital
01.2008 - 10.2009
- Obtained patient vital signs and reported results to staff nurse or physician, noting changes from prior measurements.
- Answered patient assistance calls, assessed needs, and offered qualified support.
- Maintained clean and safe environment to promote patient safety and comfort.
- Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
- Collected and transported specimens to prepare for lab testing.
- Helped patients maintain healthy skin by checking wounds, assessing integrity, and bathing bedbound individuals.
- Maximized patient satisfaction by helping individuals carry out personal tasks such as dressing and walking.
- Supported patient admissions, discharges, and transfers to promote team productivity.
- Applied oxygen via nasal cannula, simple masks and nebulizer masks under direction of nurse in charge.
- Documented patient information and care activities in electronic health record.
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