Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
5
5
years of professional experience
Work History
Quality Analyst
A Pineywoods Home Health Services
10.2022 - Current
Analyzed quality and performance data to support operational decision-making.
Collaborated with management to provide training on improved processes and assisted with creation and maintenance of quality training.
Compiled and distributed weekly feedback to team leaders and managers to improve service time and quality while increasing productivity.
Recorded findings of inspection process, collaborating with quality team to implement corrective actions.
Worked Efficiently in gathering and correcting data and documents to meet State Standards by State Auditors.
Developed and maintained quality assurance procedure documentation.
Developed training materials, SOPs and work instructions to supplement new team member onboarding.
Edited, proofed and critiqued internal documents to improve clarity.
Filed new documentation in client charts to assure information remained updated timely.
Medical Biller and Coder
MJS And Associates
05.2022 - 08.2022
Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
Interacted with physicians and other healthcare staff to ask questions regarding patient services.
Resourcefully used various coding books, procedure manuals, and on-line encoders.
Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Kept all patient information secure and confidential.
Executed billing tasks and recorded information in company databases.
Identified, researched, and resolved billing variances to maintain system accuracy and currency.
Monitored accounts to verify compliance with payment terms and schedules.
Followed up overdue payments and payment plans from clients to establish good cash flow.
Generated monthly accounts receivable reports to submit developments for management review.
Communicated with insurance providers to resolve denied claims and resubmitted.
Verified insurance of patients to determine eligibility.
Collected payments and applied to patient accounts.
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.
Liaised between patients, insurance companies, and billing office.
Call Center Representative
Etech
03.2022 - 05.2022
Adhered to company policies and scripts to consistently achieve call-time and quality standards.
Processed debit and credit card and electronic check payments.
Attended telephone skills and program information training sessions to boost aptitude.
Completed daily cold calling and outreach to build sales pipeline.
Answered inbound telephone calls from interested customers to persuasively discuss offerings.
Displayed excellent sales skills and understanding of how to leverage abilities to exceed quotas.
Built relationships with customers using strong persuasion and active listening skills.
Educated customers on product and service benefits, explaining features and answering questions.
Attendant
Autumn Winds Assisted Living
10.2018 - 03.2022
Assisted patients with dressing, grooming and feeding needs, helping to overcome, and adapt to mobility restrictions.
Performed laundry, grocery shopping and other light housekeeping duties as instructed by client.
Reported unusual or urgent circumstances in patients' condition or environment immediately to nurse supervisor.
Monitored client health by performing routine pulse, temperature and blood pressure checks.
Administered medication as directed by physician.
Assisted with end-of-life care.
Trained new staff members on best practices for home health care.