Summary
Overview
Work History
Education
Skills
Additional Information
Timeline
Generic

Sundena Hayes

Oklahoma City,OK

Summary

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level Medical Billing position. Ready to help team achieve company goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Tenacious Claims Auditor with understanding of researching claims processing errors and determining appropriate resolutions. Data-driven professional with exceptional skills in calculating figures and making claims decisions. Background traveling extensively within Oklahoam City area. Demonstrative Claims Auditor with background reviewing payment processes to deliver services, correct pricing and timely payments. Highly collaborative individual with over 18 years providing exceptional service via email and telephone to various individuals and organizations. Offering experience in different software applications and accounting procedures.

Overview

6
6
years of professional experience

Work History

05.2021 - Current
  • Process and audit medical claims, ensuring accuracy and compliance with coding guidelines
  • Perform thorough reviews of medical records and charge entry for claims submission
  • Collaborate with healthcare providers and insurers to resolve claim discrepancies and appeals

Claims Auditor/Collector

Dean McGee Eye Institute
05.2020 - 05.2021
  • Conducted audits on medical claims to identify errors and discrepancies, leading to improved revenue cycle efficiency
  • Managed appeals process to resolve denied or underpaid claims
  • Utilized ICD-10 coding and medical records analysis to ensure accurate claim submissions

Medical Billing Specialist

Bailey Medical Billing
08.2018 - 05.2020
  • Processed and audited medical claims for various healthcare providers
  • Investigated and corrected billing errors, resulting in reduced claim denials
  • Handled appeals and inquiries from patients and insurance companies

Education

Professional Coding Certificate AAPC Accredited Program -

OSU

1998

Skills

  • Sundena Hayes
  • Claims Processing and
  • Auditing
  • Revenue Cycle
  • Management
  • Accounts
  • Payable/Receivable
  • Medical Billing and Coding
  • Proficient in Microsoft
  • Office Suite
  • EMR Systems: Epic, Practice
  • Fusion
  • Billing Software: ClaimMD
  • Advanced MD
  • Strong Attention to Detail
  • Excellent Communication
  • Skills
  • Skills Experience:
  • Top Claims Processor

Additional Information

  • Experienced and results- oriented medical billing professional with over five years of expertise in claims processing, appeals, and revenue cycle management. Currently pursuing a Certified Professional Coding Certificate to enhance coding proficiency. Demonstrated proficiency in medical billing software including EMR, Epic, ClaimMD, Advanced MD, and Practice Fusion. Proven track record of accuracy, efficiency, and exceptional customer service. Seeking a challenging role as a Top Claims Processor to leverage skills and drive revenue optimization for healthcare organizations.

Timeline

05.2021 - Current

Claims Auditor/Collector

Dean McGee Eye Institute
05.2020 - 05.2021

Medical Billing Specialist

Bailey Medical Billing
08.2018 - 05.2020

Professional Coding Certificate AAPC Accredited Program -

OSU

Sundena Hayes