Currently am a medical biller and coder, who is a Long Term Care Administrator in Tx and is seeking for a full-time position in long term care as a assistant administrator, that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Guided by the state and the federal regulation in the industry.
Overview
4
4
years of professional experience
9
9
years of post-secondary education
3
3
Certifications
Work History
Medical Biller and Coder
HnP Claim Care Inc
Rowlett, TX
06.2020 - 05.2022
Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Scanned and filed medical records in alphabetical order to maintain organized and up-to-date filing system.
Reviewed patient charts to better understand health histories, diagnoses and treatments.
Resourcefully used various coding books, procedure manuals and on-line encoders.
Coded inpatient charts at rate of 30 per day.
Implemented new coding procedures that reduced mistakes by 5% and simplified processes.
Accurately selected proper descriptive code when more than one anatomical location was indicated.
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.
Medical Biller
Ace Medical Billing
Dallas, TX
02.2020 - 06.2020
Communicated with insurance providers to resolve denied claims and resubmitted.
Prepared billing statements for patients and verified correct diagnostic coding.
Reviewed patient records, identified medical codes and created invoices for billing purposes.
Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
Posted service charges for practice providers.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Delivered timely and accurate charge submissions.
Posted payments and collections on regular basis.
Gathered information from multiple sources to simplify billing and organize accounts.
Business Development Representative
Professional Home Health & Hospice
Euless, TX
08.2018 - 05.2019
Communicated with local organizations to build networks and develop leads.
Increased brand awareness, website traffic and sales by implementing effective marketing campaigns and strategies.
Expanded business through effective network development, identifying new and prospective clients.
Incorporated product changes into marketing messages to drive customer engagement and maximize profits.
Consistently exceeded quotas through penetration of new accounts.
Maintained extensive knowledge of company products and services to provide top-notch expertise to customers.
Reviewed client concerns and recommended appropriate changes to supervisors.
Brought in new accounts through successful networking strategies and promotional approaches.
Administrator in Training
Prestonwood Rehabilitation & Nursing Center
Plano, TX
09.2017 - 07.2018
Independently managed multiple departments in the facility when the respective departmental heads were away on vacation.
Studied processes, implemented cost reductions and developed reporting procedures to maintain administrative workflow.
Managed agendas and calendars, boosting productivity and improving organizational initiatives.
Made routine rounds, to ensure first-hand observation that generated reports to suggest corrective actions and process improvements in the facility. As per the state and federal regulations.
Evaluated the facility operational practices against the budgets and identified improvement opportunities and developed revisions for systems and procedures, presented to the Administrator.
Leveraged bookkeeping software and automated processes to reduce errors, when i was in the business office.
Troubleshot employee concerns and recommended corrective actions to resolve issues.
Education
No Degree - Medical Billing And Coding
Remington College
Garland, TX
06.2019 - 01.2020
Vocational Degree - Long Term Care Facility Administration
McLennan Community College
Waco, TX
11.2017 - 05.2018
Master of Science - Healthcare Administration
Grand Canyon University
Phoenix, AZ
06.2015 - 10.2017
Bachelor of Science - Biochemistry
Egerton University
Njoro - Kenya
08.1991 - 11.1996
Skills
Medical claims coding
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Certification
CCA - Certified Coding Associate
Timeline
Medical Biller and Coder
HnP Claim Care Inc
06.2020 - 05.2022
Medical Biller
Ace Medical Billing
02.2020 - 06.2020
No Degree - Medical Billing And Coding
Remington College
06.2019 - 01.2020
Business Development Representative
Professional Home Health & Hospice
08.2018 - 05.2019
Vocational Degree - Long Term Care Facility Administration