Summary
Overview
Work History
Education
Skills
Certification
Timeline
AssistantManager

ZANQUISHA V. SPELLER

Greenville,NC

Summary

  • Energetic professional seeking a position where I can use my knowledge of complex medical computer applications and customer service experience.
  • Extremely detail oriented and organized.
  • Committed to complete a job on time.
  • Friendly and dedicated.
  • Proficient in all Microsoft Systems.
  • Type 50 + words per minute.

Overview

1
1
Certification

Work History

Referral Coordinator

ECU Adult Specialty Care
12 2023 - Current
  • Maintain accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
  • Answer telephone calls to offer office information, answer questions, and direct calls to staff.
  • Call insurance companies to get precertification and other benefits information on behalf of patients.
  • Collaborate with healthcare providers to ensure accurate and complete referral information, improving patient care coordination.
  • Implement an electronic tracking system that streamlined referral management processes while reducing manual errors.
  • Obtain prior authorization for CT/MRI procedures.

Productivity Coordinator

ECU Adult Specialty Care
02 2022 - Current
  • Manage daily no shows for providers to make sure patients get another appointment.
  • Create a monthly spreadsheet of all patients that no-showed their appointments.
  • Schedule new/transferring patients and ensuring all documents are obtained.
  • Enter data, generated reports, and produced tracking documents.
  • Maintain well-organized documentation systems and updating records accurately as needed.
  • Participate in weekly meetings to review schedule and patient information.

Lead Compliance Specialist/Medical Records Clerk

Agape Health Services
10 2019 - 01 2022
  • Oversee day to day operations of compliance department staff.
  • Follow HIPPA regulations.
  • Maintain strictest confidentiality.
  • Responsible for assessing the quality and quantity of work produced by Referral Specialist and Medical Records Clerk.
  • Train, supervise and assist the Medical Records Clerk in the proper performance of their duties.
  • Recording important patient information using EPIC EHR system.

Patient Access Representative

Agape Health Services
10 2018 - 10 2019
  • Develops productive working relationships, fostering trust and accountability in self and co-workers.
  • Demonstrates dependability by maintaining good attendance and punctuality.
  • Maintains patient confidentiality.
  • Explains clinic policies to the patient regarding the services and insurance company requirements.
  • Opens cash drawer, collects patient payments, posts payments to correct account, prints, closes cash drawer at close of shift.
  • Recording important patient information, including insurance information using EPIC EHR system.

Medical Billing Specialist(Part Time)

Straight Walk Family Services
01 2017 - 01 2018
  • Accurately export claims to all payers on a timely basis using NC Track Software.
  • Reporting and following up on any discrepancies between amounts billed and received.
  • Alerts the appropriate clinical personnel of any late or any incorrect coding that prevents timely billing of claims.
  • Maintain the confidentially of all patient information in accordance with HIPAA policies.

Medical Billing Specialist

Comprehensive Interventions
06 2016 - 10 2018
  • Use ICD-10 coding data to produce claims to multiple insurances.
  • Appeal and review denied and unpaid claims, generating a weekly billing report.
  • Handle collections with insurance providers on unpaid accounts.
  • Conduct error resolution and denial management.
  • Maintains required billing reports, records and files.
  • Maintain strict confidentiality.

Receptionist

Comprehensive Interventions
07 2015 - 06 2016
  • Received visitors at the front desk by greeting, welcoming, directing and announcing them appropriately.
  • Answered, screened and forwarded incoming phone calls.
  • Maintained office security by following safety procedures and controlling access via the reception desk.
  • Ordered front office supplies and keep inventory of stock.
  • Scheduled patient appointments including doctor and therapy sessions.
  • Performed other clerical receptionist duties such as filing, photocopying, transcribing and faxing.

Education

Vocational School Certificate/Insurance Verification & Claim Submission -

Vision Medical Billing

High School Diploma -

Bertie High School
Windsor, NC

Skills

  • Insurance Verification
  • Pre-authorizations
  • Notetaking and documentation
  • Medical terminology
  • Proficient in EPIC

Certification

  • Certified (Vision Medical Billing)

Timeline

Referral Coordinator

ECU Adult Specialty Care
12 2023 - Current

Productivity Coordinator

ECU Adult Specialty Care
02 2022 - Current

Lead Compliance Specialist/Medical Records Clerk

Agape Health Services
10 2019 - 01 2022

Patient Access Representative

Agape Health Services
10 2018 - 10 2019

Medical Billing Specialist(Part Time)

Straight Walk Family Services
01 2017 - 01 2018

Medical Billing Specialist

Comprehensive Interventions
06 2016 - 10 2018

Receptionist

Comprehensive Interventions
07 2015 - 06 2016

Vocational School Certificate/Insurance Verification & Claim Submission -

Vision Medical Billing

High School Diploma -

Bertie High School

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