Administrative Assistant Medical
Resume:
ELLEN A. HOUPE
Durham, North Carolina 27704
*******@***.***
SUMMARY
A dedicated dependable AAPC Certified Professional Coder with extinctive
experience in the Healthcare insurance industry. A self-starter with
demonstrated experience in meeting customer expectations, teamwork,
flexibility, and ability to get the job accomplished.
PROFESSIONAL EXPERIENCE
REGIONAL ANESTHESIA
Certified Medical Coder (June 2011 to Present)
Reviewing patients' anesthesia charts and assigning ICD-9-CM and CPT-4
medical codes for hospitals and surgical centers.
BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA 1985-2011
Audit Research Assistant (2001-2011)
. Conducted audits of the small group eligibility process and submitted a
monthly report; completed Ingenix audits and special projects.
. Trained incoming employees and managed their time. Assigned, tracked and
documented work to team members.
. Assisted customers with group file requests; audited and updated file
documentation of files to ensure compliance with the North Carolina
Department of Insurance guidelines.
Underwriting Specialist (1999-2001)
. Reviewed group's health applications and medical records to determine if
group was approved or declined for health insurance under small group
underwriting guidelines using ICD-9-CM.
. Compiled and mailed eligibility verification forms to small groups
requesting tax documents to determine and evaluate the eligibility of
groups and employees of groups; request explanations from group
administrator on discrepancies noted between enrolled employees and other
eligible employees not enrolled.
. Coordinated enrollment of eligible employees and termination of employees
no longer eligible with Underwriting, Rating Enrollment and Billing
Operations and Group Membership Services.
Administrative Assistant (1985-1999)
. Entered incoming applications on system; responded to phone and email
inquiries; completed reports; and distributed departmental mail.
. Covered phones for area; maintained files; scheduled and attended
meetings; made travel arrangements; and ordered departmental supplies.
EDUCATION
Mount Olive College, RTP, North Carolina
Bachelors of Science - Business Administration/Management and Organization
Development
CERTIFICATES
AAPC Certified Professional Coder; AHIMA Medical Coding Boot Camp;
Certified CPR Instructor; Expanded Medical Terminology; Human Resources
Development; Professionalism in the Office; Microsoft Word; Microsoft
Excel; Citizens Police Academy III.
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