Medical Insurance

REGINA L. LANE

**** ****** *** *********, **. 30815 706-***-**** ***********@***.***

OBJECTIVE TO OBTAIN A CHALLENGING POSITION THAT WILL PRODUCE AN

EFFECTIVE CHANGE BY UTILIZING MY SKILLS AND EXPERIENCE

QUALIFICATIONS

ABILITY TO PREPARE AND MAINTAIN PATIENT CHARTS

FLUENT IN MEDICAL TERMINOLOGY AND TRANSCRIPTION

EXPERIENCE WITH COMPUTERIZED BILLING/SCHEDULING

SYSTEM

WORKING KNOWLEDGE OF CPT,HCPCS & ICD 9 INSURANCE

CODES

ABILITY TO COMMUNICATE EOB

EXPERIENCE IN INSURANCE VERIFICATION INCLUDING

PRIOR AUTHORIZATION NECESSITY

UNDERSTANDING OF HIPPA, STRICT ADHERENCE TO

PATIENT RIGHTS AND CONFIDENDIALITY

STRENGTHS

EFFICIENT MULTI TASKING AND STRONG

ORGANIZATIONAL SKILLS

SELF MOTIVATED, RESPONSIBLE AND COMMITTED TO

QUALITY PERFORMANCE

EXCELLENT COMMUNICATION SKILLS, ABILITY TO

ESTABLISH RAPPORT WITH PATIENTS AND STAFF

PROFICIENT IN ALL FRONT DESK RESPONSIBLITIES, CROSS

TRAINED TO HANDLE BACK OFFICE DUTIES

COMPUTER SKILLS

KEYBOARDING 50 WPM

MICROSOFT WORD, EXCEL, LOTUS NOTES

MEDICAL DATABASE PROGRAMS INCLUDING MEDISOFT,

MAINFRAME, PGBA SYSTEMS AND CITRIX

EDUCATION

AUGUSTA STATE UNIVERSITY AUGUSTA, GA

MEDICAL CODING (CONT’D EDUCATION)

GRADUATE DATE: JANUARY 31, 2006

KERR BUSINESS COLLEGE AUGUSTA, GA

MEDICAL BILLING SPECIALIST DIPLOMA

GRADUATION DATE: DECEMBER 22, 2004

ACADEMIC HONORS:

PRESIDENT’S LIST, ALL QUARTERS 2004

KERR SHCOLARSHIP, FALL 2004

AUGUSTA TECHNICAL COLLEGE AUGUSTA, GA

DATES ATTENDED: SEPTEMBER 2003 MARCH 2004

GENERAL COURSE STUDY

EXPERIENCE

HEALTHCARE FINDER

HUMANA MILITARY HEALTHCARE SERVICES

APRIL 2006 MARCH 2010

GENERATED REFERRALS AND AUTHORIZATIONS FOR ACTIVE

DUTY SOLDIERS AND DEPENDENTS FOR MEDICAL NECESSITY

ASSISTED IN THE SUPERVISION OF TWO ASSOCIATES FOR

ACCURATE PROCESSING IN UTILIZATION REVIEW

GENERATED AND PROCESSED AUDITS FOR QUALITY

PERFORMANCE

ASSISTED IN THE DISTRIBUTION OF INTERNET REFERRALS

GENERATED BY PROVIDERS TO 19 ASSOCIATES

TRANSCRIBED PROVIDER DOCUMENTS RECEIVED VIA

RIGHTFAX AND INTERACTIVE VOICE RESPOSE

COMMUNICATED DISCHARGE PLANNING WITH ACUTE CARE

FACILITIES

CONSULTED WITH PROVIDERS TO CONFIRM ACCURACY OF

AUTHORIZATIONS

MEDICARE BENEFITS SPECIALIST

MANPOWER (PEARSON PROJECT) GOVERNMENT BASED

OCTOBER 2005 APRIL 2006

COUNSELED FOR NEW MEDICARE PART D BENEFITS FROM

INBOUND CALLING PATIENTS

ASSISTED VIA HELP DESK TO FELLOW ASSOCIATES IN

COUSELING FOR BENEFITS

FRONT DESK RECEPTIONIST

DR MARIAN T. EBRON, M.D. INTERNAL MEDICINE

FEBUARY 2005 OCTOBER 2005

ANSWERED PHONES, FILING AND SCHEDULING APPOINTMENTS

SCHEDULED REFERRALS AND PROCESS 2NDARY INSURANCE

CLAIMS

LABORATORY AND STANDARD PATIENT DEMOGRAPHIC DATA

ENTRY

INSURANCE VERIFICATION AND MINIMAL ABSTRACT CODING

Contact this candidate