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Medical Insurance

Location:
Dumfries, VA
Posted:
July 08, 2017

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Resume:

Antoinette D. Scott Health Care Administrator/Faculty Member

************@***.*** 703-***-**** Dumfries, VA 22026

Certified Billing and Coding Specialist (CBCS), Skilled Administrator with extensive experience billing for Medicare/Medicaid, Tricare, and commercial insurances. Developed policies and procedures to ensure proper implementation and execution of medical billing, medical records, and information management. Collaborative communicator continually focused on building relationships. Retired Army SGT with experience training over 200 enlisted soldiers and officers.

MS Office

I Exchange

Florida Share

Medical Manager 8.0

Carepricer

LINUX/UNIX

Ontrac

IDX

H-Capp

Experience & Notable Contributions

EVEREST COLLEGE Woodbridge, VA 9/2012-Present

Medical Insurance Billing and Coding, and Medical Administrative Assistant Instructor

Taught 12 credits a semester to sophomores, juniors, and seniors: Medical Insurance, Billing and Coding, and Medical Administrative Assistant. Developed curriculum and class syllabi and administered tests. Explained and demonstrated practical procedures. Simulate real world experiences through classroom and front desk activities.

LITERACY VOLUNTEERS OF AMERICA, PRINCE WILLIAM, INC. Woodbridge, VA 4/2012-5/2012

Temporary Program Administrator

Collected and tracked student assessments in a MS Access database. Recorded material costs and Tutor Training Workshop fees. Maintained prospective tutor list. Assisted Program Coordinator and Executive Director with Special projects. Scheduled appointments for assessments.

INOVA HEALTHCARE SYSTEMS Falls Church, VA 6/2010-3/2012

Financial Quality Coordinator

Contact insurance companies for pre-authorization for procedures. Obtained estimates for patient monetary obligations. Performed data entry.

HAYMARKET MEDICAL CENTER Haymarket, VA 2/2009-4/2010

Medical Billing/Accounts Receivable Supervisor

Supervised, and trained three Medical billing personnel. Registered the patient and verified insurance coverage. Collected the information required to create a claim. Worked directly with the insurance company, healthcare provider, and patient to get a claim processed and paid. Reviewed and appealed unpaid and denied claims. Handled collections on unpaid accounts. Managed the facility’s Accounts Receivable reports. Answered patients’ billing questions.

KELSON BILLING SERVICES Woodbridge, VA 11/2006-12/2008

Medical Billing/ Accounts Receivable

Posted payments from Medicaid and commercial insurance companies. Reviewed and followed up on insurance remits from various insurances. Prepared information for appeals and denials for payment.

Education & Training

Bachelor of Science in Business Administration with a focus in Health Care Administration

METHODIST UNIVERSITY Fayetteville, NC

Master of Science in Administration with a focus in Health Services Administration

CENTRAL MICHIGAN UNIVERSITY Mt. Pleasant, MI

Professional Associations

Member of NAPW, National Association of Professional Women

Member of AHIMA, The American Health Information Management Association

Member of AAPC, The American Academy of Professional Coders

Member of AAUW, The American Association of University Women

Member of NHA, The National Healthcare Association



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