Medical Insurance
Resume:
Cathy Hunter
Decatur Georgia 30034
***********@*****.***
Summary of Qualifications
Business professional that has excellent communication skills, honest, hardworking, and dependable. Highly motivated to achieve set goals, eager, and willing to learn, team player, great problem solving skills.
Skills
CPT-4 coding, ICD-9 coding, ICD-10 coding, HCPCS, Nurse Practitioner email
EMR, Windows office XP, Microsoft Windows, Lotus 1,2,3
Data entry, STAR, McKesson Horizon, Med Soft Software
EPIC, GHP, EHR, Types 30-40WPM, Care cloud, EOB statements
Education
Savannah Tech College, Savannah GA 2016
Business Medical Administration Office Assistant Savannah Tech College, SA, GA
Medical billing/coding 2013-2014 Savannah Tech College, SA, GA
Medical billing specialist diploma 2007-2008 Med/Vance Institute, Lake Worth FL
Medical Tech certification 2006 Lake Worth FL
Experience
Patient Care Technician (PCT) - Grady Health System (weekend only)
02/2017-Present
The PCT also performs selected tasks and therapies as delegated by a licensed professional.
PCT also includes patient advocacy, teaching and performance improvement. The PCT primarily functions in the inpatient settings and data entry for patient’s information.
Is responsible for providing age-appropriate, culturally and ethnically sensitive care, maintaining a safe environment, collecting information,
Certified Nursing Assistant/ PCT- NHC Bluffton, SC
08/2016-01/2017 Present
Provide direct/indirect patient care, Promotes collaboration and efficiency on the
nursing unit by demonstrating mastery of time management, organization, customer
services.
Precertification/Insurance Specialist- Nation Sleep Disorder Center
06/27/16-Present
Completion of Precertification’s call all insurance verification with co-pay, co-insurance,
deductible online. Checking on all procedures ordered, assisting medical records with
chart records, code procedures that need CPT code/ICD-9 code, answering question for the patients EOB statements that they received.
Verifying insurance of patient that coming in for sleep studies. Verifying DME benefits for supplies for the patient’s sleep study visits. Scanning documentation into patient medical records in the system. Submitting request to Humana Military for the patient with military insurance.
Medical Records Field Reviewer- Altegra Health
02/2016-06/16/16
Accurately and efficiently conduct medical record review services from EMR/EHR.
Scan relevant components of the medical record to support reviews performed.
Upload scanned medical records daily maintain communication lines with Outcomes advocate. Visiting all care provider offices, clinics, hospitals, other clinical facilities
PCT/Health Unit Clerk Med/Surg- Memorial Hospital Medical Center
08/2013– 10/2015
Provide direct/indirect patient care, Promotes collaboration and efficiency on the
nursing unit by demonstrating mastery of time management, organization, customer
service and problem resolution.
Reads doctors’ orders and enters them into computer, filing and entering charges on patient’s patient’s medical charts, scanning documents into the medical records, answering phones, faxing documentation, filing charts.
Precertification/Insurance Specialist- South East Lung Associate
04/2012-06/2012
Completion of Precertification’s and all insurance verification with co-pay, co-insurance,
deductible online. Checking on all procedures ordered, assisting medical records with
chart records, code procedures that need CPT code/ICD-9 code, answering question for the patients EOB statements that they received.
Taking consult calls for Candler Hospital, Evan Hospital, and Tattnall Hospital and paging doctors. Answer voicemail and return calls within a timely manner. Worked with All Script/ Med Soft, Citrix, Clinical Module.
Certified Nursing Assistant- The Marshes of Skid Away Island
09/2011-05-Present
Responsible for performing direct/indirect patient care, Checks vital signs, communicated/collaborated with nursing staff to ensure best care for patient.
Medical Billing Account Receiver temp- Medical Associates of Savannah
05/2011-06/2011
Responsible for collecting, posting and managing accounts, submitting claims and following up with Insurance companies. Answering question for the patients EOB statements that they received.
Maintained Georgia Medicare and Medicaid’s A/R report by tracking billing, monitoring collections, collected delinquent accounts by establishing payment arrangements with patients.
Claims Examiner Specialist- Care Core National
06/2010-01/2011
Collections and insurance follow up with hospital/medical office AR claims, collected outstanding debts from governmental payers- primarily consisting of GA Medicaid, out of state Medicaid, Medicare, EMR, Children’s medical services, Unfunded patients.
Maintained aged receivables within established benchmarks provided the necessary customer service to clients by both verbal and written reply to properly resolve issues.
Answering question for the patients EOB statements that they received.
Medical Records Clerk Temp- Recovery Place Community Center
02/2010-03/2010
Provided entry level support for assigned clinics through scheduling, reception, records maintenance, EMR, coordination with other hospitals, clinics, and general assistance.
Greeted and assisted patients with admissions and completing necessary paperwork. Maintained charts, created new charts and registered patients in electronic databases.
Answering question for the patients EOB statements that they received.
Medical Biller/Collector- Bone and Joint Surgery Center (Wellington FL)
06/2008-01/2010
Prepared and submitted clean claims to various insurance companies by paper and electronically.
Identified and resolved patient billing complaints and prepared/reviewed patient statements.
Processed payments from insurance companies and prepared daily deposits. Answering question for the patients EOB statements that they received.
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