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Medical Billing

Location:
Cleveland, OH
Posted:
September 14, 2017

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Resume:

GWEN TURNER, CHAA 216-***-**** - H

**** **** ***** ****** 216-***-**** - C

Cleveland, OH 44111 *******@*****.***

Communication – Empathy – Restorative – In-put – Ideation

WORK HISTORY

Case Westerm Reserve University 05/2017 to present

Technology Transfer Office

Deparment Assistant

This is a long-term temporary assignment

Maintain two director’s calendars with access to all staff’s calendars. Arrange meetings with staff and visitors, scheduling teleconferences and video conferences for United States, Australia and London entities. Scheduling conference rooms and reservations for lunch meetings off-campus.

Partipate in weekly administrative meetings where results of Case Manager meetings are provided, including upcoming projects, inventions, and licensing.

Answer phones

Schedule annual reviews between staff and directors.

Scan sensitive/confidential information into our technology software package.

Assist legal team with validating and scanning documents into correct software package.

Centers for Dialysis Care 11/2014 – 08/2016

Ohio Kidney and Hypertension Center

Medical Secretary – Pratice Support Specialist

Credentialing (doctors and nurse practitioners)

Insurance verification and follow-up (via phone, insurance portals, Trizetto and physician/hospital portals, Medicaid Insurance Technology Systems (MITS) and Medicare portals

Electronic Health Records (EPIC/Cadence, Greenway PrimeSuite)

Intermiediate Microsoft Office and Google packages

Securing authorizations

Scheduling appointments/confirmation calls

Patient check-in /check-out

Processing copays (cash, check and credit cards)

Preparing patient charts for appointments

Processing referrals

Assist Finance Department with Medicaid, Medicare, TriCare and all major medical insurance companies to resolve billing issues including denials and billing errors. Once resolved, I resubmitted claims for payment.

Chart preparation

Knowledge of HIPAA and other compliance organizations’ requirements

County Board of Elections 03/2014 - 05/2014

Customer Service

Employed by the BOE as temporary Customer Service Rep for pre/post-election day procedures. Update voters’ and poll workers’ demographics and political parties, assigned work locations and duties for poll workers in Data Information Management System (DIMS). Make reminder calls and alerts to workers about assignments. Proofread ballots and scan voter results.

Fort Dearborn 09/2004 – 08/2012

Data Integrity Specialist

Ensured that electronic data provided to the graphic artists and printer were accurate and consistent to meet the needs of preparing labels (color of inks and percentages needed, label size, legal and regulatory statements and number of labels needed).

Provided customer service to internal and external customers.

Ensured the pricing matrix was accurate for services or products offered. Helped save the company money by creating a customer-specific billing system as each customer’s needs were different.

Benjamin Rose Institute 02/2001- 07/2003

Administrative Assistant/Mental Health Department

Scheduled patient appointments

Monitored patient charts ensuring compliance

Monitored nurses’, social workers’ and home health aides’ files to ensure Continuing Education Credits were updated as well any compliance concerns

Entered patient demographics and health related information into database

EDUCATION

Cuyahoga Community College 08/2013 – 12/2013

Patient Access Service Program

Medical Terminology, Electronic Health Records, Fundamentals of Billing and Patient Access Services Fundamentals. Course included an internship at MetroHealth Medical Center’s Cancer Care Department in the medical offices and patient registration desk.

Cuyahoga Community College 01/2016 – present

Medical Billing Specialist

Medical Terminology I and II, English College Composition, Math, MicroComputers, Physician Office Coding, Medical Billing, Legal Aspects of Health Care, Ethical Aspects of Health.

CERTIFICATION

National Association of Healthcare Access Management (NAHAM) - Certified Healthcare Access Associate (CHAA)

GWEN TURNER, CHAA 216-***-**** - H

3800 West 117th Street 216-***-**** - C

Cleveland, OH 44111 *******@*****.***

REFERENCES

Jaime Michael Cox

Multi-Practice Manager

CDC Physicians/Ohio Kidney & Hypertension Center

216-***-****

Daniel Pendergast

Senior Director of Operations

Case Western Reserve University – Tech Transfer Office

216-***-****

Yana Katsevich

Manager

Case Western Reserve University – Tech Transfer Office

216-***-****

Susan Dombrowski

Healthcare Administrator

Davita Dialysis

440-***-****



Contact this candidate