Data Entry Medical
Resume:
Patricia A Braxton
**** ******* ****** *********, ** 21218
Alt 443-***-****
ac2g4w@r.postjobfree.com
CAREER FOCUS
Seeking a position as an Independent Court Researcher.
Skills
Knowledge of (CPT) Current Procedural Terminology, ICD-10 codes, diagnosis codes, HCPCS and Medical Terminology.
Knows how to verify insurance eligibility.
Has worked in a fast-paced environment.
Comprehensive knowledge and compliance of HIPAA rules and regulations in the dissemination of patient Protected Health Information.
Processed Commercial, Medicare and Medicaid Claims.
Type 45-60 WPM and Data Entry 10,000-12,000 keystrokes.
Microsoft Office Suites Excel, Word, PowerPoint, Internet and Email.
Office equipment fax, telephone, copier and scanner.
PROFESSIONAL EXPERIENCE
Broad Path HealthCare Solutions 10/2014-2/2017
Tucson, AZ
Senior Medical Claims Analyst
• Affinity - Claims – 9/29/2016 to 2/24/2017 Senior Medical Claims Analyst
• Health Choice Arizona - Claims – 6/6/2016 to 8/26/2016 Senior Medical Claims Analyst
• Xerox - State of Alaska Medicaid Claims - 12/28/2015 to 5/26/2016 Senior Medical Claims Analyst
• Moda Claims – 6/22/2015 to 12/18/2015 Medical Claims Adjustments
• Moda Claims – 10/6/2014 to 6/21/2015 Senior Medical Claims Analyst
CareFirst B/C B/S 07/2013-02/2014
Owings Mills, MD
Medical Claims Processor
Resolved and clarified procedure codes, demographics, and diagnoses codes with conflicting, missing, or unclear information by consulting the companies processing manual along with State and Federal guidelines.
Kept meticulous records using Microsoft Excel of number of claims processed per day, week and month.
Exceeded company’s claims processing standards by over 200% with 100% audit quality
Johns Hopkins University Bloomberg School of Public Health 11/2012-02/2013
Baltimore, MD
Academic Services Assistant
Counted, sorted and distributed mail; reviewed transcripts for completeness and filed records in alphabetic order.
Scanned documentation and entered into the database. Added new material to file records and created new records. Organized forms, made photocopies, filed records and prepared correspondence and reports.
Kaiser Permanente of the Mid-Atlantic 01/2009-06/2010
Rockville, MD
Claims Accumulator Auditor
Collected and analyzed subscriber out of pocket expenses to detect deficient controls, duplicated effort, extravagance, fraud, or non-compliance with laws and regulations.
Conferred with company officials about members’ out of pocket expenses and regulatory matters, analyzing information and evaluating results to choose the best solution, solve complex problems and prepared statistical reports.
Kept detailed records which allowed me to show why the procedure was or was not covered, and provide information regarding the amount of the claim if it was settled for less than expected; also in case of lawsuit.
Kaiser Permanente of the Mid-Atlantic 03/2005-01/2009
Rockville, MD
Medical Claims Processor
Processed electronic medical claims to determine payment of claims.
Prepared medical claim forms or related documents and review them for completeness.
Paid high dollar complex claims.
EDUCATION
The Accounting and Bookkeeping Center
Baltimore, MD
Accounting and Bookkeeper Diploma
Electronics & Computer Tech Towson, MD
IT Tech Classroom Hours
Computer Information Systems Essex, MD
Computer Systems Credits Earned
Business Secretary Wilmington, DE
Assistant Diploma
Data Entry Baltimore, MD
Data Entry Operator Certificate
References
Mayor’s Office of Employment Development
Ms. Hollins
Broad Path HealthCare Solutions
Mrs. Chiniqkua Swanagan
Kaiser Permanente
Mrs. Keyonna Reid
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