Credentialing Specialist
Resume:
Rebecca W illiams
Tigard, OR 97224
***********@*****.***
Skills & Q ualifications:
Licensed M edical C laims a nd B illing S pecialist, C redentialing, C ontracting, C onsulting, A ccounts R eceivable, Accounts P ayable, I nventory M anagement, M onth-end F inancial P reparation, R eports a nd A nalysis, B ank Reconciliations, R e-configuring F ee S chedules t o a ppropriate M edicare/Medicaid a llotted a mounts ADMINISTRATIVE NURSING
Medical c laims a nd b illing s ervice CMA/CNA Pre-certification Unit S ecretary
Referral F ollow-up
Medicare/Medicaid
CPT a nd I CD-9/ICD-10 C oding
Insurance V erification
HCFA-1500 E lectronic B illing
Accounts P ayable/Accounts R eceivable M anagement Providing C redentialing a nd C ontracting N eeds f or I ndividuals a nd G roup P ractices Working w ith P aralegals a nd A ttorneys
Professional E xperience:
SUNNYBROOK B ILLING S ERVICES, L LC M aryland a nd D enver, C O
1 996 t o p resent O wner
● Performed a ll A dministrative a nd N ursing s kills a nd r equirements a s g iven.
● Collection S pecialist o n $ 1-4 M illion A ccount R eceivables t o D ecrease O utstanding B alances.
● Generated m onthly/yearly e nd c lient f inancial s tatements.
● Reconciled b ank a ccounts, i mproved c ash c ollection a nd c ontrol.
● Created o rganizational, d epartmental a nd c lient b udgets e mphasizing c lient b illing, f inancial r eporting, including i nvoices a nd r eceipts.
SOS N URSING S ERVICES, I NC. D enver, C O 2005 t o 2 009 - C MA, C NA, U nit S ecretary COLORADO C OMPREHENSIVE S PINE I NSTITUTE, L LC E nglewood, C O 2003 t o 2 004 - Medical C laims a nd B illing S pecialist, C redentialing, a nd C ontracting; L egal S ervices
● Generated m onthly/yearly e nd c lient f inancial s tatements.
● Reconciled b ank a ccounts, i mproved c ash c ollection a nd c ontrol.
● Created o rganizational, d epartmental a nd c lient b udgets e mphasizing c lient b illing, f inancial r eporting, including i nvoices a nd r eceipts.
Education:
UNIVERSITY O F M ARYLAND @ C OLLEGE P ARK C ollege P ark, M aryland 1 992 Bachelor o f A rts a nd S ocial S ciences ( Sociology) UNIVERSITY O F N ORTH C AROLINA ( UNCG) G reensboro, N orth C arolina 1 988-1990 Two y ears o f N ursing S chool
Certificates & L icenses:
LICENSED A S A M EDICAL C LAIMS A ND B ILLING S PECIALIST F ebruary 1 998 CERTIFIED A S A N OTARY P UBLIC O F C OLORADO A pril 2 004/2008 CERTIFICATE O F C OMPLETION: C PT-4 S TRATEGIES A ND T ECHNOLOGIES A pril, 2 005 CERTIFICATE O F C OMPLETION: I CD-9 D IAGNOSIS C ODING: C OMPLIANT S TRATEGIES FOR B ETTER R EIMBURSEMENT A pril 2 005
CERTIFIED A S A N URSING A SSISTANT ( CNA) M arch 1 996/2005 CERTIFIED A S A M EDICAL A SSISTANT ( CMA) J une 2 005 CERTIFIED B ASIC F IRST A ID/CPR/AED J une 2 005/2007/2009 EKG I NTERPRETATION & M ANAGEMENT C ERTIFIED J une 2 007 Software:
Microsoft a pplications, I nfosys, D entrix, H IPPA a pproved b illing s ystems,Windows a pplications, C entricity, TX-ACE, W inHecet, E pic, S hrinkrapt, M S, D OS, I nfinity, O racle, Q uickbooks, M edi-Soft, E RS, L enox, E xcel
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