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Medical billing and medical administrative assistant

Location:
Fort Mill, South Carolina, United States
Posted:
December 28, 2017

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Resume:

Sherise Reid Thompson

**** ****** ***** *****

Fort Mill SC 29715

803-***-****• ac3uaq@r.postjobfree.com

Client Billing Specialist/Certified medical billing & billing coding specialist Customer Support Medical Coding

Dependable, detail-oriented and knowledgeable medical coding and billing professional with a track record of stellar customer support and strong communications expertise, Eager to contribute advanced communications, medical coding/billing and problem solving skills toward optimizing the goals of a progressive employer in a Clinical Administrative role. Strong client communications skills, and building a rapport and demonstrating customer-centric initiatives. Proficient in MS Word, Excel, Power Point, and QuickBooks.

Core Competencies

Medical Terminology ICD-9, 10 CM/CPT, and HCPCS Coding Contract Interpretation Medicaid Guidelines

Insurance Verification/Collections Authorizations Managed Care MS Office Suite Tricare & Champva

HCFA 1500 Guidelines Workers’ Compensation COB and HIPAA Guidelines

QUALIFICATIONS PROFILE

Educated Medical Coding and Insurance billing candidate.

Successfully trained new hires and external consultants on procedures, standards and resources, quickly bringing them up to speed.

Quickly develop and implement new procedures and systems and demonstrate enthusiasm, creativity and willing to assume increased responsibility.

Skilled in dealing with a high volume of competing tasks in a fast-paced environment. Strong focus on problem-solving initiatives and quick resolution.

Organized, efficient and precise with strong communication and liaison skills, dependable and hard working with extensive background in quality customer support.

Quickly ascertain customer needs through research and communication and provide quality solutions.

Highly intuitive with strong self management skills, able to collect and record statistical and confidential information.

Performed Office Management support for Construction Company, handling all facets of invoice/billing and administrative initiatives.

o Committed to high job performance and surpassing expectations

o Effective communicator and leader, and problem solver

o Great multi-tasking skills with the ability to maintain high level of performance quality

o Able to learn quickly and always ready for new challenges

Work experience and career history

o Janssen Carepath (Contracted through Aerotek) Benefits Verification Specialist

PRIMARY DUTIES AND RESPONSIBILITIES:

Verifies patient eligibility and benefits

Identifies and resolves claims/eligibility issues

Reviews accuracy of all data

Ensures that all claims submitted to government and private payers comply with applicable federal and state regulations

Provides timely follow up on unpaid, denied, and/or short paid claims

Responds to patient account inquiries

Appropriately documents all payer, patient and client interactions

Ensures that the necessary data for submitting an accurate claim has been obtained

Worked on Simponi Aria Project and Prolia (stage 3 drug) during their Blizzard

United states Postal service- Casual Mail handler

October 2015- january2016

Passed 437 battery exam to become a PSE 2. responsible for sorting mail and packages during the Christmas Season

Loan Servicing Specialist III / Mortgage Analyst entry level – Wells Fargo Home Mortgage April 2008 – March 2015

o Research mortgage loans that fail to automatically setup in foreclosure to resolve conflicts holding them from foreclosure.

o Effectively work with other departments to resolve outside problems.

o Review loans timely in order to remain in compliance with investor guidelines and standards.

o Adapt quickly to changing state, federal, and specific loan type default compliance requirements.

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Account Representative – Wells Fargo Home Mortgage February 2007 – April 2008

o Initiate and accept inbound contact with clients and other agencies in the efforts to help bring accounts to a current status.

o Educate clients on company policies and procedures to maximize the functionality of our company-client relationship.

o Research accounts thoroughly in order to comprehensively respond to clients questions regarding their account status.

o Facilitate problem solving techniques and skills to assist clients in solving their delinquent status and maintain a positive and successful relationship with their mortgage lender.

Customer Service Representative – First Contact February 2006 – February 2007

Serve as an initial point of contact for clients with questions and concerns regarding their accounts.

Research and resolve credit inquiries initiated by clients.

Proficiently multi-tasked as a point of contact for other internal departments such as Collections, Risk, Authorizations, and Payment Processing in order to maintain high company performance standards.

Implement problem solving and decision making skills to achieve the highest possible level of customer satisfaction.

Customer Service Representative – Sprint PCS August 2003 – May 2005

Receive orders and other correspondence from consumers and business clients.

Research accounts to effectively resolve service inquiries and concerns.

Provide well informed price quotes and delivery dates to consumers and clients.

Determine and resolve status of returns, repairs, replacements, orders, and delivery schedules in order to meet with consumer’s expectations.

Maintain company records of returns, schedule changes, product enhancements or modifications, and product pricing.

Record and resolve any inconsistent problems surrounding consumer and client accounts.

Education

Criminal Justice Studies – Central Piedmont Community College, Charlotte, N.C. August 2001 – May 2003

Life, Accident, Health, Property and Casualty Studies – Mary Brewer Insurance Academy December 2006 – February 2007 License to practice in NC AND SC

Medical Billing and coding and Medical Administrative Assistant - Palmetto School of Career Development. Rock Hill SC

Completed Certification for Medical Billing and coding 3.70 grade average. NHA and AMA national certification

Medical Administration Assistant CMAA exam



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