*** **** ****** **, **********, AL *****
Home/Cell: 205-***-****
*******@*****.***
PROFESSIONAL SUMMARY
I am a hardworking, Medical Billing and Coding Specialist and have a full understanding of ICD-9-CM and CPT coding procedures. Also, I possess excellent data entry skills that allow for accurate processing of medical information and provided care.
CORE QUALIFICATIONS
Extensive knowledge of medical terminology across a broad range of medical practice areas
Excellent data entry skills
Good multi-tasking abilities
Strong understanding of ICD-9-CM and CPT requirements and procedures
Good interpersonal skills and the ability to function as a team member
Experience with fast-paced medical care environments
EXPERIENCE
Healthcare Claims Specialist, 05/2015 to Current
DST Health Solutions, Birmingham, AL
Provided data entry for Blue Cross Blue Shield, Next Level Health Plan Care Connect and other clients under Amisys Advance, Exeter, and other managed care systems.
Experience with coordination of benefits, co-surgeons, multi surgery, financial adjustments, workers compensation and motor vehicle accidents.
Research, resolve and assist other team members with training of moderately complex claims
Create service forms when necessary for provider ques.
Assist with claims remotely ( flexible schedule)
Data Capture Specialist (Temp to Perm), 04/2014 to 05/2015
Kelly Services, Birmingham, AL
Provided data entry for Blue Cross Blue Shield.
Coordination of benefits, duplicate processing, split claims, high option review and provider affiliation.
Verify ICD-9-CM, CPT and HCPCS codes while processing.
Create service forms when necessary for provider ques.
Certified Nursing Assistant, 03/2011 to 04/2014
Fair Haven, Birmingham, AL
Process patient’s bedside assistance requests.
Chart patient’s vital signs, collect daily specimens and reporting results to supervising staff for evaluation.
Transport patients to and from facility units with the use of wheelchairs or stretchers.
Pharmacy Technician, 03/2010 to 03/2011
Walmart Stores, Birmingham, AL
Process inbound customer service calls, questions, requests and concerns.
Manage and maintain proper storage and security of medication products and patient profiles.
Process cash, credit card and check transactions for the pharmacy department.
Research Interviewer, 11/2008 to 03/2010
UAB Survey Research Unit, Birmingham, AL
Consult with clients to identify survey needs and specific requirements.
Review, classify and analyze data from surveys, old records or case studies using statistical software in preparation for computer analysis.
Prepare and present survey summaries and analysis of collected data using tables, graphs and fact sheets for technique purposes.
EDUCATION
Associate of Applied Science – Health Information Technology, 2013
Fortis College, Birmingham, AL
CERTIFICATION
Certified Biller and Coder Specialist, NHA