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SUMMARY OF SKILLS

Professional with experience in customer service, accounting, payroll and quality control in various industries

Medical coding and billing certification (ICD9) and knowledge of HIPAA privacy laws

Solid problem-solving and analytical skills

Knowledge of word processing, spreadsheet and database programs

Excellent interpersonal, communication and leadership skills

Highly motivated individual and team player

PROFESSIONAL EXPERIENCE

GENTIVA HEALTH SERVICES 2007 – Present

Winston-Salem, NC

Reimbursement Specialist

Perform initial assessment to determine patient’s need for home care services and provide information to clinical team.

Identify payer sources, verify benefits, negotiate rates and obtain authorization for services.

Ensure accounts are paid in accordance with terms of contact and notify management team of any potential problems with payer source.

Document and maintain patient files to comply with company policy, legal requirements and regulatory mandates.

Payroll and Data Entry Clerk

Maintain admission and billing data for 375- 400 patients and payroll information for 18 clinical professionals in the local office using CaseMatch software.

Verify completeness and accuracy of information maintained in database for consistency with company policies, legal requirements, and Federal healthcare regulations, including HIPAA.

Compile and distribute compliance documentation as requested by management and operations staff.

Collect data from internal and external sources to respond to requests for information, obtaining appropriate approval and maintaining log of requests.

Records Clerk

Set up and maintained patient files consisting of medical charts, nursing assessments, physical and occupational therapy session reports and physician orders.

Ordered supplies for 10 assisted living facilities and maintain records for Medicaid billing.

Sent out new hire packets for new employees, perform reference checks, criminal background checks, and entered results into company database; maintained employee files.

Performed monthly compliance reports for Director Clinical Operational Specialists, Director Clinical Management and Manager of Clinical Practice.

Answered multiline phone system and perform other clerical duties, as needed.

Queen Byers

Resume

Page 2

NORTH CAROLINA DIGITAL IMAGING &MOBILE ULTRASOUND 2006-2007

Winston-Salem, NC

Medical Billing Clerk

Coded medical invoices in accordance with ICD9 and submit insurance claims to private insurance companies, Medicare and Medicaid for medical services provided.

Reviewed all invoices and records to ensure accuracy. Maintained records for accounts receivables.

Researched and reconciled overdue claims, insurances denials and appeals.

OTHER PROFESSIONAL EXPERIENCE:

CITY OF WINSTON SALEM DEPARTMENT OF REVENUE (2005-2006)

Customer Service Agent (Temporary Assignment)

REPUBLIC MORTGAGE INSURANCE COMPANY (2002-2005)

Quality Control Analyst

JOHNSON CONTROLS, BATTERY DIVISION (2000 - 2001)

Payroll Clerk, Data Entry Clerk

ADAMS MARK HOTEL (1994 – 2000)

Accounts Receivable Clerk, Reservation Agent, PBX Operator

EDUCATION

North Forsyth High School

Winston-Salem, NC

Guilford Technical Community College (2016-Present)

CERTIFICATIONS

Canyon College of Idaho, Medical Billing and Coding Certificate (2006)

Forsyth Technical Community College- Medical Coding Course Certificate (2006, 2015)

Forsyth Technical Community College- Medical Billing Course Certificate (2006, 2015)

Forsyth Technical Community College-Medical Terminology Certificate (2005, 2015)

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