Medical Billing and Coding Specialist

Qualifications Profile

Detail-oriented, performance-focused, and multifaceted professional, interested in pursuing a career in the healthcare field to fully utilize knowledge and skills in medical billing and coding. Equipped with comprehensive knowledge of anatomy and physiology, medical terminology, CPT, PCS, ICD-9, ICD-10, and HCPCS coding

Adept at managing time, prioritizing tasks, and exercising sound judgment necessary to improve the quality of service. Known for strong analytical and critical problem-solving aptitudes to formulate strategic solutions to complex situations. Armed with exceptional communication and interpersonal abilities essential in building rapport with all levels of professionals. Proficiency with 10 key data entry.

Core Competencies

HIPAA Guidelines Medical Terminology and Billing Services Revenue Cycle Management E-Commerce

Workflow Planning and Scheduling Customer Service and Support Leadership, Training, and Teambuilding

Professional Experience

Harry and David, Inc., Hebron, OH

Customer Service Representative 2011–2018

-Rendered assistance to customers with order placement and customer service through phone or website

-Consistently attained 100% customer feedback and high performance recognitions every season

-Fulfilled various roles, including seasonal quality monitor, trainer, and team lead

-Aided the Management Team in facilitating training of temporary customer service representatives on various roles

-Served as a seasonal team lead in the newly formed E-Commerce Team for the Eastern Call Center in charge of supervising a team of more than 20 associates

-Gained distinction for being part of the top 10% on retail seasonal sales in 2016

-Earned Top Trainer Award in 2015 for outstanding performance and professionalism

Express Scripts, Inc., Dublin, OH

Customer Service Representative 2009–2011

-Efficiently handled incoming phone calls from clients for medication orders, questions on plan design, deductibles, co-insurance, and co-pays, while screening calls for pharmacists

-Received 10 Quality Rose and WOW Factory Experience awards

The Scotts Miracle-Gro Company, Marysville, OH

Customer Service Representative 2007–2009

-Functioned as resource to retail-based customers on product inquiries and general lawn care applications, while processing claims of alleged product damage

Anthem Insurance Company (Kelly Services), Worthington, OH

Customer Service Representative 2007

-Carried out key tasks in answering telephone calls from billing companies and providers, reading CMS-1500 forms, tracing rejected claims on old computer system, as well as providing advice to provider of further action needed

Earlier Career

Harry and David, Inc., Hebron, OH

Customer Service Representative

Public Housing Career, Morgan, OH; Zanesville, OH

Executive Administration/Plan Coordinator

Education

Coursework in Social Work The Ohio State University, Columbus, Ohio

Bachelor of Arts in Leadership and the Liberal Arts Otterbein College, Westerville, OH

Professional Development

Medical Billing and Coding Specialist Training, 2018

Larock Healthcare Academy, Columbus, OH

Certified Billing and Coding Specialist (CBCS), (Valid Until: Sep 2020)

National Healthcareer Association, Leawood, KS

Health and Life Insurance License: State of Ohio

Award and Recognition

Zanesville, Ohio: Recipient of Mary Townsend Professions Award

Activities

-Grace Apostolic Church, Librarian

-American Red Cross – Muskingum Valley Chapter, Advisory Board Member

-Zanesville Community Center, Instructor and Mentor

-Share Food Program, Site Coordinator

-Transitions-Welfare to Work (Mid-East Ohio Vocational Educational System), Advisory Committee Member

Publications

Chapter in an Edited Book:

Johnson, L. (2005). Important Lessons. In Ward, V. (Eds.), Life's spices from seasoned sistahs: A collection of life stories from mature women of color (pp. 181, Theme VI–Sistahs Survivin’ and Workin’ It Out). El Cerrito, CA: Nubian Images Publishing Company.

Online Reference:

Johnson, L. (2006). Grad school or bust. Maintained as featured article at Back to College, web service owned by WD Communications LLC. Retrieved from http://www.back2college.com/gradschoolorbust.htm

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