CINDY D CUMMINGS

**** ******* ** #*

Raleigh NC *7606

Telephone: 919-***-****

OBJECTIVE: To obtain a position that will utilize my professional knowledge and allow for professional growth and advancement.

PROFESSIONAL SKILLS:

Unit Clerk

Medical Billing/Insurance

Nursing Assistant

Medical Records

Medical Assistant (MA)

Multi-line Phones

Computerized Medical Admin

Medical Terminology

Medical Coding ICP-9, CPT

Customer Service

EXPERIENCE:

04/2017 to 11/2018 Numotion Apex NC

Funding Coordinator

Review medical documentation for accuracy/medical necessity

Submit for prior authorization with all required documentation

Maintain consistent follow up on status of all prior auth requests

Review authorizations from payer to determine approved/denied items

Calculate estimated copay based on current insurance benefits

Communicate with Supervisor in regards to issues changes with payer

Respond to all internal/external customers in a timely & professional manner

09/2017-04/2017 STEWART STAFFING SOLUTIONS Hartford CT

Funding Coordinator in Apex NC

Review medical documentation for accuracy/medical necessity

Submit for prior authorization with all required documentation

Maintain consistent follow up on status of all prior auth requests

Review authorizations from payer to determine approved/denied items

Calculate estimated copay based on current insurance benefits

Communicate with Supervisor in regards to issues changes with payer

Respond to all internal/external customers in a timely & professional manner

10/2010-05/2016 REX HEALTH CARE, Raleigh, NC

Health Unit Coordinator

Answered phones, transcribed physician orders

Made nursing staff aware of orders

Ordered consults

Followed-up appointments for patients

Entered needed orders into computer and any other duties deemed necessary

02/2008-03/2010 WAKE MEDICAL CENTER, Raleigh, NC

Volunteered in the adult emergency department registration area

Assisted nurses and patients whenever needed with duties such as locating other patients

Assisted patients with finding other departments in the hospital

Restocked materials in the emergency department and made sure area was tidy

02/2006-10/2010 PATIENT FINANCIAL SERVICES, Raleigh, NC

Patient Account Representative II

Printed out all reports for Follow-up

Called and verified all information to process medical claims

Input all required medical information on claim into company computers

Communicated with hospital Representative to completed claims

Prepared all necessary correspondences to hospital, insurance companies and patients

Prepared and mailed Itemized statements

Workers Compensation claims

Billing of third party insurance for facility and professional services

05/2005-02/2006 JOSEPHINE WILKINS, Rocky Mount, NC

Home Care Aide

Assisted patient with daily activities such as meals, house chores, baths, vital signs and any other duties deemed necessary

11/1996-10/2005 DUKE HEALTH RALEIGH HOSPITAL, Raleigh, NC

Health Unit Coordinator

Filed charts

Answered multi-line phones

Transcribing MD orders

Logging pertinent patients entering and leaving the emergency department

Obtained beds for patients being admitted

Called physicians for consults-ordered supplies and any other duties deemed necessary

11/1995-02/1996 REHABILITY, Raleigh NC

Followed up on delinquent accounts

Filed insurance claims (using ICD-9 and CPT Codes)

Called patients and insurance companies to make sure claim information was correct.

Made appropriate changes to get claims paid

05/1995-07/1997 NORTH CARE HEALTH CARE SYSTEM, Greenville NC

Nurse Assistant I

Assisted patients with daily duties

Prepared Meals

Performed house chores

Assisted with baths

Took vital signs and any other duties deemed necessary

01/1987-11/1995 NASH GENERAL HOSPITAL, Rocky Mount NC

Unit Secretary

Filed papers and charts

Answered multi-line systems

Transcribed MD orders

Logged pertinent patients entering and leaving the ER

Called house supervisor to obtain beds for patients to be admitted

Ordered Supplies

09/1985-09/1994 ENGLEWOOD OB-GYN & ASSOCIATES, Rocky Mount NC

Medical Office Assistant/Insurance Clerk

Filed Insurance claims using ICD-9 and CPT Codes

Used Medicalis and Cactus Systems

Entered daily charges

Ran Monthly Statements and mailed them to patients

Ran Account Receivable Reports

Follow-up on delinquent accounts

Assisted MD whenever needed

EDUCATION:

EDGECOMBE COMMUNITY COLLEGE, Tarboro NC

A.A.S Degree in Medical Assisting/Minor General Education May 1986

REFERENCES: Available Upon Request

Contact this candidate