Elise Clemons

Address **** ********* ***** ************, ** 30135 Contact 618-***-**** ac9hph@r.postjobfree.com

PROFESSIONAL PROFILE

Results-driven, dependable, and hardworking professional with excellent reputation for quality, efficiency, and commitment to quality customer service. Seeking career advancement opportunities in the healthcare industry.

§Microsoft / MS Word

§Skills: following directions; written and verbal communications (letters, emails, presentations, face-to-face communications); proofreading and editing; critical thinking skills; data inventory (organizing, recording, storing, or saving information)

KEY QUALIFICATIONS

Centers for Medicare and Medicaid CMS 1500 CMS 1450 (UB-04) Tricare

Co-Payments Deductibles HIPAA Compliance Meaningful Use ICD-9/ICD-10

Electronic Health Records (EHR) Electronic Medical Records (EMR) Greenway

EOBs Payment Posting Revenue Cycle Management Scheduling

Insurance Verification Insurance Billing Procedures Insurance Claim Processing

Managed Care (HMO, PPO, and POS) Government Payers Third Party Payers Worker’s Compensation

Medical Billing HCPCS Introduction to ICD-10 EOBs Co-Payments

Medical Billing Medical Coding ICD-9-CM HCPCS CPT Introduction to ICD-10 Medical Terminology

Practice Management Medical Office Procedures Anatomy & Physiology

Reimbursement Methodologies Fee Schedules Outpatient / Physician Inpatient / Facility

EDUCATION

Ultimate Medical Academy - Associate of Science in Medical Billing and Coding, 2018

PROFESSIONAL EXPERIENCE

Readinurses Home Care, Inc. - Douglasville, IL 10/2018 – Present

Medical Administrative Assistant

§Answer phones, schedule appointments and handle outpatient procedures

§Process medical records, check patients in and out, and verify insurance coverage

§Obtain referrals and authorizations, fax and file

Elite Staffing - Granite City, IL 05/2007 - 10/2009

Assembly Worker / Machine Operator

§Continually examined product quality to verify conformance standards and rejected sub-standard products

§Counted finished products to determine if product orders were complete

Housekeeper

§Carried linens, towels, toilet items, and cleaning supplies using wheeled carts

§Cleaned rooms, hallways, lobbies, lounges, restrooms, corridors, elevators, stairways, locker rooms, and other work areas so that health standards were met

McDonald's Restaurant - Edwardsville, IL 09/1999 - 09/2006

Cashier

§Operated equipment, and cleaned and organized work station

§Utilized a point of sale system and processed transactions appropriately

COMMUNITY OUTREACH

Alton Memorial Hospital – Alton, IL 09/2003 - 09/2004

Physical Therapy Department Front Desk Associate

§Managed the flow of information in the medical facility

§Set up appointments, scheduled exams, distributed information via mail, telephone and email

§Handled patient check in and check out

Rosewood - Maryville, IL 09/2001 - 04/2002

CNA Assistant

§Cared for individuals and families, providing companionship and personal care

§Performed health care related tasks, such as monitoring vital signs and medication, under the direction of registered nurses and physicians

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