Medical Billing
Resume:
CICELY R. SPEARES
Pasadena, Maryland 21122
(Home) 443-***-****
(Cell) 443-***-****
(Email) ac9zst@r.postjobfree.com
MEDICAL INSURANCE SPECIALIST/CODER
Experienced Medical Insurance Specialist/Coder with proven capabilities in claims processing, ICD-9 and CPT Coding.
SUMMARY OF QUALIFICATIONS
Sound knowledge of HCPCS and insurance industry terminology
Strong understanding of Medical Billing
Understanding of medical terminology and health standards of practice
Detail-oriented, strong verbal and written communication skills.
Excellent organizational and time-management skills.
Ability to work effectively under pressure to meet deadlines.
Credentialing.
Certified Medical Technician
EDUCATION AND TRAINING
2017 – Present Associated Degree in Nursing
AZUSA Pacific University
Azusa, California
2009-2011 Business Administration
Strayer University
Millersville, Maryland
1998: Medical Office Technology (Certificate)
Catonsville Community College
Catonsville, Maryland
1993: North County High School
Linthicum, Maryland
Certificate of Training:
1998: ICD-9 Coding
Catonsville Community College
Catonsville, Maryland
CPT Coding
Catonsville Community College
Catonsville, Maryland
Medical Billing
Catonsville Community College
Catonsville, Maryland
Relevant Coursework:
Business Management
Accounting
Fundamental of eBusiness
Anatomy and Physiology
Computer Skills:
Proficient in the following hardware and software:
Microcomputers
Microsoft Word
Outlook
PowerPoint
Excel
Access
IDX
Power Chart
DDS
Centricity
Zirmed
Credentialing
CURRENT APPOINTMENT (S)
2015 – Present Medical Administrative Assistant/Certified Medical Technician Board of Child Care
Windsor Mill, MD
Take patient information in outpatient departments and verify need for requested medication
Scrutinize prescription to ensure authenticity of information
• Administer requested medication to patients orally and through IVs
• Educate patients in the self-administering of medication such as subcutaneous and oral medicines
• Follow medication administering instructions provided by the physician in an accurate manner
• Observe patients’ response to existing and new treatment plans and make decisions to perform intervention activities where required
• Maintain accounting of all medications especially controlled substances
• Create, maintain and update patient records and medication information on a regular basis
• Write accurate reports regarding patients’ responses to administered medication
• Maintain awareness of medication interactions and side effects
• Take patients’ vitals such as blood pressure and pulse to determine changes brought about by new medication
• Document reasons when a prescribed drug is not administered
• Confer with patients’ physicians if in doubt about administering a particular medicine to a certain patient
• Interview patients to determine their medical history and any drug allergies that they may have
• Order medicines and supplies such as syringes, saline water, swabs and spirit
• Maintain and restock medication inventories and waste any expired medication or supplies on an immediate basis
•Under the direction and supervision of a provider or nurse, assists with performing patient care.
•Greeted, screened, scheduled, and directed patients to exam rooms
•Handled telephone calls, took accurate messages and routed them accordingly
•Coordinated all activities for physician and office
•Maintained daily schedule for clinical, academic and administrative tasks
•Kept track of Physician’s dictations
•Performed clerical duties related to clinical services including medical transcription, composition, and dictation in a medical group
•Prepared and processed correspondence and emails
•Answered regular medical inquiries
•Drafted letters for physicians and other clinical staff
•Performed medical receptionist duties as required
•Obtained, verified, and updated patient information
•Provided support services to patients and medical staff
•Requested, located, sent, and received patient medical records
•Maintained medical appointment books
2013-2016 Medical Administrative Assistant
Good Shepherd Services
Halethorpe, MD
Performs basic diagnostic procedures and specimen collection. Monitors and communicates changes in patient condition. Documents patient care given.
Maintains equipment and medical supplies, including reordering, stocking, cleaning, and troubleshooting. Maintains examination areas.
Performs administrative or clerical duties as assigned, including filing, reception, scheduling, data entry, and patient registration.
Within scope of job requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a fast-paced environment and take appropriate action. Follows Standard Precautions using personal protective equipment as required.
•Under the direction and supervision of a provider or nurse, assists with performing patient care.
•Greeted, screened, scheduled, and directed patients to exam rooms
•Handled telephone calls, took accurate messages and routed them accordingly
•Coordinated all activities for physician and office
•Maintained daily schedule for clinical, academic and administrative tasks
•Kept track of Physician’s dictations
•Performed clerical duties related to clinical services including medical transcription, composition, and dictation in a medical group
•Prepared and processed correspondence and emails
•Answered regular medical inquiries
•Drafted letters for physicians and other clinical staff
•Performed medical receptionist duties as required
•Obtained, verified, and updated patient information
•Provided support services to patients and medical staff
•Requested, located, sent, and received patient medical records
•Maintained medical appointment books
•Arranged meetings for administrators and clinical staff
•Prepared clinical services organizational charts and timetables
•Assisted with preparation of agendas, materials and notes
•Attended clinical meetings, took and distributed minutes
•Maintained routine files and assisted in establishing office systems
•Procured office and clinical supplies
•Assisted in the care and maintenance of office equipment
2012-2012 Site Coordinator
Health Port Technology
Alphaghetta, GA
Coordinate the multi-faceted operations of a medical office
•Schedule surgeries and complete associated paperwork
•Prepare surgical files, obtain insurance information and ensure that all needed x-rays are available
•Handle coordination activities associated with diagnostic information
•Ensure that patient information is obtained correctly and filed properly
•Assist patients and their families by providing them with procedural and diagnostic information
•Schedule patients for appointments and tests and ensure that follow up calls are made in a timely manner
•Oversee patient preparation procedures for surgery or examination
•Take telephone calls and provide callers with information on specific services of the medical office
•Schedule appointments between patients and physicians
•Develop appropriate guidelines for staff so that they can prioritize work activities
•Evaluate effectiveness of work activities
•Provide direction on collecting patient co-pays or deductibles
•Maintain records of medical staff and review credentials of new and existing staff members
•Take and maintain minutes of staff meetings
•Prepare appropriate budgets and develop medical staff objectives
•Obtain and maintain patient insurance information or financial background for self-payable services
•Ensure that the medical office is clean and maintained at all times and meets hygiene standards
•Assist in hiring and training staff to perform different roles in a medical office
2007- 2012: Administrative Coordinator/Review Coordinator
MedAssurant, Inc.
Annapolis, Maryland
Responsible for processing, tracking and monitoring client requests (onsite credentialing reviews, corrective action solutions, Medicare Risk Adjustment HEDIS chart abstractions, and custom chart abstractions).
Provides daily work assignments to team of Review Coordinators and guidance in completing those assignments.
Work cooperatively with Employee Relations Coordinators to assign, schedule, activate, inactivate, and/or terminate Field Review employees.
Assists team of Review Coordinators and Employee Relations Coordinators in handling any Field Review employee issues.
Evaluates assigned Review Coordinating staff.
Process reports such as On-Hold and Closed Chart Report in a timely manner
Identifies, responds to and resolves all issues and escalations in a timely manner.
Assists in the creation, design and production of management reports utilizing various software program applications (e.g. MS Excel, Word, Power Point, MapPoint, and others).
Identifies opportunities for system and operational quality improvement.
Provides administrative support to management including, but not limited to, scheduling and staffing meetings, organizing and producing documents, maintaining filing systems, mailings and other daily tasks incidental to operations.
Maintains compliance with internal policies and procedures;
2010-2012 Bookkeeper (Part-time)
ShopRite, Inc.
Glen Burnie, Maryland
Responsible for managing all accounts payable and receivables.
Records financial transactions (such as checks written and received).
Performs daily reconciliation of bank statements.
Updates the trial balance, profit-and-loss statement and balance sheet.
PREVIOUS APPOINTMENTS (s)
2006-2008 Medical Billing Associate
Dr. Haidiui & Associates
Glen Burnie, Maryland
Responsible for performing general administrative tasks such as scheduling patient appointments, transcribing clinical notes, filing and maintaining medical records.
Processed medical claims for services rendered.
Maintained current knowledge of third party payer specific coding guidelines.
Prepared journal entries of adjustments to billing.
Researches account disputes and billing discrepancies
Communicates with customers regarding billing adjustments
2005-2006 Data Entry Clerk
NRI Staffing
Glen Burnie, Maryland
Responsible for performing data entry and clerical tasks.
Human Resources
To Whom It May Concern:
I would like to express my interest in a position within your company. The opportunity presented in this listing is very appealing, and I believe that my experience and education will make me a competitive candidate for this position. The salary range that I would be looking for is $23.00 hourly pay rate.
I am looking to bring my well-honored public relations, marketing, and client-focused, oral, and interpersonal communication skills internally to succeed within this position. You will find me to be well spoken, energetic, confident, and personable, the type of person on whom your employees will rely on. I also have a wide breadth of experience of the type that gives you the versatility to place me in a number of contexts with confidence that the level of excellence you expect will be met.
The key strengths that I possess for success in this position include, but are not limited to, the following:
• Provide exceptional contributions to customer service for all customers.
• Strive for continued excellence.
• Strong communication skills.
• I am a self-starter.
• Eager to learn new things.
I hope that you will find my experience and interests intriguing enough to warrant a face-to-face meeting, as I am confident that I could provide value to you and your customers as a member of your team.
I can be reached anytime via my cell phone, 443-***-****. Thank you for your time and consideration. I look forward to speaking with you about this employment opportunity.
Thanks for your consideration.
Cicely R Speares
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