Customer Service High School
Resume:
Raven Symone’ Taylor, CPC
**** **** ***** *******, ** 37013
E mail: **********@*****.***
Cell: 731-***-****
Skills/Certifications
CPC Certified with AAPC
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Proficient in Microsoft Word, Excel, PowerPoint, Outlook, Web
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Advanced in customer service
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General Clerical Skills and use of all office equipment
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Type 40 wpm
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Skilled in billing, insurance, and medical terminology
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Strong knowledge of Medicare Part A, B, C, DME and appeals
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Education
August 2013 Present Tennessee State University
Continuing education to obtain Bachelor’s in Health Information
Management.
Jan 2013 April 2013
Tennessee Technology Center @ Murfreesboro
Completed a certificate in Medical Coding and Billing.
Aug 2010 May 2012
Jackson State Community College
August 2006 May
Completed an Associate’s Degree in Pre Med/General Studies.
2010
Bolivar Central High School
Graduated with High School Diploma with Honors Gold Seal.
Work Experience
June 2013 Present CSI Companies
Position: Medical Records Coder
Summaries of Responsibilities:
Clinical Risk Adjustment HCC Coding
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Code hospital outpatient (ER), hospital inpatient, physician
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outpatient, and skilled nursing facility charts using ICD9 CM
Ensure that Medicare Advantage coding reimbursement is
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accurate
Perform ongoing analysis of charts and translate medical and
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clinical diagnoses, procedures, injuries, and illnesses into
designated codes
Submitting claims and posting payment information
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Research and resolve assigned coding projects
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Attend conference calls, in services, and trainings to stay up to
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date with coding and compliance
Averaging a high accuracy, quality, and production percentage
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on a monthly basis
Using analytical skills, independent judgement, and problem
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solving skills to apply correct codes to charts
Working with/creating excel spreadsheets and inputting data
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Performing Data Entry and Data Entry QA
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Following up with companies about payments
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Using dual monitors and toggling through multiple systems and
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spreadsheets at once (multi task)
CGS Administrators
Jan 2013 June 2013
Position: Records Clerk I
Summaries of Responsibilities:
Verifying 1500 claim forms are correct after they are scanned
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into the system
Posting claims and payments in billing system
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Returning claims and correspondence to providers and benes
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when 1500 forms are not filled out correctly, paperwork is not
complete, have legacy, wrong codes, etc.
Mail intake, Sorting mail by regions: HHH, PE, J15 Part A, J15
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Part B, DME
Processing DME and J15 Part B claims and correspondence
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Sending benes 1490 forms to file for their reimbursement
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Requesting additional information to process claims
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Processing and working with EOBs, redeterminations,
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reopenings, appeals, denials, CMNs, MSNs, outgoing mail,
EFTs, OPRs, and 1490s
Working traceable mail workload
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Ensuring DME claims have DME codes and J15 Part B claims
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have service codes
Verifying claims have no legacy or other mistakes before
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processing them
Rejecting claims when they have invalid Insured’s number,
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wrong modifier codes, etc.
Processing handwritten 1500 claims separately from computer
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printed claims
Quality review: working closed case review
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Making sure claims and correspondence have NPI and all
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required provider info
Tracking late payments
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Following up with companies and providers about payments
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Asurion Staffmark
July 2012 Oct 2012
Position: CRC Associate
Summaries of Responsibilities:
Repair phones
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Use computer programs to verify phones and different kinds
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Make test calls and ensure everything works on them
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Use RF Tester
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Kilgore Flares
Jan 2012 July 2012
Position: Assembler/ Material Handler
Summaries of Responsibilities:
Make production before shift is over
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Keep workers stocked with all necessary supplies
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Stand for 12 hours
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Lift 30 pounds
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Pay close attention to work and quality
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Wear proper PPE
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Abide by 5S standards
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Use pallet jack
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Packing products
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April 2011 Present
Primerica Financial Services
Position: Licensed Life Insurance Agent
Summaries of Responsibilities:
Market Buy Term and Invest the Difference Life Insurance
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Market Pre Paid Legal Protection Plans
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July 2010
Support Solutions of the Mid South
September 2011
Position: Direct Support Professional
Summaries of Responsibilities:
Assist Service Recipients with daily living skills
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Document, copy, fax, and file paperwork
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July 2009 July 2010
Sonic Drive In
Position: Carhop
Summaries of Responsibilities:
Take food out to customers
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Receive payment; handle large amounts of money
March 2008 July •
2009
Taco Bell
Position: Cashier/Cook
Summaries of Responsibilities:
Take orders on register
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Work on the Drive Thru with headset
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Prepare food
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Contact this candidate