Customer Service Medical
Resume:
Candace L. Reaves
Bessemer, AL 35022
*************@*******.***
Education:
Greensboro East High School, Greensboro, AL
•
University of West Alabama, Livingston, AL Health Information
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Virginia College @ Birmingham, Birmingham, Al Management
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Ashworth College Medical Billing and Coding
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Experience:
CR Healthcare Reimbursement Services (January 2014 Present)
• Work remotely from home in spare time billing and collecting for clients such as
physicians and other services.
• Seeking to build more cliental part time
Cahaba GBA (Case Analyst/ Medical Biller/Coder) April 2013 present
• Duties: Work from four different computer systems to review cases and documents
to ensure proper and correct recovery of Medicare overpayments; must meet and /or
exceed productivity of 110% weekly, follow all federal and state regulations as it
relates to the company and position; Providing Customer service; review medical
records and acts as medical records secretary and auditor as needed; establish
relationships with attorneys and beneficiaries; use medical terminology and ICD 9
and CPT coding skills; advanced transcribing, read and interpret legal
correspondence and making the best judgments to determine how to categorize
them; review Worker’s compensation; no fault and Liability cases; specializes in
Special Projects; etc
Belk Department Store (stocker/sales associate) July 2013 February 2014
• Duties; provided customer services, store sweep, handled cash, stocking, floor set
up and displays, assisted in store where needed.
Colonial Haven Health & Rehab (Business Manager/Medical Biller/Coder) Feb. 2009 Feb.
2013
• Duties: Basic office duties, review/screen applications, assist in interview process,
transcribing of physician orders such as medical; acute; cardio; podiatry; etc,,
weekly reviews of patients charts, attended QA and family meeting meetings,
remained current with all federal, state, local and company policies and procedures,
worked with staff to set and meet goals of following policies accurately, remained
compliant with all rights and confidentially of patients and families, worked closely
with patients and families, employees, physicians etc, attended family planning
meetings to assure that family needs are met, conducted monthly reviews with staff
on medical records, followed all HIPAA, OSHA, etc procedures, supported facility
compliance assignments, worked in Microsoft software to keep charts, reminders,
letter, spreadsheets, etc, knowledge of medical terminology, medical coding(ICD
9/CPT), followed all rules and regulations of long term care, inpatient/outpatient
and other Providers,
comply with state and federal rules and regulations, prepare documents for daily
meetings, appointment setting/scheduling; creating charts and power points; CPT
and ICD 9 coding for medical claims; collections, maintained basic accounts; set
and maintain new reimbursement goals, use of medical terminology, reviewed and
audited medical records as needed, helped created new and improved marketing
plans,, admission/discharge plans, attending meetings to comply with company
changes, insurance billing(Medicare, Medicaid, BCBS, Humana,etc), supervised
30 40 employees, responsible for overall flow of the facility, Providing excellent
customer service; patient and company billing, payroll, assist employees with
benefits and other concerns, maintain inventory, provide community outreach,,
insurance verification, claims and audits, collections, month end reports, maintain
certifications for physicians, etc.
Amedisys (Biller/Business Specialist) Feb.2007 Jan. 2010
• Duties: Patient intake/discharge, referrals, medical records, greeting, answering the
phone, filing, copying, faxing, consulting with doctors, some medical terminology,
medical coding, use of CPT and ICD 9 Coding; billed Medicare, Medicaid, BCBS
and other insurances for reimbursement, complete all paperwork needed on
patients, insurance billing, community relations, work with local hospice
organizations and other medical facilities for review prospective patients, worked to
develop and implement marketing plans and strategies on a daily basis, community
awareness, etc.
Mercedes Benz/2AM (Data Entry Clerk/office manager) June 07 Oct 08
• Duties: Basic office duties, daily data entry, maintained employee files and
benefits, created reports and presentations for company meetings, assisted with
employee hiring, screening applications, etc.
Skills:
ability to remote from home office,
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• Types 64 wpm
• Highly experienced in Microsoft windows and office and many other areas with
computers.
• Medical Billing and Coding/Terminology and transcribing; knowledge of medical
records and procedures; Advanced knowledge ICD 9 and CPT and training for ICD
10,
• I’m hardworking, dependable, quick learner, self starter; great customer service;
self starter and great to work with; able and willing to sit for billing/coding exam
• Verbal/Written Communication skills
References: Furnished Upon Request
Contact this candidate