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Medical Billing and Coding

Location:
Douglasville, GA
Posted:
April 26, 2014

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Resume:

Danyell Jackson

acdvff@r.postjobfree.com • **** Mossy View Dr. Douglasville, GA 30135 • 770-***-****

Objectives

To secure a position in a Medical Administrator or Medical Billing and Coding role where I can utilize

my skills and grow. Strong background in Health Care Management and Customer Service, with the

ability to multi-task, work independently, as well as with a team based foundation that will allow me to be

a major player in your organization.

Education

Daytona College Online

06/2013- 04/2014 Diploma

Medical Insurance.

Billing and Coding.

CMS-1500 and UB04.

HIPPA regulations and privacy laws.

Practice Management.

EHR and EMR.

PrimeSUITE and Medisoft.

Health Information Management.

Medicare, Medicaid, Managed care policies and procedures.

Georgia Medical Institute, Marietta, GA

2003 Certificate

Medical Assistant Program, with front office and billing and coding emphasis.

Experience

Healthport (Randstad) Roswell, GA

Scheduler 03/14-Present

Maintain site ownership, ensuring all charts assigned are resolved by project completion.

Danyell Jackson

• • •

Schedule appointments and follow-ups for HEDIS and Medicare Risk Adjustment reviews.

Maintain HRS Call Center voicemails and emails by responding within the business day.

Identify and report errors and quality deficiencies.

Research and resolve complaints to ensure customer retention and satisfaction.

Maintains HIPPA Protocol.

Contact 50-70 medical facilities by phone per day.

Identify problem areas and work on strategies that will improve the HRS Call Center Department.

Vertex Kennesaw, GA

Customer Support Specialist 03/13-11/13

Answered high volume inbound calls with the ability to problem solve.

Processed payments into billing system.

Processed customer orders for new utility service, shutoffs.

Assisted customers with questions on delinquent accounts.

Performed data entry on all accounts.

WattsCo

Powder Springs, GA

Customer Support Analyst 10/10-09/12

Answered high volume inbound calls for major wireless company.

Perform Technical support and trouble shooting for wireless providers.

Set payment arrangements/ processed payments.

Bill review and problem resolutions.

Perform upgrades on wireless accounts.

Danyell Jackson

• • •

Alere Healthcare Atlanta, GA

Enrollment/Outcomes Specialist 07/07-09/09

Responsible for contacting assigned patient/client contacts to participate in the Maternalink Program.

Enter demographic information on new participants to initiate medical records.

Complete Initial/ Follow-up assessments for new and current members referred.

Respond to questions about the program enrollment.

Responsible for ongoing quality checks of administrative data as assigned.

Assist with quality studies through data collection, data input and report development.

Insurance verification. Follow up on NICU babies.

Wellstar Health Systems Marietta, GA

Medical Assistant 11/04-03/07

Checked in/out, schedule appointments, patient registration, insurance verification, and specialist

referrals, medical records, collected co-pays and post payments.

Performed EKG’s, vital signs, pulse ox, Pulmonary Stress Test, venipuncture’s, injections, X-rays, phone

triage, prescription refills, provided patient education on compliance and resources, lab results retrieval

and documentation.

Medical College of WI Milwaukee, WI

Patient Access Rep/Medical Assistant 10/03-06/04

Medical billing, insurance verification, scheduling and patient registration.

Assigned appropriate diagnosis and procedure codes following coding guidelines for ICD-9, CPT codes

for all pre-certification request.

Rooming of patients, vitals, injections and x-rays.

Proficient in handling medical records and following HIPAA, OSHA, CLIA guide lines.

Ability to organize and prioritize daily assignments.

Danyell Jackson

• • •

Skills

Customer service skills and data entry.

Billing and Coding.

Experience in a health and managed care field.

Proficient in Medical Terminology, Anatomy and Physiology, ICD-9, ICD-10, HCPCS and CPT4 Codes.

Knowledge of Medicare, Medicaid, Managed care policies and procedures.

Compliant in Policy and Procedures and work processes.

Proficient in MS Word, Excel, Power Point, MS Access, Medisoft, PrimeSUITE, IDX, Laba, Novell, Vital

Works, Mars, Affinity, Tandem, Sabre software and SalesForce.



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