Customer Service Human Resources
Resume:
Michelle R. Roberts
**** **** ***** ****** * Cleveland, OH 44128 u 216-***-**** u acec18@r.postjobfree.com
Objective
To gain a challenging position with a progressive company that offers continual growt
opportunities where I am able to fully utilize my extensive medical coding and billing
expertise.
Profile
Motivated, personable business professional with years of experience and expertise. Talent for quickly mastering technology.
Diplomatic and tactful with professionals and non-professionals at all levels. Accustomed to
handling sensitive, confidential records. Demonstrated history of producing accurate, timely reports meeting stringent HMO and insurance guidelines.
Flexible and versatile – able to maintain a sense of humor under pressure. Poised and competent with demonstrated ability to
easily transcend cultural differences. Thrive in deadline-driven environments. Excellent
team-building skills.
Skills Summary
Certified Medical Coder, HCS-D
Provider Enrollment
Physician Insurance Billing
Report Preparation
Physician Credentialing
Accounting/Bookkeeping
Scheduling
Front-Office Operations
Medical Coding
Professional Presentations
General Office Skills
Unemployment and BWC
Professional Experience
COMMUNICATION: REPORTS/PRESENTATIONS/TECHNOLOGY
Prepare complex reports for managed care organizations and insurance companies, ensuring full compliance with agency requirements and tight deadlines.
Author professional correspondence to customers and vendors.
Communicate medical concepts to patients using layman’s terms to facilitate understanding.
CUSTOMER SERVICE/MARKETING/PROBLEM SOLVING
Oversee front-office operations and provide impeccable customer service:
Develop and implement strategic marketing plan for business:
*Reduced coding, billing and provider denials by 99%
*Iincreased office collection rate by 75%, *Increased physician's insurance audits to 100%
DETAIL MASTERY & ORGANIZATION
Manage all aspects of day-to-day billing operations.
Facility rental/maintenance.
*Patient scheduling for busy office averaging 52 appointments weekly.
*Finances: accounts payable/receivable, invoicing, insurance billing, budgeting.
*Supervision of clinical and office staff
*Compliance with all healthcare facility, Medicaid, Meicare, and third party payer billing guidelines and requirements.
Employment History
03/12-
Personal Home Health Care
Human Resource Manager/Medical Coder
Duties include: Designs and implements strategic HR initiatives to support operations with a workforce of varied
skills and educational levels. Evaluates HR processes and workforce issues at all levels and formulates solutions to
improve effectiveness. Directs the development of innovative human resource policies and practices across HR
functional areas with emphasis on recruitment and retention, Perform Online BCI Checks for PA employees,
compensation, payroll, accounts payable, Orientation, verified nursing licenses and certifications, training and
employee development. Manages and supervises personnel within the Human Resources Department. Plans,
monitors, directs and analyzes various programs. Participates in organization-wide strategic planning process
objectives for the Human Resources Department. Ensures the delivery of quality service to every customer,
every day. Performed pre-employment screenings, employee benefits,performance reviews,
maintains and update employee files. Performed other duties of a similar nature as may be required.
Performed medical coding and billing, Provider enrollment, performed accounts receivables. Implements and train
employees to obtain insurance authorizations, Performs Provider Enrollment to new and existing insurance plans. Use of All scripts and Quickbooks software.
12/10-03/12
Diamonds and Pearls Health Services
Human Resource Manager
Duties include: Designs and implements strategic HR initiatives to support operations with a workforce of varied
skills and educational levels. Evaluates HR processes and workforce issues at all levels and formulates solutions to
improve effectiveness. Directs the development of innovative human resource policies and practices across HR
functional areas with emphasis on recruitment and retention, compensation, payroll, accounts payable and training
and employee development. Manages and supervises personnel within the Human Resources Department. Plans,
monitors, directs and analyzes various programs. Participates in organization-wide strategic planning process
objectives for the Human Resources Department. Performed BCI/FBI background checks, Ensured the
delivery of quality service to every customer, every day, verified nursing licenses and certifications. Performed
other duties of a similar nature as may be required. Use of Alleghany and Patches computer software.
04/10-12/10
Department of Veterans Affairs
Program Account Specialist Temporary Position
Duties include: Patient Registration, insurance verification, third party billing. Use of Emre on computer software.
09/04-05/09
Premier Medical Management
Duties include: Management of daily operational functions of multiple primary care physician practices
including revenue cycle and billing operations, provider enrollment, physician ctedrntialing, coding and
billing functions included office, hospital, skilled nursing home, managed overall practice expenses, complied
with budget, managed staffing issues, payroll processing, accounts payable,recruitment, provided performance
reviews, provided training for clinical and office staff members, developed and monitored production and
quality indicators for clinical staff, developed and monitored production and quality indicators for coding and
billing staff, developed policies and procedures, assisted with opening of new physician offices, facilitated the
professional development of staff members, worked closely with Finance Department and Accountants
Payable, reduced coding, billing and provider denials by 99%, increased office collection rate by 75%, use of
IDX Billing System, proficient in all Microsoft Office Products, strong knowledge of Medicaid, Medicare and
third party payer guidelines, strong analytical skills.
06/03-01/05
Dr. Raymond Taylor, Cleveland, Ohio
Office Manager
Duties include: Management of daily operational and billing functions, overall office expenses, developed
office policies and procedures, developed quality system for clinical portion of the office performed coding
and billing functions, provided training for staff, reduced coding, billing and provider denials, increased office
collection rate by 100%, provider enrollment and contracting.
09/00-06/03
University Hospital Faculty Services, Mayfield Hts, Ohio
Revenue Service Representative
Duties include: A/R follow up of denied claims, billing and coding of claims, provided training for new
employees, worked aged trial balance, payment posting, patient registration, insurance verification, strong
knowledge of Medicare, Medicaid and third party payer guidelines, strong analytical skills.
09/98-09/00
University Hospital Faculty Services Department of Anesthesia, Mayfield Hts, Ohio
Coding Specialist
Duties include: Provided ICD 9 and CPT Coding for large Anesthesia Group, provided
Physician training, provided training for Revenue Service Representatives, strong knowledge of Medicaid,
Medicare and third party payer guidelines.
05/97-06/98
Summit Healthcare Billing Services, Brecksville, Ohio
Coding Manager
Duties include: Management of large coding department including offsite coders, provided training for new
staff and physicians, provided coding audits for potential clients, monitored quality and quantity of coding,
recruitment, provided monthly audits of coding
12/95-06/98
Medical Emergency Billing/Summit Healthcare, Independence, Ohio
Coding Specialist
Duties include: ICD 9 and CPT Coding of Emergency room records, facility coding
for hospital, provided coding for Ambulatory Care records, insurance verification,
patient registration, lead coder.
06/90-12/95
St. Lukes Medical Center, Cleveland, Ohio
Patient Access Representative
Duties include: Registration of outpatient and emergency room patients, admissions of
hospital patients, insurance verification, ICD 9 Coding of Emergency Room records.
Education
06/2013
OBTAINED CODING CERTIFICATION FROM BOARD OF MEDICAL SPECIALTY CODING AND
HOSPICE COMPLIANCE HCS-D CERTIFICATION
09/00/09-01
AMERICAN ACADEMY OF PROFESSIONAL CODERS, INDEPENDENT STUDY COURSE
ICD 9 CODING
CPT CODING
ANATOMY/PHYSIOLOGY
06/98-08/98
CUYAHOGA COMMUNITY COLLEGE, METRO CAMPUS
ICD 9 CODING
CPT CODING
HCPCS CODING
09/94-12/94
EMERGENCY MEDICAL TECHNICIAN PROGRAM (CERTIFIED)
ANATOMY/PHYSIOLOGY
BASIC LIFE SUPPORT
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