Customer Service, Medical Coding and Billing

Location:

Baton Rouge, LA

Salary:

30,000.00

Posted:

September 20, 2015

Contact this candidate

Resume:

September **, ****

To Whom It May Concern:

My name is Nicole Abadie. Based on my past experience and knowledge, I am well qualified for Receptionist position that you have posted. Please take a moment to review my resume. Should you have any questions, please do not hesitate to contact me directly. I look forward to hearing from you soon.

Sincerely,

T. Nicole Abadie

Letter of Recommendation

July 3, 2014

To Whom It May Concern:

I would like to offer this recommendation on behalf of Nicole Abadie.

Nicole was employed at The NeuroMedical Center from April, 2009 through February 2014. While at The NeuroMedical Center, Nicole worked in Medical Records, Patient Accounting and Patient Registration. While in Medical Records, she was responsible for coding medical records. In Patient Accounting, she did insurance verification and pre-cert. She then moved into the role of Front Desk Auditor where she was responsible for all data entry of patient information. Her attention to detail made her a great asset to our company.

Nicole is hard working, task driven, a fast learner and willing to do anything that is asked of her. She has a pleasant attitude and is a team player.

Please feel free to contact me if you have any further questions at 225-***-****.

Sincerely,

Amy Jacques, CPC, CCS

Billing, Collections & Precert

Department Manager

T. Nicole Abadie

13805 Katherine Avenue

Baton Rouge, LA. 70815

225-***-****

Email: *********@*****.***

OBJECTIVE: To obtain a challenging position in a career oriented clinic or hospital. I am extremely motivated and eager to learn new things that will allow me to utilize my skills to assist in efficient, productive company operations.

EDUCATION: Med-Vance Institute of Baton Rouge Baton Rouge, LA 04/2008, Graduated 03/2009

Medical Coding Specialist

Key Courses:

• Anatomy and Physiology

• Medical Terminology

• Law and Ethics

• CPT-4, ICD-9 and ICD-10

• Guidelines for Medicare and Medicaid

Broadmoor High School (GED)

Baton Rouge, LA 8/1987, Graduated 5/1990

SPECIAL SKILLS: MS Word, Excel, Power Point, Type 70 wpm with 100% accuracy, MediSoft Software, Medical Manager, Groupcast software used at Neuro-Medical. 10 Key by touch and maintained and graduated with a 4.0 GPA at Med-Vance

EXPERIENCE:

Molina Healthcare (La. Medicaid)

Baton Rouge, LA 08/04/2014-08/12/2015

Provider Service Rep. 2

• Answer incoming calls for emergency Prior Authorizations

• Assist recipients and mostly providers with authorization issues

• Input prior authorization requests in computer, ensuring 100% accuracy

• Correct authorizations with keying errors

• Handle faxed emergency requests, calling providers back with authorizations

The NeuroMedical Center Baton Rouge, LA 04/2009 to 2/2014

Patient Registration Auditor

• Maintain and enter all patient information, insurances, addresses and contact information along to assure accuracy

• Check in patients for appointments and make sure they have all the correct paperwork needed for their visit, collect co-pays

• Responsible for balancing all money taken in each day

• I also trained in various positions including imaging department, checking patients in for imaging procedures like MRI’s, CT Scans, X-Rays

• Also, trained new employees

Insurance Verification/Pre-Cert Clerk

• Verify Medical Insurance Coverage for all imaging procedures on the schedule

• Verify Medical Insurance Coverage for all EMG/NCV (Diagnostic Testing) for procedures on the schedule

• Obtain Precertification for all EMG/NCV and Sleep Study procedures that have Blue Cross/Blue Shield of Louisiana. Also, obtain Precertification for imaging, IVIG treatments, Botox treatments, medications, Pain procedures and surgery

• Help our collection department in finding errors on returned and unpaid claims, find the information needed in order for us to refile claims and receive payment

• Maintain accurate patient information, including personal information, as well as Insurance and Medical information

Medical Records Clerk (Imaging Coder)

• Check all reports against all charge tickets

• Verify all patient information is correct and matches records

• Locate each patient’s chart to write each procedure on face sheet, including DX and CPT Procedure codes

• Filing charts

• Back up the New Charts desk when needed

• Also, back up to office courier, deliver mail throughout the clinic and run all errands which include going to the bank and sometimes other clinic locations

Medical Records Clerk (New Charts)

• Print labels for all new patients

• Make all charts for new patients and hospital patients

• Repair charts, including splitting them when they are too full

• Make all corrections to chart labels for name changes and date of birth corrections

• Filing charts

In-Touch Call Center

Baton Rouge, LA 09/2006 to 04/2009

Senior Operator/Shift Manager/Trainer

• Answer multi line telephones

• Dispatch emergency calls with 100% completion and accuracy

• #1 in Sales