non- certified Coding specialist
Resume:
EDUCATION
Allen School of Health Sciences Graduated August 2014
Medical Insurance Billing and Coding Phoenix, AZ
San Jacinto Community College 05/13-07/2013
License Vocational Nursing Program Pasadena, TX
EDUCATIONAL / PROFESSIONAL TRANSFERRABLE SKILLS
●ICD-9, ICD-10, CPT, HCPCS
●Insurance & Billing
●Processing Electronic Claims
●Insurance Reimbursement
●HIPPA
●Multi Phone Line Systems
●Payment Posting
●Medicare/Medicaid
●MedTrak and SimChart Software
●Type speed 47WPM
●Psychology
●Medical terminology
●Anatomy and Physiology
WORK EXPERIENCE
Non- clinical Coding specialist
April 2015- December 2015
Brookdale HomeHealth Houston, TX
I coded incoming medical charts for patient nursing and therapy visits
I reviewed and provided appropriate feedback to clinicians managers for submitted electronic OASIS
I reviewed all electronically and paper submitted medical documentation to ensure records reflected compliance and medical necessities
I assisted in planning strategies to improve any deficiencies in our coding and OASIS assessment documents
Contacted physicians to verify diagnoses
Documented all received patient information
I ensured HIPPA guidelines were followed
Did follow up training on new coding guidelines
Answer/forward incoming calls
Customer Service representative January 2013- April 2015
United Healthcare Houston, TX
Answered inbound calls for state Medicaid and Medicare members
I resolved pharmacy issues through necessary systems
Resolved medical and billing issues
Reported complaints, appeals, grievances and kept follow up on them
Assisted physicians with medical files, claims, and member benefits
Assisted physicians with provider contracts
Provide assistance to existing members concerning member/patient benefits
Complied with state Medicaid and Medicare regulations
Submitted prior authorizations for coverage of services
Assisted member with enrollment for Medicare and Medicaid
eI ensured one call resolution
Bank Plus August 2011 – August 2012
Customer Service Representative Ridgeland, MS
Complied with and informed customer of Federal regulations
Troubleshoot online services while maintaining an open line of communication
Educated customers about programs and products which best suit individual needs
Exercised the right path of action in assisting each customer
Guarantied an excellent customer experience
Exceeded monthly performance target goals
Built an excellent customer rapport
Handle Inbound customer calls, assisting customers with account
Provided financial advice regarding ways customers can better manage funds
Assist with loan and account information
AT&T April 2008- August 2011
Customer Service Specialist Ridgeland, MS
Handled High-volume incoming calls
Assisted customer with inquiries about services offered
Provided customer technical support to resolve any computer or internet issues
Assisted customer with billing, technical, general, and porting issues
Identified potential customers’ needs to educate them about products that may be of interest
Building an excellent customer rapport
Exceeding monthly performance target goals
Computer Skills
Windows vista, Window XP, Windows 7, Microsoft word, excel, data entry, introduction in computer application and word processing application.
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