Darien McCullough

** **** ******

Toms River, NJ 08753

actlol@r.postjobfree.com

732-***-**** (residence)

732-***-**** (cell)

Education

NHA Certified Medical Biller

Ocean County College Associates Degree, Medical Billing Certification Continuing Education

Graduated Toms River High School North in 2007

Work Experience

July 2011 to Present

Atlantic Coast Urology, Brick, Full time medical receptionist

Check patients in/out in a friendly and professional matter, approximately sixty patients per day

Answer all calls and abide by HIPPA regulations

Responsible for understanding when referrals are required

Collects co-pays from patients, as well as account balances

Schedules patients through the MedEvolve system

Utilize EMR, MedEvolve, and Uro Chart systems

Utilize CPT, ICD-9, and ICD-10 codes

Obtain Precerts, authorizations, and prior authorizations for Imaging, surgeries, and medications

Schedule surgical procedures, ask patients about known drug allergies and blood thinners, and handle packet information for pre-admission testing

Call insurance companies to retrieve outpatient and inpatient benefits, including: deductibles, authorizations, co pays, and referral requirements

Manage medical record requests, including: making copies of patient records, requesting Doctor signatures, and faxing records to patients or facilities

December 2010 to June 2011

Dr. Stanley P. Weinstein Neurosurgery, Lakewood, Part time medical biller/receptionist

Check patients in/out in a friendly and professional matter

Responsible for claim status inquiry, denials, medical record requests, and patient eligibility

Collects co-pays from patients, as well as account balances

November 2008 to July 2010

Ann Taylor Loft, Premium Outlets – Part time sales associate

January 2006 to March 2006

Toms River Recreation – Provide cheer and dance instruction for grades 1 to 6

January 2007 to March 2007

Toms River Recreation – Provide cheer and dance instruction for grades 1 to 6

July 2007 to November 2007

Cheer Force – Gymnastics instructor and cheerleading assistant

January 2008 to March 2008

Toms River Recreation – Provide cheer and dance instruction for grades 1 to 6

July 2008 to August 2008

Toms River Recreation – Provide summer activities for grades K to 2

Certifications:

Certified Medical Biller through Ocean County College and NHA CHRS. Familiar with Computerized Medisoft Program and Spring Charts.

Activities Record:

2003, Artwork Published in the “Asbury Park Press” newspaper

1999, Artwork published in “Innocent Impressions Arts and Kids” book

Awards and Recognition

July 2006 awarded National Cheerleaders Association All-American Award at Stockton College

December 1999 awarded “National Champions” for Toms River Little Indian Junior Midget Cheer in Orlando, Florida

References

Available upon request

Contact this candidate