JACQUELINE T. WALDEN

*** **** ******** ****** ************, PA 19138 215-***-**** actnfg@r.postjobfree.com

PROFESSIONAL PROFILE

Customer service oriented professional with strong understanding of the importance of accurate claims processing. Maintains attention to detail needed to review and correct errors and retain high levels of accuracy. Follows policies, guidelines, and procedures to assure consistent quality.

Strong verbal, written and interpersonal communication skills.

Ensures medical records are maintained with respect to patient confidentiality, completeness and timeliness and in compliance with HIPAA regulations.

Accustomed to working in environments where accuracy and accountability are essential.

KEY QUALIFICATIONS

Medical Billing Medical Coding ICD-9-CM HCPCS CPT ICD-10-CM Medical Terminology

Electronic Health Records (EHR) Electronic Medical Records (EMR) Greenway

Managed Care (HMO, PPO, and POS) Government Payers Third Party Payers Worker’s Compensation

Centers for Medicare and Medicaid CMS 1500 CMS 1450 (UB-04) Tricare

EOBs Payment Posting Revenue Cycle Management Scheduling Meaningful Use

Insurance Verification Insurance Billing Procedures Insurance Claim Processing

Practice Management Medical Office Procedures Anatomy & Physiology HIPAA Compliance

Co-Payments Deductibles Co-Insurance Superbills

Reimbursement Methodologies Fee Schedules Outpatient / Physician Inpatient / Facility

EDUCATION

Ultimate Medical Academy

Medical Billing and Coding Associate of Science Degree, 2016

Diploma – Medical Billing and Coding, 2015

Completed an intensive, accredited training program which included:

Surgical Procedures, Disease Processes, Life Cycle of an Insurance Claim, Health Care Settings, Health Care Payers, Procedure and Diagnosis Coding from Medical Records, Reimbursement Systems,

Medical Practice Management Systems.

CERTIFICATIONS

Working towards National CPC-A Certification

Working toward American Academy of Professional Coders (AAPC) Membership

MEDICAL WORK EXPERIENCE

Mercy Philadelphia Hospital Philadelphia, PA 08/2003 – 04/2014

Ed Scanner & Inventory Control

Prepared medical files and records for processing company delivery.

Kept accurate and updated records of inventories within database system.

Complied with HIPAA rules and regulations.

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