Medical and Administrative Support Specialist

Wendy Bain

352-***-**** acvjld@r.postjobfree.com

Medical Administration, Data Entry and Administrative Support Specialist

Data Management Records Abstraction Claims Processing Billing / Collections

Bottom-line focused Administrative Professional with 10 years’ experience with a diploma in Medical Billing and extensive technical abilities including 10 Key Certification. Fully knowledgeable of and certified in Health Insurance Portability and Accountability Act of 1996 (HIPPA). Consistently successful in meeting strict deadlines, troubleshooting and solving problems; able to capture/re-capture amounts owed through due diligence in record processing, data gathering, and follow-up work, and customer relations expertise. Possess excellent oral and written communications skills.

Core Competencies:

Logistics Client Verification Medical Billing & Collections Account Profiles

Claims Research & Analysis Payment Negotiations Insurance Processing Data Audits

Career Highlights

As Specimen Accessioner/Expeditior at Labcorp for Medstaff Staffing (contract) 9/2015-present (Full Time)

Leading provider of comprehensive health services and clinical research.

-Prepared laboratory specimens for designated departments/locations prior to laboratory analysis and testing. Unpacked specimens from branches or ports and routes specimens by type to various staging areas. Prepared all specimens received for testing in designated laboratory departments or locations such as staging of specimens, centrifuge, separate serum, and blood smears. Aliquoted sample for departments. Prepares excess specimen samples for storage and resolves and document problem specimens.

As Clinical Assistant at Southeastern Integrated Medical 10/2013 – 3/2015 (Full Time)

Leading provider of comprehensive health services and clinical research.

- Provided customer service, such as greeting and assisting patients, chart organization, limited instructions on proceeding with treatment, sending out referrals or medical records needed to/by other medical physician facilities, DME companies, insurance companies, ect. Organized records using computers to input, access, search or retrieve data. Contacted patients or other involved persons such as insurance companies or DME companies to obtain missing information, verification, or confirmation. Reviewed insurance policies to determine coverage or co/pays, contacting insurance companies for authorization on procedures or related documents and review them for completeness Protected security of medical records to ensure confidentiality is maintained; reviewed records for completeness, accuracy, and compliance with regulations. Managed health record indexes or storage and retrieval systems to collect, classify, store, or analyze information. Utilized computer skills to enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or treatment. Compiled and maintained medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts. Processed and prepared forms in adherence with rules and regulations using appropriate computer programs.

As Bill Repricer at Premier Prizm Solutions, (9/2011 – 3/2013)

Among top automobile insurance carriers for world-class medical management services.

- Reviewed insurance policies to determine coverage; prepare insurance claim forms or related documents and review them for completeness. Provided customer service, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors. Organized records using computers to input, access, search or retrieve data. Contacted insured or other involved persons to obtain missing information.

As Medical Records Abstractor for Cooper Medical Center/ Advocare for Mary Kraft Staffing, (2/2011-9/2011 Temporary):

Leading provider of comprehensive health services, medical education and clinical research.

- Protected security of medical records to ensure confidentiality is maintained; reviewed records for completeness, accuracy, and compliance with regulations. Managed health record indexes or storage and retrieval systems to collect, classify, store, or analyze information. Utilized computer skills to enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or treatment. Compiled and maintained medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts. Processed and prepared forms in adherence with rules and regulations using appropriate computer programs.

As Claims Processor at Horizon Blue Cross Blue Shield, (11/2010-1/2011 Temporary):

Among nation’s most well-known and respected health care insurance providers.

- Received and / or obtained information from all relevant sources. Compiled, coded, categorized, calculated, tabulated and verified information. Used relevant information to predetermine whether events or processes complied with laws, regulations, and standards; passed any and all information to supervisory personnel. Applied web-based and computer applications to provide the maximum amount of information to back up and substantiate claims records.

As Mortgage Clerk at PHH Mortgage, (10/2009-8/2010 Temporary):

Industry leader in mortgage services.

- Negotiated payment arrangements and worked closely with clients to ensure they were able to both meet and fulfill obligations as per contract. Effectively made outbound calls to past due account clients to ascertain the reasons for present issues and come up with solutions that would work for both the client and the company. Completed all documentation in strict adherence with compliances and maintained up to date account activities thus creating easily researched audit trails.

As Administrative Assistant, RE/MAX Connection Office, (11/2006-6/2009):

Highly visible real estate company with an excellent reputation of linking homes with people.

- Supported logistics and operations as well as document control for team of up to 20 realty professionals working in-house. Performed contract information data entry for sold properties; added “for sale” property information into data base and posted to web sites. Reviewed contract documents for accuracy and followed up to obtain missing or incorrect information. Managed all administrative assistance activities including appointment scheduling, assessment and ordering of office supplies, and handling incoming phone inquiries.

ADDITIONAL EXPERIENCE

Store Manager, GNC

- Resolved customer complaints regarding sales and service. Planned and directed staffing, training, and performance evaluations to develop and control sales and service programs. Reviewed operational records and reports to project sales and determine profitability; monitored customer preferences to determine focus of sales efforts. Prepared budgets and approved budget expenditures.

Education / Development

STRATFORD CAREER INSTITUTE, ST ALBANS, VT

Medical Billing Specialist

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