**** ****** *****, *********, ** ***** 443-***-**** Email: ad19a0@r.postjobfree.com

Patricia Whye-Samuel

Summary

Experience

Over 40 years experience in Customer Service, Administrative Management, Medical Records Coding, and Medical or General Billing/Collections. 2019-2023 Divine of Annapolis Ministries, Inc. Annapolis, MD Director of Outreach

Communicating information to the public or employees, organizing outreach campaigns, coordinating events, and budgeting, provide status updates, developing marketing strategies for various ministries, activities, events, and trips supported by the Outreach Ministries Team, provided general administrative support. 2013-2019 DMI Transportation Glen Burnie, MD

Project Director

Leads program and manage both technical and financial risk: manages cost by making implementation choices consistent with Program’s financial goals. Prepared preliminary scope, budget and schedule for Projects. Accountable for continual tracking and analysis of project performance against project plan to ensure project success. Acts as the primary customer contact on capture, status and performance, anticipates and fulfills customer needs to ensure continued business growth, leads Program’s steering committee, marketing and presales actions. Responsible for coordinating plans and priorities of resources and tasks. Enforces compliance with regulations, internal processes and standards. 2007-2013 Register of Wills for Baltimore City Baltimore, MD Chief Deputy Register of Wills

Key point of contact and Second in Command. Coordinated problem solving to reduce system errors. Developed new procedures that transformed the office into a more effective workplace. Remedy customer complaints. Wrote guidelines for internet correspondence. Created job descriptions and salary reviews Responsible for all personnel issues and matters including hiring and motivating a staff of 40 employees containing six Assistant Chief Deputies and eight Lead Workers. 2003-2007 EMT Transportation Services Glen Burnie, MD Operations Manager

Organized workflow between the Administration and Financial Offices. Assigned daily task to office staff. Prepared materials and/or briefed the President relative to conferences, appointments and other matters. Acts as Insurance Coordinator and Corporate Card Program Administrator. Develop and/or maintaine, COBRA, HIPAA, DOT and DOL regulations.

2000-2003 EWTF Lanham, MD

Senior Claims Auditor

Perform random statistical/target sample claim audits utilizing audit resources and the QMACS/QNXT system as assigned to validate claims processing appropriateness and document the claim payment and financial accuracy ratings. Document findings in standard format to enhance data reporting and trending. Perform trending of claims audit findings utilizing Claims Audit standard templates. Wored with standard computer software & applications including: Word & Excel. ACCESS. Paid close attention to detail, displaying self-initiative, creativity, independent thinking, and excellent organizational skills. Utilized my experience in medical coding, medical claims processing, and industry standards in reimbursements. 1996-2000 Reliable Billing Services Glen Burnie, MD Billing and Collections Manager

Experience with all medical specialty billing, to include anesthesia, Radiology, dental, and mental health practice and facility services. Organized workflow between billing and collection departments. Assisted clients with payment information and overdue account decision making. Experience in customer service, assistance patients with problems and concerns, explaining OB information. Review aging reports and assigned past due account for collections. Prepare report and presentations. Drafted policies and procedures. Developed on-line forms. Experienced with HMO, PPO, BC/BS, Medicare/Medicaid, Champus, Commercial, Hospital Indemnity Plans, 3rd party administrators, electronic and manual billing techniques. Responsible for staff development and training in billing and collections, insurance follow-up, patient and physician assistance. UB-92 and HFCA 1500 claim form preparation. Conducted employee evaluations. Experience with ICD-9, CPT and blanket coding. Acted as benefits coordinator. Responsible for AP/AR and payroll. Patricia W. Samuel

2

Experience 1995-1996 FMAS (A HCFA Company) Columbia, MD Medical Records Abstractor/Coder

Request and review medical records for nationwide hospitals. Determined if proper medical treatment was prescribed by attending physicians. Provided review findings to the Health Care Financing Administration

(HCFA). Maintained a 99% accuracy rate.

1990-1995 D.I. Vine and Associates Silver Springs, MD Senior Claims Examiner

Administrative Duties as assigned. Formatted reports for the department director. Evaluated and determined the companies liability in reference to a variety of claim submission. Conducted investigations, reviewed medical records for signs and symptoms pertaining to the etiology of illness, cause for death or the detection of conditions that are excluded per the policy provisions. Performed random quality review of processed claims. Provided customer service to the insured’s. Functioned efficiently in a production environment. Crossed trained on multi-line insurance products including; hospital indemnity, Cancer, life, accidental death, office overhead, and medicare supplement.

1988–1990 Central Billing. Glen Burnie. MD

Billing and Collections Supervisor

Was responsible for the supervision of 25 employees at 3 locations. Provided on the job training For new employees in the area of billing problems and customer service and assistance to patient. Responsible for tape-to-tape, terminal and electronic billing to include inquiries. Initiated collection proceedings and financial assistance for overdue accounts. Performed out patient coding of admission, ambulatory surgery, emergency record, and other duties as assigned by the company and the client. 1986-1988 Maryland General Hospital Baltimore, MD

Medical Records Coder

Professional

Education

Abstract patient information from medical records and personal data. DRG, ICDA-9 Coding. Addressed documentation issues. Conduct Quality Assurance audits and qualitative/quantitative review of medical records and audit reports to verify completeness and accuracy of diagnoses, operations, and special diagnostic and therapeutic procedures.

1980-1986 Vinod Ballah, LPT Baltimore, MD

Medical Secretary

Performed patient billing and collections. Typed medical reports, maintained filing system. Scheduled appointment and test. Other duties as assigned.

Advanced Medical Terminology

ICA 1&2/LOMA 1&2

Certificate Baltimore City Community College

Medical Records Abstract Coding

Certification HCFA

Computer

Skills

Familiar with most Software and Operating Systems: Apple, Chrome, Microsoft Office all versions and programs, Medisoft, Lotus, WordPerfect, LANS, DOS, Examiner, Logic, MRIS, PeopleSoft, and Adobe to name a few.

General Skills Typing 45wpm, Alpha, Numeric and Color Code, filing. Reference: Available upon request.

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