CHRISTOPHER CHARLES

**** **** **** ****; Apt. ***, Durham, NC 27703 / Phone: 919-***-****/ E-mail: ad1pde@r.postjobfree.com

Highly skilled and efficient in working patient accounting with expert interpersonal skills and to work well with others using proficient and professional clerical skills is seeking opportunities with a proven organization.

Proficient in data entry, 10-key and Microsoft Word, Excel, Office Outlook email system and Windows 8; type speed 55 words per minute.

Team player who understands the needs of the department in meeting its goals and deadlines.

Able to review and correct errors and maintains compliant documentation.

MEDICAL BILLING & CODING SKILLS

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

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

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

EDUCATION SUMMARY

Ultimate Medical Academy

Associate of Science Degree – Medical Billing and Coding, 2016

Medical Billing and Coding Diploma, 2015

Certificates of Completion: CMS 1500; Medicare Fraud and Abuse Prevention, Detection and Reporting; World of Medicare and Uniform Billing (UB)-04.

Durham Technical Community College - Associates Degree (Business Administration), 1987

EMPLOYMENT OVERVIEW

WakeMed Health and Hospitals Raleigh, NC

Patient Account Representative 07/2022 – Present

Ensure patient information is accurate including patient demographics and billing information

Enter patient’s insurance information into EPIC.

Collect co-pays and various other forms of payments.

Process and maintain department work queues.

Serve as the first point of contact.

Ensure that all appointments, tests, procedures and infusions/chemo therapies are scheduled in a timely manner.

All required referrals and authorizations are in place per practice.

All registration information is complete and accurate.

Provide excellent customer service to include welcoming and greeting patients, staff, providers, and visitors, both in person and on the phone.

Optimizes patient and referral satisfaction and provider time by resourcefully scheduling appointments in person or by telephone.

Perform administrative duties; answering phones, greeting patients and visitors, referral management, managing and scheduling appointments, managing resource schedules, front office management, medical record management, obtaining pre-certifications and authorizations, verifying benefits, and point of service collections in a professional and timely manner.

Stay current with organizational and insurance industry changes including Medicare, Medicaid and manage care.

Maintain contact with other departments and referral sources for insurance related changes in contracts, policies, and procedures.

UNC Healthcare Chapel Hill, NC

Administrative Specialist 02/2022 – 07/2022

Greeting and assisting all patients

Checking and register patients according to the established Protocols.

Ensure patient information is accurate including patient demographics and billing information

Enter patient’s insurance information into EPIC.

Collect co-pays and various other forms of payments.

Process and maintain department work queues.

Maintain patient rights and confidentiality including compliance with HIPAA regulations.

Provide patient with support and guidance as needed.

Serve as the first point of contact for all NC Cancer Hospital patients.

Development of departmental and program standards.

Serve as the team lead to assist with any projects the supervisor may deem necessary.

Demonstrate the ability to resolve customer problems.

Use Microsoft office products to produce reports and documents.

Understand insurance.

Uses appropriate interpersonal styles and methods to reduce tension or conflict between two or more people.

UNC Healthcare Rex Chapel Hill, NC

Preregistration Rev Cycle Financial Rep 12/2020 – 02/2022

Contacting patients regarding their insurance benefits and/or financial responsibility for procedures.

Claims processing or researching paid claims for either physicians or facilities.

Create job aids or training materials.

Train others of new created procedures.

Verify patient demographics and/or register patients for appointments.

Create and modify estimates.

UNC Healthcare Rex Chapel Hill, NC

Administrative Associate 06/2020 – 12/2020

Ensures and verifies key ADT information (insurance verification, patient and guarantor demographics, etc.) is current and accurate to ensure patient safety, charging, coding, insurance processing, and billing accuracy.

Transcribe referrals and schedule all new and follow-up patient appointments as required. Attempt to reschedule cancellations whenever possible. Communicates cancellations to provider as necessary.

Completes and documents all governmental, regulatory, financial, and contractual forms in accordance to procedure. Ensures document is scanned/saved to correct location and is legible.

Utilizes price estimation tool, when applicable, as part of the registration process to provide the most accurate estimate to patients.

Meets departmental target for up front collections to include deposits, estimated amounts due, co-pays, and/or prior balances.

Answers telephones, directs calls, takes and delivers messages.

Ensures customer service by consistently demonstrating a caring, positive, professional, and helpful disposition with all customer relations.

Influences co-worker satisfaction by being self-motivated, a positive communicator, team player, and a willing and approachable resource to other co-workers. Demonstrates willingness to change to ensure continuous improvement.

Actively participates in departmental QA by utilizing system work queues, making a personal effort to reduce individual errors, and making corrections. Utilizes system work queues as a daily part of the registration process to minimize errors.

Effectively precepts new co-workers as assigned.

UNC Healthcare Rex Chapel Hill, NC

Administrative Associate 02/2019 – 06/2020

Register Patients face to face in Women’s Hospital using Epic Systems.

Collect copays, coinsurance amounts, and deductible amounts.

Entered patients’ demographics and modified patients’ demographics when verifying per HIPAA.

Enter and modify Insurance information of patient.

Make sure all documents are completely filed out and signed for Medicare and Medicaid.

Create and modify via email Same Day Admits (SDA)

Create and modify Same Day Admits from Staff. (MDs and NPs)

Work NOA ques and Registration questions.

UNC Healthcare Rex Chapel Hill, NC

Administrative Specialist 07/18 – 02/2019

Recgister Patients face to face in the ED using Epic Systems.

Collect copays, coinsurance amounts, and deductible amounts.

Entered patients’ demographics and modified patients’ demographics when verifying per HIPAA.

Enter and modify Insurance information of patient.

Make sure all documents are completely filed out and signed for Medicare and Medicaid.

United Healthcare Morrisville, NC

Benefit Advocate 10/2017 – 05/2018

●Take calls from members and explain and give benefits.

●Make and cancel appointments with various medical providers for members.

●Advise members of Optum Programs to help those live healthier lives.

●Give member’s accumulations of deductibles, coinsurance, and out of pocket amounts.

●Call providers and Pharmacies on member behalf to clear up various medical billing issues.

UNC Healthcare Chapel Hill, NC

Patient Accounts Associate 09/2014 – 09/2017

Manages numerous daily calls within call center environment, while accurately handling patient payments and listing/filing patient insurance information.

Interview patients when they walk-in to discuss their accounts and give correspondence and receive correspondence from them.

Creates, modifies and maintains patient demographics.

Ensure patients are aware of how policies are going applied to accounts to ensure better understanding and complete satisfaction.

Responsible for accurate and timely follow up on hospital claims for managed care and commercial claims.

Utilizes payor and compliance guidelines to ensure complete reimbursement. Experience in healthcare setting, working knowledge of insurance and managed care.

Basic medical terminology, medical diagnosis and procedure code.

Blue Cross and Blue Shields of North Carolina Durham, NC

Customer Service Representative 07/2012 – 06/2014

Polite individual who always recognized the role as service provider and maintained the utmost professionalism

Reviewed routine claims in accordance with claim processing guidelines.

Entered data into a computer, operated a variety of office machines, and performed other clerical duties.

Contractor RTP/Durham, NC

Collections Management Specialist 12/2011 – 05/2012

Established correct party contacts to borrowers regarding large payments for mortgages, utilizing company Mini-Miranda when contacting borrowers and scripts for applicable states.

Applied HARP and HAMP, along with In-House Forbearance plans that were applicable to borrower’s situation due to delinquency.

Maintained confidentiality of borrower’s financial status.

Contractor Durham, NC

Customer Service/Fusion Repair Tech 06/2010 - 12/2010

●Customer Service/Troubleshoot and repaired, stocked, and final inspect splices for fiber optic line installation.

●Performed incoming inspections to make sure the new splices received worked according to customer standards.

●Created and modified credit applications for large sums, received payments for repairs and new splices by phone using credit cards and checks only.

●Directed customer contact by appointments only to demonstrate equipment.

Verizon Communications Durham, NC

NMC Supervisor 06/2000 – 08/2009

Supervised 12 co-workers.

Hired and Terminate workers.

Created and went over performance reviews.

Reviewed employee performance matrixes.

Trained and assisted other team members throughout the call center as needed.

Provided internet and telephone services to residential and business customers by creating, modifying, and distributing service orders from an automated system.

Served as an administrative liaison with other operational departments and outside entities.

Administered programs, projects, and/or processes specific to the department served. Responsible for assisting with budget tracking.

Prepare agendas and presentations for meetings as required.

Performed time and attendance matrixes for management and co-workers.

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