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Data Entry Billing Specialist

Location:
Aberdeen, NC
Posted:
January 25, 2024

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Resume:

MONIQUE WHITTAKER

Southern Pines, NC *****

Phone 910-***-****

Email: ad23gs@r.postjobfree.com

EXPERIENCE

JUNE 2023 – PRESENT

BILLING SPECIALIST, CAROLINA BEHAVIORAL CARE

Provide regular, accurate reports of billing data. Issue receipts for received payments. Help customers find financial aid options to reduce their medical or insurance bill. Responsible for converting medical code into a readable format and using software programs to organize payment data.

MARCH 2023 – MAY 2023

RESIDENTIAL SERVICES PROGRAM COORDINATOR, RESIDENTIAL SERVICES INC Provide supervision to certified nursing assistant staff. Assist staff with scheduling issues when needed. Transport residents to and from doctor appointments as needed. Upload medical information into the Electronic Health Record (E.H.R.). Provide guidance to new employees upon hire of residents plan (ISP), routines, schedules, family and medica history. Responsible for monthly documentation of financials of each individual of assigned case load. OCTOBER 2022 – MARCH 2023

RETENTION AND SELCETION SPECIALIST, SANDHILLS CENTER Complete contracts for Providers and licensed practitioners for the MCO. Process each provider and affiliate by verifying their credentials, NPI number, and service locations and services provided. Data Entry into the Alpha plus system. Complete reports in a timely manner. Provide backup to the helpdesk team.

DECEMBER 2021 – SEPTEMBER 2022

REGISTRATION COORDINATOR, MONARCH

To determine if patient needs a new registration or if he/she needs a Pyschological evaluation. Obtain demographics from patient with accuracy. Verify insurance before an appointment is made and collect any payments. Review all information with patient. if patient is in need of an emergent appointment with a therapist; keep the patient engaged until a therapist is availabe and patient can be transferred to the next doxy room. Provide patients without insurance with different finance options; self pay or IPRS (State Funding). Ensure that state funding is available in the residnece county. Enter all updated information into the Managed Care Organization (MCO) portal to be approved or Denied for services. Ensure that reports are complete in a timely manner. APRIL 2017 – DECEMBER 2020 AND AUGUST 2021 – NOVEMBER 2021 RESIDENTIAL MANAGER, MONARCH

Oversee the day-to-day operations of the group home. Conduct interviews of potential employees. Maintain and adhere to budget for fiscal year. Maintain all medical records for all residents. Review applications for vacancies of the group home. Comply with state regulations of 2

inspections of the home. Create weekly staff schedule. Report all incidents to Quality Management. Provide On Call assistance to staff after hours once a month. Enter all documentation into the electronic medical record.

JANUARY 2021 – AUGUST 2021

TRANSITIONAL MANANGEMENT SERVICES PROFESSIONAL I, MONARCH Provide direct services to individuals with Mental Health diagnosis that live independently. Provide transportation to people we support to doctor appointments, grocery shopping, and necessary appointments. Provide pertinent information to the Dept of Health and Human Services and other outside agencies to achieve the best plan of care for the person(s) supported. Document all behaviors, daily activities, and medical concerns to direct supervisor and attach all documentation in the person(s) supported electronic medical record. JANUARY 2010 – APRIL 2017

DEVELOPMENTAL SPECIALIST, MONARCH

Administer medications as prescribed by physician. Document all behaviors, daily activities, and medical concerns to direct supervisor. Ensure all receipts have been sent to upper management weekly. Train new employees on policies, procedures, and give direct knowledge of residents’ routines. Transport all residents to vocational programs, job sites, school, and social activities. Provide excellent quality of care to all residents. October 2005 – August 2009

Residential Aide, CAROLINA HOUSE of PINEHURST

Provide assistance to dementia residents with bathing, eating, ambulation, and toileting. Document changes in behaviors and overall health to the nurse. Provide dignity and respect to all residents. Maintain a two-hour check on all residents to ensure health and safety. March 2004 – October 2005

Assistant Store Manager, MOVIE GALLERY

Provide a monthly schedule for all staff. Ensure the nightly deposits are made correctly. Maintain the cleanliness of the store. Give patrons information about upcoming promotions. Adjust any mistakes on accounts for loyal patrons. Train all new employees. Perform monthly inventory. August 2002 – December 2003

Customer Service Call Center, UNC Pembroke

Contact prospective students that have applied to UNC Pembroke. Provide information about the student to professor ratio. Inform prospective students about the campus and the local shopping areas. To answer any questions that the students may have about the school and current programs. EDUCATION

MAY 2000

HIGH SCHOOL DIPLOMA, SCOTLAND HIGH SCHOOL

3

BA CRIMAL JUSTICE AND BUSINESS HEALTH CARE ADMINISTRATION, DEVRY UNIVERSITY

Senior

SKILLS

• Scheduling

• Microsoft Office

• Filing Documents

• Organized

• Customer Service

• Insurance Verification

• Excel

• Developmental/Mental Health Experience

• Medication Administration

• Time Management

• Budgeting

• Data Entry

ACTIVITIES

I love arts and crafts, especially painting. Active Order of the Eastern Star member; community service. Enjoying spending time with family.

Owner of NoLo’s Gifted Hands (CPR Instructor)

REFERENCES

Upon request



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