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Medical Billing Customer Service

Location:
Hendersonville, TN
Posted:
January 10, 2024

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Resume:

May **** to Present

Karol Howard

Hendersonville,TN

ad2moh@r.postjobfree.com

615-***-****

CAREER OBJECTIVE: To establish a challenging and rewarding position with a company that is passionate about helping others. A company that will identify and reward a hard worker, that is team

oriented, with excellent interpersonal skills, strong ethic, great with customer service, a sharp critical thinker, with a desire to continue learning. EDUCATION & TRAINING

Certified Medical Billing Claims Specialist

Career Institute

Certified Phlebotomist

Northwest Phlebotomy School (The National Registry of Allied Health Professionals) NRAHP

LAB CORP: Certified Paternity Specimen Specialist

MAJOR STRENGTHS

•Passionate about helping others

•Superb patient quality care

•Phlebotomy Knowledge

•Working knowledge of medical billing

•anatomy, infection control and specimen processing

•Familiar with medical terminology, first aid and safety.

•Special talent for counseling and instructing patients with procedures.

•HIPPA Compliance

•HPI Compliance

•OSHA Compliance

SKILLS:

•Performed successful Venipuncture - Venipuncture site warming.

•Tourniquet application.

•Tourniquet removal.

•Puncture site decontamination.

•Blood-borne pathogens exposure control.

•Personal protective equipment use.

•Biohazard waste management.

•Establish the guideline for blood culture specimens from pediatric and adult patients.

•Order of draw.

•Collection equipment assembly in order to prevent job injuries.

•Positively identify patient and specimen labeling. May 2021 to Present

LAB CORP: Certified Specimen Paternity Collector Specialist Client Services Representative

(For Court Ordered Pending Paternity Child Support Cases). Main point of contact for Specimen Specialists of America, Inc.

Serving The Child Support Services of Tennessee, as well as traveling to prisons and county jails. (Mobile DNA Collector)

Essential Responsibilities includes the following:

•Counseled patients to ease fears, explain procedures and enhance cooperation during swab collection.

•Fill out Chain of Custody forms- intake and assessment forms (Client Name, Case #, Address, DOB etc.) and all associated paperwork

•Maintain organization in the collection of all specimens (identification purposes)

•Perform oral Cheek Swabs with cotton stick swab

•Adhering to safety and infection-control procedures

•Safely storing and transporting samples

•Take Photos and ink Thumbprints of all clients

•Assemble collected specimens for shipping by initialing, dating, and completing paper requisition forms. (Ship Samples through FedEx collected for the day).

•Therefore, Making sure each specimen is correctly labeled for tracking.

•Keep track of supply inventory and submit supply orders as needed.

•Very Detailed-Labeled patient samples, double-checking information

•for accuracy, in order to prevent as much errors as possible. Client Services Representative

Promotional Job duties/services:

•Answer and resolve telephone inquiries/requests and complaints initiated by clients and patients in a prompt, competently, accurate and courteous manner by using all available resources.

•Troubleshoot inquiries and follow up with patients clients on issues that cannot be resolved immediately.

•Complete all required documentation associated with the handling of calls and maintain complete and accurate records.

•Report laboratory results to clients and patients using established protocols.

•Follow through in a timely manner to resolve all issues and concerns.

•Provide education and guidance to clients about lab processes.

•Escalate issues as appropriate to keep supervisor informed of client concerns problems or deviations from established procedures.

•Perform other duties as assigned to meet the company’s needs or patients/ clients requirements.

•Follow up with clients/physician offices on requisitions that have incomplete test orders, incomplete or erroneous patient demographics or insurance/billing information.

•Develop and maintain good relationships with customers, physicians, and colleagues to ensure customer satisfaction.

•Handle difficult calls tactfully, courteously, and professionally.

•Research and resolve problems with specimens and/or reports. March 2007 to April 2020

Certified Medical Billing Administrator-Mental Health Advocate -Counselor and Human Resource Assistant Manager

Called and Chosen Rehabilitation Program Gallatin,TN Special Care Services:

•Offered crisis intervention and case management for a population of underprivileged troubled seniors, adults and adolescents. Hispanic and Nigerian immigrant community in Gallatin/Portland, TN area.

•Instructed basic life skills such as recovery skills and stress and time management.

•Interviewing clients, evaluation in mental health issues, and providing program treatment that addresses individual needs regardless of age, race, gender or income status

•Providing faith-based counseling services to clients and helping them overcome emotional problems and addictions

•Following Biblical principles and advice to help clients and infusing Christian faith in them

•Planning strategies for counseling people suffering from stress, depression, and substance abuse

•Conducting family sessions and helping members in practicing open lines of communication

•Provided daily individual and group counseling sessions to facilitate the clients’ understanding of the root causes of their addictions and risky behaviors, to facilitate healing, and to promote emotional and psychological health.

•Clients participate in daily individual counseling sessions and group counseling sessions. The one-on-one sessions focus on the healing process and understanding the root of the client’s addiction. The group counseling sessions support the clients’ process by encouraging them to be open and honest, and by showing them that they are not alone in their struggles.

•Holding and coordinating prayers and group counseling for clients

•Holding gatherings and giving motivational lectures to clients on accepting God's commands

•Work with clients in work release center

•Individual counseling, Group counseling; where client explore themselves and their situations in an attempt to modify their attitude and behavior.

•Provide Substance Abuse Education

•Assist in Mental Health evaluations, by putting into action a Treatment Plan. Structured around individual needs; based upon evaluations and daily progress notes.

•Group meetings on weekly basis to talk about improvement or problems with client in order to maintain or change treatment for the well being of the client.

•Administrative and clerical work, such as but not limited to, Input data on customer records, strong ( Data Entry)

•Answering incoming lines, screen and direct calls, scheduled appointments, Strong computer and internet skills

•Excellent communication and problem-solving skills Administrator and Human Resource responsibilities included:

•Managed the overall care of operations in-order to accommodate the aging senior, and those in need of mental health care; that included the coordination of patient care and the supervision of employees.

•Helped in managing the recruitment and selection process

•Helped in developing and implementing Marketing and HR strategies and initiatives aligned with the overall business strategy

•Bridging management and employee relations by addressing demands, grievances or other issues

•FMLA Case Manager

Job description also included:

•Billed insurance for mental healthcare services HIPAA Compliance forms 1500 and UBB04

•Followed up on claims filed over 30 days to make sure they were being processed with insurance company

•Worked with Medicare and Medicaid

•Worked with private payors (commercial insurance company)

•Assign ICD-9 to psychiatrist-physicians diagnosis and insure correct level of service and various other CPT codes

•Added and sent secondary claims upon processing of primary insurance and resubmitted claim

•Called of any unpaid balance and set up payment arrangements

•Accurately apply payments to patient accounts

•High volume of patient and customer care

2007 to 2019

Easter Seals Tennessee Inc.

Jesus is Life Church, Community Outreach Volunteer Ministry Program Skills:

Direct Support Professional (DSP): Helping those with intellectual development disabilities live life as independently as possible and achieve as many of their dreams as possible exploring his or her full potential. Caregiver: Provided non medical home care to seniors, through Community- outreach and community-supported living programs.

1. Patient care: Provided care to seniors and disabled clients in a professional and compassionate manner. Duties included financial budgeting, meal preparation, personal hygiene and bathroom needs, exercise, shopping, light housekeeping, laundry, driving to and from activities, running errands. 2. General health care: Overseeing medication and prescriptions usage, appointment reminders.

3. Mobility assistance: Helped with getting in and out of wheelchair, car, bed and shower.

4. Personal supervision and Emotional support: Being a stable companion and supporter in all matters personal, health-related and emotional. 5. Back-up care (or respite) services: Providing other caregivers a break. 6. Health monitoring: Following a care plan and noticing any changes in the individual's health, recording and reporting any differences. 7. Reports: Communicated through documentation of patient care. 8. Hospice care support---Respite care --- provide primary caretaker temporary relief.

CONTINUED EDUCATION

Certified Phlebotomist

Northwest Phlebotomy School (National Registry of Allied Health Professionals ) NRAHP

LAB CORP: Certified Paternity Specimen Collector Specialist Certified Medical Billing Specialist

Career Institute

Licensed and Ordained Clergy Counselor (LPC)

Center for Ministerial Education Seminary and Saint James College - Sebring, FL February 2007

Whites Creek High School, Diploma, Whites Creek, TN, CPR And First Aid

PROFESSIONAL SKILLS

•Microsoft Teams

•Microsoft Office Suite 365

•Microsoft Excel

•Microsoft Word

•Microsoft PowerPoint

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