Customer Service Medical Billing

Emily Suggs

*** ******* ***** *******, ** ***** 423-***-**** ************@*******.***

PROFESSIONAL PROFILE

Quality-focused and customer service oriented professional able to provide cross-functional administrative support and function as the primary interface between the patient and the provider. Facilitate the efficient flow of patients, while remaining focused on managing priorities and ensuring patient confidentiality.

High Academic Honors Recognition.

Maintain accurate data to ensure details are not overlooked.

Actively participate as a member of a team to move toward the completion of goals.

Ultimate Medical Academy – HIPAA Essentials for Healthcare Professionals Certificate.

Video Communication Platforms – Zoom.

Microsoft Office Applications – Word, Excel, PowerPoint, and Outlook; Type 40 WPM.

KEY QUALIFICATIONS

Medical Billing Accounts Receivable Collections Co-Pay Deductibles Co-Insurance EOBs

Revenue Cycle Management Posting Payments Government (Medicare & Medicaid) Third Party Payers

Electronic Health Records (EHR) Electronic Medical Records (EMR)

Managed Care (HMO, PPO, POS) Workers Compensation

Insurance Verification Insurance Claim Processing CMS 1500 CMS 1450 (UB-04)

Front Office Operations Medical Office Procedures Scheduling

Medical Terminology Anatomy & Physiology HIPAA Compliance Medical Coding (ICD-10-CM, HCPCS, CPT)

EDUCATION & CERTIFICATION

Ultimate Medical Academy

Associate of Science Degree – Medical Billing and Coding, 2023

American Red Cross

BLS, CPR, and First Aid Certified

PROFESSIONAL EXPERIENCE

Ttech - Newport, TN 03/2023 – Present

Customer Service Agent

Answer inbounds calls and abiding by all HIPPA regulations.

Assist with updating patients’ demographics.

Send Refill subscriptions for home delivery and doctors offices on behalf of patients.

Handled prior authorization request and status.

Check appeals and claims rejections for patients.

Ultimate Medical Academy – Newport, TN 06/2021 – 01/2023

Full Time Student

Navigated new technology, accessed online computer systems, and utilized available resources.

Developed, managed, and maintained a budget effectively.

Remained self-directed and took actions necessary to accomplish academic goals.

Medicall Home Healthcare – Knoxville, TN 11/2019 – 06/2021

Home Health Aide

Trained new hires, exhibited leadership, and led by example.

Assisted with activities of daily living, personal hygiene, mobility, and feeding.

Handled light housekeeping duties and transported to locations outside the home.

Completed daily logs documenting patient condition and activities and any changes to patient care plan.

Offered companionship and contributed to a positive environment to enhance quality of life.

Private Duty Care – Newport, TN 04/2015 – 09/2018

Independent Caregiver

Provide in-home personal care services based on established care plans.

Maintained a safe, secure, and healthy environment.

Engaged in activities and sensory stimulation to encourage positive reactions.

Offered attention to client non-medical needs, including companionship and social engagement.

Full Time Parent – Newport, TN 12/2010 – 04/2015

Homemaker

Provided encouragement, support, and access to activities that enable the development of skills.

Developed, managed, and maintained a budget effectively.

Coordinated and facilitated medical care, meals, and educational and social activities.

Morristown Hamblen Healthcare System – Morristown, TN 06/2004 – 12/2010

Unit Secretary / Certified Nursing Assistant

Trained new employees, managed inventory, and ordered office supplies.

Answered inbound phones, scheduled appointments, and updated patient demographic information.

Transcribed doctor orders into AS400 system.

Processed referrals and filed lab works into patients’ charts.

Checked visitors in and out and documented information.

Assisted patients with hygiene, grooming, feeding, turning, and wound care.

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