ALFREDA V. STONE TAYLOR

Mesa, AZ *****

480-***-****

ad3yjx@r.postjobfree.com

PROFESSIONAL SUMMARY

To obtain a rewarding and challenging position as a Medical Biller/Coder or Office Assistant where a highly motivated and enthusiastic individual as myself can become a valuable member of a health care team.

EDUCATION

Carrington College Online June 2022 – March 2023

Medical Billing and Coding – 4.0 GPA

University of Phoenix Phoenix, AZ August 2000 - April 2002

Master of Arts – Organizational Management

University of Arizona Tucson, AZ August 1980 – May 1985

Bachelor of Science – Business Administration

United States Army Fort Huachuca, AZ August 1987 -August 1991

Multichannel Communications System Operator – E4 before Honorable Discharge

SKILLS/TRAINING/ABILITIES

Insurance Billing

Claims Processing

ICD-10/CPT Coding

Medical Records

Medical Office Software

Appointment Scheduling

Patient Charting

Medical Terminology

Microsoft Office

HIPAA Regulations

Medical Billing

OSHA Regulations

CMS-1500/UB-04 Claims

Anatomy/Physiology

Data Entry w/HER

PROFESSIONAL EXPERIENCE

Carrington College – Online July 2022 – March 2023

Medical Billing and Coding Student

Gained skills to work as a medical biller/coder administrative secretary in healthcare.

Demonstrated skills and knowledge necessary to perform medical coding and process medical insurance billing and claims within the health care setting.

Performed clerical functions and communicated with other professionals, patients, and visitors in the health care setting. Apply critical thinking, collaboration, and communication.

J Lodge LLC - Fort Meyers, FL 2010 – 2011

Quality Analyst – Remote

Responsible for quality call monitoring for large companies.

Ensured and improved the level of quality of customer service in a call center.

Identified opportunities for training and process improvement.

First Health Phoenix, AZ 2002 - 2003

Claims Appeal Specialist

Investigate and respond to claim appeals and inquiries related to processed claims from members, patients, providers, and clients

Adjust claims as applicable based on appeal results. Identify patterns and trends underlying the reason for the appeal requests

United Healthcare of Arizona (Uniprise) Phoenix, AZ 1998 – 2000

Service Associate

Perform research, recovery and recoupment of reimbursement due to health plan overpayments

Resolve and process customer and provider complaints. Include inquires and issues received electronically through the Communication Tracking System (CuTs)

Process provider check refunds

Maricopa Integrated Health Systems Phoenix, AZ 1998 - 1998

AHCCCS Coordinator

Supervised the Billing and Collections Department for AHCCCS health plan

Staffed and trained employees on performance standards, departmental functions and systems applications

Monitored employee relations and provided performance evaluations

Established written departmental policies and procedures

Distributed workload to ensure daily business and critical operations were met efficiently and effectively

Assisted Manager in maximizing collections. Special projects as assigned.

Information Network Corporation Phoenix, AZ 1995 – 1998

Claims Supervisor

Supervised the Claims Processing Department for Medicaid health plans

Supervised Quality Control Department and performed quality audits

Staffed and trained employees on performance standards, functions and systems applications

Monitored employee relations and completed annual performance evaluations

Established written departmental policies, goals and procedures and provided source documentation for training purposes

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