Data Entry Customer Service

Nichole Trotty

**** * ******** **** # **** Dallas, Texas 75247

Cell: 214-***-****

Email:*******@*****.***

Objective: To obtain a stable position that will allow me to utilize my skills and gain new knowledge that will contribute to the success of the organization.

Skills:

Billing and Coding CPT

Insurance Verification ICD9CM

Complete Insurance Claims Bookkeeping

Manage Care Compliance Medical Charting

Medical Terminology Public Relations

Transcriptions Medical Records

HIPAA Accounts Receivable

Office Procedures Accounts Payable

Office Correspondence 10Key

CPR BLS

Certified Certifications by Centers for Medicare / Medicaid Services

Acute Hospital Inpatient Outpatient Code Editor

Medical Necessity Skilled Nursing Facility

CMS 1500 Form Uniform Billing UB-04

Diagnosis Coding World of Medicare

Front Office Medicare Medicare Fraud/Abuse

Access, Microsoft Office GCP, SOP AND CCRC

FDA and IRB regulations Regulation compliance Phlebotomy

HIPAA

Medicare Preventive-Adult Immunizations / Women’s Health / Expanded Benefits Understanding the Remittance-Institutional Providers / Professional Providers

Southeastern Career Institute Dallas, Texas

Medical Office Specialist

Honors/Activities: Dean’s List Honor Roll

Timed Typing 68wpm

Work Experience:

Discovery Clinical Trials: Clinical Research Coordinator

Update case reports and created source documents for clinical trials, maintained reports and met with monitors on routine site visits. Arrange study interviews, and recruitment. Request medical records-maintained information on protocol and case reports for each trial. Develop flow sheets and identify subject eligibility Perform QA/QC procedures, worksheets, and study materials, collect data and order supplies for site and studies. Prepare consent amendments. Schedule and conduct patient visits. Prescreen patients for studies. Conduct lab draws, ekgs, vitals and others. Gather and process specimens for lab tests – urine, stool, blood, etc. Conduct clinical Phase II through IV trials for site. Collaborated with sponsors/CROs to create IRB submissions, revisions, and consent material. Develop brochures that outlined protocol and recruitment information for specific studies. Collected data on research progress, adverse reactions, deviations, and results. Ensured regulatory compliance. Prepare sponsor files for FDA compliance and GCP guidelines. Maintained trial policy records and procedure materials.

Blue Cross Blue Shield of Texas: Healthcare Coordinator

Inbound calls regarding Prior Authorizations- UM/CM Review Knowledge of Retail ON/OFF Market Exchange plans/Managed Care Plans Redirect members/providers to INN participating providers Document all calls accurately using different screens simultaneously Discussing denials, Peer to Peer results, and authorizations process with providers Routing cases to appropriate areas for Clinical Review Making outbound calls for Discharged members Modifying authorization requests as necessary: dates, providers, and locations. Enroll members in Case Management and Care Coordination Programs.

Integrated Women’s Health: Receptionist/Personal Asst.

Responsibilities included Overseeing front office staff, answering phones, scheduling appointments, scanning charts into EMR, Obsoleting payments, daily deposits, sorting and delivering mail and faxes, Credentialing for doctor, troubleshooting computer problems overseeing medical records. Verify Insurance and overseeing Insurance Claims Medical Assistant Responsibilities Include verifying Insurance and scheduling surgeries, assisting patients to examination rooms, measure vital signs, weight, height, and chief complaints. Prepare patients for examinations and procedures. Gather specimen for lab tests – urine, stool, blood, and others. order RX Aid doctor in examination and treatment – assist in administering medications. Perform treatment room preparation and after care, to keep the clean and sanitized. Handle instruments.

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