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Data Analytics Medical Billing

Location:
Richmond, VA
Posted:
April 26, 2024

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Resume:

Tequila M. Samuel

Chesterfield, VA ad5ana@r.postjobfree.com

Objective

●Seasoned Professional in the area of Operations Analytics, seeks to secure a promising Remote or On-Site opportunity with an organization that offers a diverse, positive and structured atmosphere as well as great benefits, acute training, opportunities for advancement and competitive compensation.

Education

Coursera – Google Data Analytics – Certification in Progress

Summer 2023

Chesterfield County Technical Center Chesterfield, VA

01/2016 – 06/2016 AAPC Medical Coding Certificate

Georgia Perimeter College Decatur, GA

05/2010 - 05/2011 AS, Health Sciences Major

J. Sargeant Reynolds College Richmond, VA

12/2000 to 05/2003 AS, Business Admin. Major

Highland Springs High School Highland Springs, VA

06/1996 - Graduate

Skills & Abilities

LEADERSHIP

●Team Management and Evaluations

●Scheduling And Forecasting

●Associate Training

●Strategic Planning

●Microsoft Outlook Calendar Management

●New Hire Management and Coordination

DATA MANAGEMENT

●SQL Processing

●Microsoft Excel, Word and Access Proficient

●Data Analysis

●Research

●Trouble Shooting

●Web-Based Reporting

●Revenue Development

●Revenue Cycle Management

●Client Quarterly Invoicing

●Medical Billing & ICD-10 Coding

COMMUNICATION

●Critical Thinking

●Monthly, Quarterly and Annual Governmental Financial Reporting

●Sr. Level Customer Satisfaction Professional

●Remote Team Communication proficiency using Microsoft TEAMS, Google Meet and Zoom

●Notary Public – State of Virginia Commissioned

Experience

05/2021 - 12/2022 (Magellan Rx)

12/2022 - 01/2024 (Prime Therapeutics)

Prime Therapeutics (Formerly Magellan Rx) (PBM) - Glen Allen, VA

*Pharmacy Rebate Specialist

●340B Drug Discount Program Management

●Pharmacy Medicaid/Medicare Governmental Rebate Processing using Enterprise Rebate, MRx Explorer, SharePoint and Excel

●Rebate Billing and Invoicing for the State of Kentucky using the State of Kentucky Online Gateway

●High Volume Rebate Payment Processing and Posting

●Research Rebate Invoice Discrepancies, Disputes and Adjustments using Citrix.

●Client Account Management

●Produce Monthly, quarterly (64.9R) and Annual Federal Reports for State Contracts

●Client Rx Claims Dispute Resolution

08/2018 – 02/2020

Pediatrix Medical Group (a Mednax Subsidiary) -Glen Allen, VA

*Infant Auditory Screening Coordinator

●Manage Hospital Auditory Screening Staff of 10 Employees spanning 4 Bon Secours Facilities

●Coordinate Auditory Screening policies and operations with Hospital Administration

●Performed Infant Hearing Screenings at high volume at 2-3 newborns per hour using the SOUNDATA Software while adhering to OSHA, HIPPA and The Joint Commission requirements.

●Coordinate Infant ENT referrals.

10/2011 – 3/2018

Parallon Business Solutions (Formerly HCA Shared Services) - Richmond, VA

*Charity/Logging Analyst & Unbilled/HIMS Coordinator

●Data Reporting of Federal Bad Debt

●Manage and Maintain Charity and Bad Debt Log for Federal Medicaid/Medicare Programs

●Analyze & record all patient information using RPAS Applications, HOST, OnBase & Artiva software

●Revenue Cycle, HIMS and Medical Billing and Coding Support

Salary & Reference History

●Available Upon Request



Contact this candidate