Data Entry Medical Office

Shawnda White

*** ******* **., *********, ** ****0 516-***-**** *********@*****.***

OBJECTIVE

Seeking to transition to a Full time Medical Office Position where I can continue to offer support to the staff, patients, complete projects, accept more responsibilities and contribute to this growing company.

WORK EXPERIENCE

Aldridgepite Melville NY

11/15/18 to 3/25/2

Keep files and documents organized with both paper documents and electronic files and do routine Tasks data entry

Scanning Copying,Ordering supplies

Filing

Retrieval Documents

Cross Reference

Customer Service

Optum 360/ Northwell Hospital,Lake Success NY Contract

Appeals Representative

3/21/17 to 8/22/21

Review and appeal claims that have been denied and require manual intervention

Appeals claims by assembling documentation documenting the invoice in IDX ACM AEOS and Invision programs

Responsible for reviewing all correspondence from Medicare and Medicaid and process according to current policies and procedures

Consistently meet established times for projects and assignments

Communicates with the Manager or Supervisor on progress of projects and assignments

Report any detected problems errors and/or changes to the Manager or Supervisor

Other tasks as assigned by Management

Catholic Health Service Of Long Island Melville, NY

Enrollment Clerk

12/14/16 to 1/7/17

Contacted Providers to obtain necessary demographic elements

Assisted in preparing the contract files for all providers which include scanning filing faxing

Participate in special projects and perform other duties as assigned

Input specified data into database

Exercise good judgement and remain knowledgeable in related company policies and procedures

CareCentrix, Melville, NY 05/2011 to 04/2015

Credentialing Coordinator

Contacted providers to obtain licensure

Assisted with special projects including compiling files for Iron Mountain and preparation of CIGNA audit

Ensured credentialing and contract folders were filed correctly

Supported staff with scanning of contracts and credentialing applications

Compiled documents, prepared mailers and entered tracking information on excel spreadsheets

Utilized Provider 98 and Oracle to look up provider information on patients

Micro Media, Lake Success, NY 12/2007 to 07/2010

Medical Records Clerk

Coordinated medical records in strictest confidence according to HIPPA guidelines

Scanned and purged medical records

Kept records accurate by obtaining and updating patient’s data and demographics

Filed records in assigned areas according to numeric and alphabetical filing systems

Posted payments and filed insurance claims

Typed correspondences and reports for department-wide circulation

Located signed out and delivered records as requested by medical departments

Norfolk CSB, Norfolk, VA 01/1998 to 02/2006

Data Processing Technician

Managed and maintained filing systems

Updated databases and files to reflect demographics, service and payment changes

Generated monthly reports and staff activity summaries

Reviewed printouts for errors and recommended corrective action

Used data processing and software systems to enter, log and record report data

Posted payments and batched reports

MEDICAL OFFICE SKILLS

HIPA and CARF guidelines, Health Insurance Billing and Medical Terminology

ICD-10/CPT & HCPCS Coding, Optum Software, EMR, and 1500 Claim Forms

Proficiency in Microsoft Word and Excel, AS 400 BTI

EDUCATION

Hunter Business School, Levittown, NY 01/2016 to 04/2016

Medical Billing Specialist Diploma

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