Medical Billing Customer Service
Resume:
TALITHIA E. ROBINSON
**** ******** **** ** 410-***-****
Glen Burnie, Maryland 21061 **********@*****.***
PROFESSIONAL STATEMENT
Analytical, detail and results-oriented professional with experience in:
Medical Insurance Billing, Terminology and Coding.
Medical Software Applications: IDX, Meditech, EPIC, STAR, QMS Focus, Clinical Vision
Conducting inspections, audits, reviews and evaluations of information to validate completed work.
Possess the organizational skills to manage several projects simultaneously along with experience in working with teams and individuals at many levels of management.
Working in a face paced, agile environment where priorities and requirements change daily.
Combining medical billing and coding training with diversified and successful work experience.
EDUCATION - PROFESSIONAL DEVELOPMENT
Penn Foster Medical Billing and Coding Program November 2022
Certified Phlebotomy Technician (CPT) NPCE, Boog’s, 2319 Maryland Avenue, Suite 206, Baltimore, MD 443-***-****
Medical Billing and Coding, Medix School West, Baltimore, MD 2008 - 2009
Long Reach High School, Columbia, MD 2001
SKILLS AND AREAS OF SPECIALIZATION
Project/Assignment Management, Customer Service
Inventory Management, Communication (Oral/written)
Audit /Analysis of Information, Inspections, Reviews
PROFESSIONAL EXPERIENCE
All in the Family Early Learning Center
921 Andrews Rd.
Glen Burnie, MD 21061
2023-Present
Preschool Lead Teacher 443-***-****
Developed and implemented monthly appropriate and efficient lesson plans.
Participated in team teaching utilizing verbal communication.
Maintained records for each child recording activities and behavioral changes.
Maintained a clean and orderly classroom and other common areas.
Modulated voice tone and manners to avoid inappropriate behaviors.
Created age-appropriate lesson plans that coordinated with monthly topics.
Organized and engaged in recreational activities to include arts and crafts.
Communicated openly with children’s parents about daily activities and behaviors through enrollment, tours, newsletters, conferences and direct communication.
Maintained a child-friendly environment with access to outdoor activities.
Parts Authority
9731 Washington Boulevard, North
Laurel, MD 20723
2022 - 2023
Internet Shipper 240-***-****
Accurately pack and ship various products according to customer orders.
Use software to determine method of shipment of ordered items.
Create shipping labels using various multiple shipment software platforms.
Meet daily shipping quotas, comply with quality standards and policies.
Assemble cardboard containers for shipping, comply with quality standards/policies.
Warehouse Associate
Receive, process, label, inspect, and store incoming stock.
Maintain, count, inspect, record any damages, update, and record all stock in the inventory.
Organize warehouse space, prepare orders for shipment, record arrival and departure times of shipments.
Operate stock management tools, i.e. hand truck, forklift.
KinderCare Learning Center 2019 – 2022
6080 Marshalee Drive
Elkridge, MD 21075
Infant and Toddler Senior Staff Leader/Teacher 410-***-****
Developed and implemented monthly appropriate and efficient lesson plans.
Participated in team teaching utilizing verbal communication.
Maintained records for each child recording activities and behavioral changes.
Maintained a clean and orderly classroom and other common areas.
Modulated voice tone and manners to avoid inappropriate behaviors.
Created age-appropriate lesson plans that coordinated with monthly topics.
Organized and engaged in recreational activities to include arts and crafts.
Communicated openly with children’s parents about daily activities and behaviors through enrollment, tours, newsletters, conferences and direct communication.
Maintained a child-friendly environment with access to outdoor activities.
Gap in Employment (Stay at home Mom) 2016 - 2018
Independent Dialysis Foundation 2012 - 2016
840 Hollins Street
Baltimore, MD 21201 410-***-****
Accounts Receivable Representative
Reconciled discrepancies between accounts receivable general ledger and the accounts receivable trial balance account.
Completed all applicable claims paperwork and their supporting documents entering the data into the system.
Performed billing and coding procedures for outpatient services.
Maintained an accurate and current working knowledge of CPT and ICD-9 coding principles, government regulations, protocols and third party requirements regarding billing protocols.
Identified and resolved patient billing and payment inquiries and issues.
Researched inquiries and concerns from providers and provided them with detailed responses.
Verified patient’s medical insurance.
Developed and prepared applicable billing correspondence and maintained the database that organized billing information.
Used the following software:
oQuantitative Medical Systems (QMS Focus) – Dialysis billing and reimbursement software
oClinical Vision
CBIZ Medical Management Professionals 2009- 2012
890 Airport Park Road, Suite 120
Medical Biller Accounts Receivable Representative 443-***-****
Managed Blue Cross Blue Shield specializing in BlueChoice, NASCO & Federal Employee Program (FEP) accounts.
Registered, managed and updated patients’ records in General Electric’s IDX software, reviewing and monitoring accounts to determine the appropriate insurance follow up requirements.
Managed75 patient accounts daily
Worked with the Accounts Receivable for both the insurance company and patient responsibility, focusing on resolution of problem accounts by payor category.
Coordinated insurance payment issues with the Billing Supervisor.
Resubmitted claims for both insurance companies and patients’ Accounts Receivable within payor filing limit requirements.
Initiated the appeal process for denied claims, research medical services and submit the supporting documentation to get the claims paid.
Kept daily work in an organized manner to facilitate quick access and resolution.
Community Care Nursing Services (CCNS) 2009 - 2009
8108 Harford Road, Suite B
Parkville, MD 21284 410-***-****
Medical Biller (Externship)
Submitted claims for all medical and commercial carriers contracted with CCNS.
Conducted status follow ups on unpaid or denied insurance claims.
Recorded and entered data in automated systems and computer databases.
Performed administrative duties to include answering the phones, faxing and copying documents.
Entered, deposited and updated patient’s demographic information using EZclaims Software System.
Accurately applied payments to patient’s accounts.
Researched and resolved incorrect payments, explanation of benefits, rejections and other issues with outstanding accounts.
Provided tenacious follow-ups to ensure all proper payments were collected in full.
DKW Communications, Inc. 2003-2006
1900 M Street, NW, Suite 800
Washington, D. C. 20036 202-***-****
Document Specialist/Data Entry Specialist
Provided document imaging support services to support the federal government.
oReviewed and organized documents to prepare for scanning.
oConverted paper documents to electronic documents.
oEvaluated electronic documents to ensure accurate/quality production.
oLabeled, prepared and batched documents to ship for archiving.
Performed various other clerical tasks as required by management.
Recorded and entered data into automated systems and computer databases.
Answered the phones, provided customer service and verified that documents are correct prior to given to Specialists.
REFERENCES:
*References available upon request
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