Pharmacy Technician Patient Care
Resume:
QW
QUTESHIA WRIGHT
**************@*****.*** 334-***-**** Montgomery, AL 36117
Dedicated and detail-oriented medical billing and coder with extensive experience in analyzing documentation and accurately assigning diagnosis and procedure codes for proper patient classification. Expertise in compliance with regulatory guidelines. Experience in working hand-in-hand with proper information for claims processing and helpful professionalism with experience in resolving billing issues and reviewing claim denials. Collaboration and Teamwork
Pharmaceutical Calculations
Insurance Billing
HIPAA
Labeling prescriptions
Healthcare regulations
Resolving customer issues
Supporting pharmacy operations
Problem-solving skills
Processing payments
Insurance Verification
Billing support
Certified Billing and Coding #R5X4Q3A7
Pharmacy Technician #T44876
Proficient in ICD and CPT coding guidelines
Strong understanding of regulatory fraud and abuse guidelines
Excellent attention to detail and accuracy
Ability to establish primary and secondary diagnosis and procedure codes
Skilled in reviewing and correcting codes for accuracy Experience with inpatient and outpatient coding
processes
Familiarity with electronic health record systems
Strong communication and Pharmacy's
Select proper codes using the current code set and encoder product suite, ensuring all procedures file correctly to the appropriate Patient Care Encounter . Add Anesthesia and Pathology codes to PCE encounters for all billable surgical cases.
United Healthcare Montgomery, AL
Hospice Pharmacy Services Specialist
01/2021 - Current
Followed up with doctors' offices regarding any clarification needed on prescriptions or refills requested by customers.
Prioritized and organized tasks to efficiently accomplish service goals. Displayed strong telephone etiquette, effectively handling difficult calls. Maintained schedule of class assignments to meet deadlines. Provided assistance communicating, typing correspondence or obtaining information.
Checked documents for accuracy and completeness prior to typing. Code inpatient professional fee services for identified inpatient admissions, Establish primary and secondary diagnosis and procedure codes for inpatient professional encounters, following applicable regulations, instructions, and reimbursement requirements.
Link appropriate diagnosis to procedures and determine the level of E/M service provided.
Code all inpatient procedures reported inapplying ICD and CPT coding Summary
Skills
Experience
guidelines.
Select proper codes using the current code set and encoder product suite, ensuring all procedures file correctly to the appropriate Patient Care Encounter .
Proficient in ICD and CPT coding guidelines
Strong understanding of regulatory fraud and abuse guideline's Excellent attention to detail and accuracy
Ability to establish primary and secondary diagnosis and procedure codes Skilled in reviewing and correcting codes for accuracy Experience with inpatient and outpatient coding processes Familiarity with electronic health record systems
Strong communication and teamwork
Brantwood Children's Home
Montgomery, AL
Social Worker Assistant
05/2023 - 03/2024
Supported patients' needs by maintaining positive, supportive and structured environment.
Assessed mental health needs of each child and coordinated appropriate services when needed.
Monitored self-administered medications and set up strategies to help patients maintain schedules during periods away from program facilities. Developed workable solutions for recurring problems for individuals and families.
Created individualized service plans based on each client's specific needs and goals.
Provided crisis intervention services such as counseling or referral information when needed.
Collaborated with other professionals to coordinate interventions and long-term plans for clients.
Researched new methods of delivering mental health services in order to improve outcomes.
Walgreens Montgomery, AL
Pharmacy Technician
07/2014 - 06/2020
Teamed with peers, technicians and pharmacists to prioritize and complete orders.
Created new customer profiles and updated demographics, allergies and new medications in pharmacy computer systems.
Assisted pharmacist with clearing high volume of prescriptions and responded to customer questions.
Maintained strict patient confidentiality to adhere to HIPAA regulations and avoid data compromises.
Worked with insurance companies to process claims, resolve problems and obtain payments.
Transmitted claims to insurance companies for payment and reconciled EOBs.
Experience with inpatient and outpatient coding processes Familiarity with electronic health record systems
Strong communication and teamwork skills
Phlebotomy Ink Birmingham, AL
Associate of Healthcare in Billing And Coding Specialist 04/2024
Jefferson Davis High School Montgomery, AL
Education and Training
High School Diploma
06/2012
Chandra Garrett
*******.*******@**.*** work
Roger Hooks
*****.*******@*****.***
Jamaica Rodgers
*******.*******@**.***
Reference
Contact this candidate