Medical Records Billing

RONCHARA REYNOLDS

**** ********** ******, ******* **, 30032

404-***-**** ********.********@*****.***

PROFESSIONAL SUMMARY

Versatile and ambitious professional with superb administrative skills, a track record of customer service success and robust medical education. Highly motivated in obtaining a medical front office/clerical position in which skills and training can positively contribute to increasing the revenue of a progressive healthcare organization. Proficient in Microsoft Word and Excel with a typing speed of 45 words per minute. Knowledgeable in file and record management and procedures, with strong administrative, interpersonal and communication skills. Committed to team environment dynamics with the ability to contribute expertise at appropriate times.

KEY PROFICIENCIES

Medical Billing & Coding Extensive Training in ICD-9-CM, HCPCS, CPT Co-Payments & Deductibles HIPAA Compliance Greenway PrimeSUITE EHR/PMS Insurance Billing Procedures Introduction to ICD-10-CM Insurance Verification/ Prior Authorizations Anatomy & Physiology Medicare, Medicaid, TRICARE CMS 1500, CM 1450 (UB-04), EOB’s Managed Care (HMO, PPO, and POS) Insurance Claim Processing Electronic Payment Posting Appointment Scheduling Medical Terminology Government & Third-Party Payers Office Management Data Entry & 10-Key Skills Excel/Microsoft Office

MEDICAL EDUCATION

Ultimate Medical Academy - Tampa, FL 5/2014

Medical Billing and Coding Associate in Science Degree (GPA: 3.24)

Enhanced knowledge base includes: Research and Writing Skills, Analyzing and Solving Issues, Business Communications, Accounting for Managers and Biology and Sociology.

Diploma, Medical Billing and Coding 8/2013

Completed an intensive, accredited training program which included: Anatomy and Physiology, Disease Processes, Surgical Procedures, Life Cycle of an Insurance Claim, Health Care Settings, Health Care Payers, Procedure and Diagnosis Coding from Medical Records, Reimbursement Systems, Keyboarding, Word Processing, Medical Practice Management Systems and Life Skills for Success.

MEDICAL WORK HISTORY

Total Med - Atlanta, GA 02/2024 to 4/2024

Quality Improvement Specialist

HIPPA compliance

Worked with Excel

Called doctor’s offices to verify patient information

Faxed information and medical records

Printed appointment scheduling

Call Center Representative - Atlanta, GA 08/2023 to 12/2023

Taking incoming calls of customers trying to get a loan

Enter information and send to the underwriter

Give them calls back and inform them of their loan status

Prior Authorization Specialist - Atlanta, GA 05/2023 to 08/2023

Called insurance companies to verify patient had prior authorization to receive shots for glaucoma, cataracts, and other optical medical conditions

Ciox Health-Atlanta, GA 10/2014 to 4/2022

Client service representative/information specialist(ROI)

Utilized HIPPA and other confidentiality principles while handling electronic medical records(EMR)

Utilized Smartlink and Epic EMR databases/healthsource

Validates requests and authorizations pertaining to medical records.

Conducted data entry and indexing requests for medical records.

Scanned, packaged and processed requested medical records.

Implemented quality assurance to ensure there were no breaches.

Proactive Management Consulting – Atlanta, GA 12/2013 – 4/2014

Medical Compliance and Billing (Internship)

Performed quality control analysis of medical records.

Maintained EMR logs and reviewed assigned ICD-9 codes to confirm accuracy.

Evaluation of benefits -- verified insurance and coverage.

Answer phone calls, taking messages, and monitor compliance.

Reviewed Pharmacy benefits

PROFESSIONAL EXPERIENCE

Alpha Building Products – Atlanta, GA 1/2012 – 12/2013

Administrative Assistant

Performed clerical activities such as filing, typing, and word processing, photocopying and mailing and sorting.

Answered phone calls, took messages and scheduled appointments.

Middle Georgia College – Dublin, GA 8/2009 – 12/2010

Student Library Assistant

Arranged books in alphabetic order and received money for overdue books and print-outs.

Located library materials for students, including books, periodicals, tape cassettes, Braille volumes and pictures.

Maintained records of items received, stored, issued, and returned and filed catalog cards.

Performed clerical activities such as filing, typing, word processing, photocopying, mailing and sorting.

Contact this candidate