Dawsonville GA ***34
Experienced and stable professional seeking Coding Compliance Auditor, Patient Care Coordinator, Medical Administrative Assistant, Medical Coding, Surgical Scheduler or Referral Coordinator role.
Expert in provider precertification procedures
Exceptional Customer Service
Expert in provider elective surgery procedures
Strong Analytical & Problem Solving Skills
Expert in DME requests using ICD-10 & CPT codes
Computer & Internet Savvy
Liaison between provider and home healthcare
Accurate Data Entry / 10-Key
Liaison between provider and skilled nursing RN
Highly Proficient in Microsoft Office Suite
Kaiser Permanente, Atlanta, Ga. July 2009 – Present
Intake Coordinator/Consultant – QRM
Generate and process faxed requests, telephonic, surgical pre-certifications and DME requests for Provider’s using ICD-10/CPT coding and HCPCS skills.
PSI, Kennesaw, Ga. June 2007 – September 2007
Provided direct support to National Client Group Manager. Reviewed and processed monthly billing, submitted completed invoices to clients via e-mail/mail. Performed collection responsibilities
Contour Engineering, LLC, Kennesaw, Ga. Sept 2006 – Sept 2007
Typed and formatted reports. Bound and shipped completed reports to clients. Scanned and emailed reports to clients.
ADP, Alpharetta, Ga. May 2005 – May 2006
Workers Compensation Insurance Support Specialist
Provided administrative support to Regional Manager, Marketing Director, and Sales Team. Scanned and documented bound workers compensation policies. Coordinated departmental functions.
Inovis, Alpharetta, Ga. Jan 2005 – March 2005
E-Commerce Customer Service Assistant (Temporary Assignment)
Provided customer service to clients in high call center environment. Assisted as a liaison between clients and technical support team. Performed administrative duties for Management Team.
Assurant Group, Atlanta, Ga. April 1991 – November 2004
Processed involuntary unemployment and disability claims. Resolved complex claims issues. Provided customer service in high call center environment.
136 Needham Road
Dawsonville GA 30543
Kennesaw State University, Kennesaw, Ga,
Medical Transcription & Accounting Fundamentals, 2007 - 2009
CERTIFICATIONS & TRAINING
National Center for Competency Testing (NCCT), Certified Professional Coder - 2007 to Present
Medical Office Expert / Billing & Coding, 2007
ICD / CPT Coding Terminology
Anatomy & Physiology
MediSoft Computerized Billing
Insurance Claims Processing
Medical Records, Ethics & HIPAA