*** ** ****** ***

Lake City FL *****

386-***-****

Heather Stokes

Objective I am seeking a position using my extensive knowledge and successful experience within the Healthcare Industry.

Career Objective

●Self-motivated, efficient, resourceful and reliable under pressure

●Excellent communication and interpersonal skills

●Confident and poised in interactions with individuals at all levels.

●Detail oriented and resourceful in the completion of tasks with ability to multi-task effectively

●Demonstrated ability to function effectively as a team player as well as working independently to achieve objectives

●Possess strong problem resolution skills

●Dedicated individual achieving a reputation for consistently going beyond what is required

●Extensive experience in the Healthcare sector ranging from clinical care to administrative responsibility

Education Saint Leo University

Lake City FL

B.S. Health Administration

Lake City Community College

Lake City FL

A.A. Business

Professional Lake Shore HMA Medical Group

Billing/Credentialing Specialist

August 2017 to Present

Assisted and provided information to patients, clerical staff and insurance companies,

as well as identified and resolved patient/physician billing complaints

Reviewed and maintained medical billing and claim records, settlements and medical insurance statements for multiple clinics

Created and submitted claims to various insurance companies, ensuring their accuracy by contacting patients, health companies

Identified account discrepancies and issues that hindered claim payments

Identified document and report payer trends

Maintained credentialing database (CARE) while tracking all direct provider contract data

Maintained all medical license and malpractice insurance for physicians and mid-level providers.

Efficiently credentialed all initial applicants in a timely fashion

Provided excellent customer service to practitioners, managers and teams

Shands Lake Shore Hospital

Financial Counselor

March 2014-August 2017

Handled billing and insurance for each inpatient in hospital

Strong problem solving and customer service skills

Advised patients in compliance with company’s policies and procedures

Analyzed patient financial data to determine eligibility of financial aid and assistance programs

Followed proper insurance protocol, which included verifying eligibility and benefits and billing as directed

Communicated discrepancies to payers and patients to correct billing errors

Assisted patients in qualifying for hospital charity

Internal Medicine of Lake City/Lake Shore HMA Medical Group

Assistant manager/Office Manager

October 2005-June 2012 (Dr Bali)

June 2012-March 2014 (HMA/Shands)

● Put EMR in place for office

● Handled full range of medical secretarial duties-scheduling, billing, insurance, and phones

● Position required high degree of self-motivation, organization, time- management and accuracy.

● Organized and delegated task for 4-5 employees

● Handled billing and insurance for each patient in clinic

Children’s Medical Center

Receptionist

August 2004-October 2005

● Handled full range of medical secretarial duties-scheduling, billing, insurance and phones

● Scheduled appointments and maintained up to date client files.

CMSMG

Medical Assistant

October 2002-August 2004

● Performed minor biopsies and administered patient injections.

● Collected, stored, and retrieved patient data.

● Implemented effective system for the sterilization of surgical instruments

Dates of employment from 2005 to present is considered same employer. Office was bought by Shands Lake Shore Hospital.

References upon request

Contact this candidate