ERICA HORTON

**** ******** ****** ***. ** Durham, NC 27703

919-***-**** adfo06@r.postjobfree.com

PROFESSIONAL PROFILE

Customer service oriented professional with healthcare industry experience and a demonstrated ability to work with a team to review and discuss documentation, coding, and reimbursement issues. Ensures that complete and accurate documentation is obtained to allow for compliant coding and reporting outcomes and upholds confidentiality of all information as stipulated in HIPAA privacy rules.

Attentive to Detail: Review and correct errors, and maintains compliant documentation

Medical Billing: Process insurance claims, appeals, and denials

Medical Coding: Assign and enter appropriate procedure and diagnostic codes

Accuracy: Ensure correct and thorough demographic information for medical records database

Administrative Skills: Microsoft Office (Word, Excel, and PowerPoint) - Type 35 WPM

Academic Honors Recognition / Honor Roll

Electronic Medical Records (EMR / EHR) Greenway Prime Suite EHR

Accurate data entry; knowledgeable of office equipment and procedures

KEY QUALIFICATIONS

Payment Posting Scheduling HIPAA Compliance Medical Terminology

Insurance Verification Insurance Claim Processing EOBs Co-Payments Deductibles

Managed Care (HMO PPO POS) Government Payers Third Party Payers

Greenway Prime Suite EHR Electronic Medical Records (EMR) Electronic Health Records (EHR)

Medical Billing Medical Coding ICD-9 ICD-10 HCPCS CPT

Medicare Medicaid Tricare CMS 1500 CMS 1450 (UB-04) Fee Schedules Medical Office Procedures

EDUCATION

Ultimate Medical Academy Associate of Science Degree – Medical Billing and Coding, 2020

Center for Employment Training Certificate – Medi-Soft Practice Management / Medical Billing and Coding, 2015

Durham Technical Community College Early Childhood Education – Credentials I & II, 2001

RELEVANT PROFESSIONAL EXPERIENCE

Teleperformance Express Scripts – Durham, NC 12/2019 – 05/2020

Patient Care Advocate (PCA)

Communicate with doctor offices and insurance companies

Handle mail order medications and prescriptions from retail pharmacies

Help members manage their pharmacy benefits

Refill medication and answer questions through chats pertaining to drug coverage

Review copays, deductibles and out-of-pocket information

LL Billing, L.L.C. – Durham, NC 01/2012 – 06/2016

Medical Biller / Accounts Receivable Specialist

Processed OB/GYN insurance claims

Input fee scheduling and laboratory codes

Added and edited procedure and diagnostic codes as needed

American Red Cross – Durham, NC 07/2014 – 09/2015

Distribution Technician

Answered multi-line phone system and logged inbound and outbound shipments

Prepared plasma and blood orders for couriers

Completed temperature checks on blood and plasma storage units

ADDITIONAL PROFESSIONAL EXPERIENCE

Alorica WI Unemployment – Durham, NC 07/2020 –Present

Operations Customer Service Representative (Virtual)

Communicate with Unemployment Clients via Azure Virtual Service

Handle unmemployment claim questions

Help clients manage online accounts

Complete all verification processes

Transfer calls to Tier2

Schedule call back appointments

Alorica TurboTax WI – Durham, NC 07/2020 - 07/2020

Operations Customer Service Tax Support Representative (Virtual)

Communicate with Tax Customers via Amazon Phone System

Handle tax file questions

Help members manage online accounts

Complete all verification processes

Send emails with tax information to customers

Alorica Walmart Canada – Durham, NC 12/2019 – 05/2020

Operations Customer Service Representative (Virtual)

Communicate with Customers via Avaya

Handle online eCommerce and eGrocery

Help customers track online orders

Complete returns and refunds

Complete cancellations of orders

Escalate/De-escalate order issues

Duke Regional Hospital – Durham, NC 09/2019 – 06/2020

Environmental Virus Protection Specialist

Sanitize unit and discharge rooms and bathrooms and remove trash

Prepare beds for incoming patients

Prioritize and organize work and follow through to ensure duties are accomplished

Duke University Hospital – Durham, NC 09/2018 – 06/2020

Environmental Virus Protection Specialist

Sanitize unit and discharge rooms and bathrooms and remove trash

Prepare beds for incoming patients

Prioritize and organize work and follow through to ensure duties are accomplished

Corning Life Science – Morrisville, NC 09/2019 – 10/2019

Production Associate

Operated flask line, performed quality inspections and documented production numbers

Packaged finished flasks and palletized all packaged products

Performed any combination of light cleaning duties to maintain the establishment

Circle Graphics – Durham, NC 10/2018 – 09/2019

Production Associate

Cut and laminated photographs and packaged finished products

Folded photos using automatic/manual folder

Scanned and shipped photo using RF scanner

Harvard Service Group – Durham, NC 07/2017 – 11/2018

Supervisor / Housekeeper

Completed employee timesheets and counted inventory

Thoroughly cleaned all rooms as assigned

Team-oriented and dedicated to ensuring highest standards were met

Maintained confidentiality of client information

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