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Medical Billing Insurance

Location:
Waverly, IA, 50677
Posted:
October 25, 2020

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Resume:

melissairene****@MELISSA gmail.com ***-***-MCKAY *435 Delano, MN 55328

I am dedicated to working quickly and accurately to perform diverse administrative functions and achieve targets. Positive and upbeat team player with good communication, organizational and time management abilities. Adept at handling simultaneous tasks in an efficient manner. Focused and resourceful pharmaceutical sales professional with proven skills in driving growth across multiple product lines. Experienced in building relationships with providers and leading educational and advocacy programs.

Detail-oriented Professional Healthcare Representative bringing 15 years of experience in. Decisive planner with excellent communication and healthcare oversight skills. Demonstrated extreme attention to detail to ensure accuracy of work.

My ability to establish rapport with patients, medical professionals, services providers and insurers has resulted in effective and accurate communication and care. I am computer proficient adapting medical forms and application procedures to vendor and client needs. Medical billing

Customer service

Data entry

Student learning support

Educational support

IEP adherence

Skill building support

Strong communicator

Paraprofessional Educator Delano Intermediate School - Delano, MN 01/2020 - Current Provided students with personalized educational, behavioral and emotional support. Prepared visual aids, equipment and classroom displays. Provided classroom support throughout planned instruction and individual lessons. Graded assignments and tests using answer key, documented results and informed lead teacher of students' performance.

Delivered instruction individually or in small groups with support from instructor. Collaborated with the teacher to develop effective, individualized learning strategies. Provided support to the students through specialized accommodations, extra assistance and educational assessments.

Affirmatively communicated and promoted positive attitudes with every student. Direct Support Professional REM - Buffalo, MN 06/2013 - Current Enhanced patient wellbeing by supporting participation in recreational activities. Monitored clients' progress to report necessary changes. Worked to improve patient outlook and daily living through compassionate care. Supervised and supported activities of daily living such as medication administration and personal hygiene. Developed strong and trusting rapport with each patient to facilitate best possible care and assistance. Transported client to doctor's appointments and to complete other related errands. Administered all necessary medications as directed by care plan. Completed data entries in charts and logbooks to document client progress. Maintained clean and well-organized environment to promote client happiness and safety. Summary

Skills

Experience

Followed physician orders when providing care and monitoring client well-being, safety and comfort. Prepared and accompanied patients on public outings, managing safety, behavior and other activities. Professional Healthcare Representative American Medical Systems Inc. - Eden Prairie, MN 09/2006 - 01/2008 Collected patient responsibility estimate determined by insurance at pre-registration. Obtained consent for healthcare services from patients to document in chart following rules and regulations. Educated referral sources and patients on qualifications of services and third party billing guidelines. Performed pre-registration and registration process for patients in healthcare setting. Communicated with insurance offices to verify service eligibility for authorization requests. Maintained customer accounts and information in electronic reporting system. Verified patient demographics and insurance information in electronic system. Processed telephone calls and triaged problems in accordance with company standards and policies. Conducted patient satisfaction calls to follow up on rendered healthcare services. Educated patients and families on treatments, procedures, medications, continuing care and community resources.

Accessed patient information through variety of office software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.

Checked daily doctor schedules and verified insurance. Ran statements each month to review outstanding balances and identify accounts in need of collection processing.

Insurance Billing Specialist MAPS - Coon Rapids, MN 05/1997 - 09/2004 Managed denials, late payments, extensions and other special circumstances by following up with relevant parties.

Collaborated with carriers to resolve discrepancies in insurance payments. Handled billing related activities focused on medical specialties. Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.

Ensured that appropriate coding is managed to maximize efficiency. Instructed clients on amounts covered under benefits plans in easy-to-understand terminology. Ensured that all patient and insurance data was updated regularly and carefully inputted into the company's computer system.

Retained strong medical terminology understanding in effort to better comprehend procedures. Examined claims, records and procedures to grant approval of coverage. Verified that patients had the proper insurance coverage prior to any procedures or appointment scheduling. North Hennepin Community College Minneapolis, MN Associate of Arts: General

Education and Training



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