Medical Office
Resume:
Kimberly D. Nadeau
Kempner, Tx. ****9
adih6q@r.postjobfree.com
Education: Llano High School: Graduated 1993
Nurse Aide Training Network: Certified 1994
Central Texas College, Killeen, Tx. – 1 year
AAPC COC Certification Online Class 2019; test pending
Professional Summary:
Enthusiastic and ambitious customer service specialist with wide spread transferable skills in customer service, billing, accounts receivable, medical referrals, medical pre-certifications, EOB. Exceptional ability to connect with people and understand their wants, needs and desires and deliver legendary service with every interaction. Analytical, detail orientated health care professional offering over 20 years of success in roles as customer service representative, best practices, evaluating clinical data for correct coding, compiling reports for analysis, conducting patient evaluations, and developing success plans of care with higher level of care assistance. Dependable, patient focused leader with exceptional organization, communication and relationship management skills. Proficient in ICD 10 Coding, CPT coding, HCPCS II Coding, Microsoft Office, Word, Excel. Operate office equipment such as fax/scan/copy machine, multiline phone system, 10-key, 55-60 WPM.
Charge Analyst PAR I/PAR II CNA/Business Office Rep
Charge Entry Time of Svc Collections CNA Home Health/Hospice
Billing Referrals/Authorizations End of Life Prep
Billing Corrections Charge Entry Referrals/Authorizations
Professional Experience:
1/2018 to Present Charge Analyst
Charge Entry
Claims Corrections for all payors for specialty providers, RHC clinics and Nursing Facilities
Hospital billing for multiple sites
Clinic billing for multiple sites
Nursing Home/AL billing for multiple sites
Time of service collections
Assist with referrals and prior authorizations for different clinics, procedures, radiology, specialty referrals
Work with all managed care, commercial and private insurance as well as Medicare and Medicaid for processing and verifying claims
Back up the front desk area for PCP and Specialty clinics by welcoming patients, answering phones, determining eligibility, scheduling appointments, updating demographic and insurance information
Backed up the back of clinic as a MA for PCP and Specialty Clinic
Taking vital signs
Preparing patient’s and room for visits and or procedures
Assisting with entering outgoing orders, medication changes
Assisting physician with all procedures as necessary
8/2014 to 1/2018 PAR I/PAR II
Managing a surgical clinic with all daily operations to include – scheduling, obtaining prior authorizations for all in clinic and hospital procedures, scheduling with the OR for 3 different providers
Clinic billing
Claims corrections
Time of service collections
Charge entry
Billing corrections for all payors
Proficient in ICD 10, CPT and HCPCS II coding
Enter procedure and diagnosis coding, requisite patient information into billing software to streamline invoicing and account management with addition of modifiers when needed and diagnosis verification
Backed up the back of clinic as a MA for PCP and Specialty Clinic
Taking vital signs
Preparing patient’s and room for visits and or procedures
Assisting with entering outgoing orders, medication changes
Assisting physician with all procedures as necessary
04/2001 to 08/2014 CAN/Business Office Representative
Vital signs and patient monitoring
ADL’s – bathing, grooming, changing bedding, safety checks
Privacy/HIPPA regulations
Patient Advocacy and Support
CPR Certified
Proficient in basic skills of patient care
Provided quality end of life care to patients in facilities as well as private residences.
Delivered medical supplies
Maintained dignity of the dying patient
Create, maintain and enter information in various applications, database management or word processing
Answer phones, take messages, transfer calls
Adhere to local, state and federal laws, regulations and statutes
Monthly report minutes, End of Month processing
Assigning DRG’s with computer software
Protect the security of all medical records to ensure that confidentiality is maintained
Scheduling/managing home visits on daily basis with updates and corrections
References:
Joann Hernandez Patti Hardison, RN Teri Kinsey
Seton Marketing Bertram, Tx. 78605 804 N. Vandeveer
Burnet, Tx. 78611 512-***-**** Burnet, Tx. 78611
Contact this candidate