Personal Info

Irondale, Alabama *****

205-***-****

adlgax@r.postjobfree.com

Skills

• Tremendous customer service skills

• Excellent problem-solver and able to offer

solutions for various issues

• Keen attention to detail ensuring the accurate

completion of multiple tasks by strict deadlines

• Scheduling, organizing and planning

• Data entry and database management

• Proficient in medical billing, coding, records

and prior authorizations

Software

• Microsoft Office 365 Suite for Business

• CPT Coding

• EMR Systems

• Allscripts

• ICD-9, ICD-10

• Microsoft Excel

Certificates

2017-02

• HIPAA Compliance Certificate

2018-02

• HIPAA Compliance Training

Lenekka Portis

Medical Insurance Professional

A superb written and verbal communicator experienced in providing preeminent customer service with integrity, high standards, and quality care. Excellent database skills that allows for a plenitude of knowledge on various subjects. Keen attention to detail and an excellent problem solver who’s able to find solutions for various situations. A team leader with a great attitude and greater work ethic who’s proficient in contributing to and reaching team solutions. Experience

2019-08 -

2020-12

Shipping & Receiving Inventory Specialist ; Supervisor Assistant

Knox Automotive

Make multiple delivery drives locally and out of state to and from Knoxville Tennessee to deliver all automotive parts ordered to be shipped out from the main headquarters.

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Locate automotive body parts within the plant/warehouse, package, and ship all components of recycled automotive body parts to various body shops and for personal customer purchase orders.

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Input notes into computer database for any damaged, missing, or altered automotive body parts.

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Print all invoices and manifest for each car part packaged & shipped daily for each delivery.

•

2018-10 -

2019-07

Insurance Verification Specialist

Cardiology P.C.

• Enrolled new customers into health benefits and verify all information in system. Resolved customer complaints and handled difficult callers with patience and professionalism.

•

• Proficient in all facets of internal healthcare computer programs and software. Contacted providers to resolve healthcare insurance and benefits claim and billing issues.

•

2018-07 -

2018-10

Remote MSG Agent

Consolidated CCS

Answer/receive inbound calls and forward information given via the caller to the appropriate office personnel.

•

Enter data of information given via the caller, following detailed scripting with detailed information pages for each individual client account.

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Verify all information given before each call had been dispatched/delivered to the client.

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• Virtual assistant services for various businesses in a broad range of industries. 2018-01 -

2018-06

Remote Medical Billing Specialist

E5 Work Flow

Entering and correcting of ICD9 & ICD10 Procedure codes and diagnosis codes, on all labs entered into the company database.

•

• Verify patient insurance and demographic information. Work rejected claims, determine denial/rejections, verify benefits and eligibility, complete all work items/batches, contact all commercial payors regarding claims status, work/re-file rejected claims, notate all actions taken when working claims.

•

• Worked all identified insurance requirement edits through electronic billing system. 2008-03 -

2017-12

Billing Specialist

The Valetta Group

Obtain patient authorization, physician charge entry, make sure all super bills are completed accurately, and submitted in a timely fashion.

•

Entering and correcting of ICD9 & ICD10 Procedure codes and diagnosis codes, on all superbills entered into the Medisys database.

•

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

•

• Identified account discrepancies and issues that hindered claim payments. 2009-09 -

2014-11

Patient Account Billing Representative

Grayson and Associates

Followed the guidelines and be in compliance with local, state or federal laws and regulations.

•

Entering and correcting of ICD9 Procedure codes and diagnosis codes, on all superbills entered into the Medisys database.

•

• Responsible for all follow up on insurance claims to Medicare, Medicaid and commercial insurance.

Coding of inpatient and outpatient procedures from operative reports by using ICD 9 and CPT codes and applying modifiers when needed.

•

2007-07 -

2009-08

Medical Receptionist

Grayson and Associates

Managed various general office duties such as answering multiple telephone lines, completing insurance forms and mailing monthly invoices statements to patients.

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Responsible for scheduling patient appointments, coding fee slips, verifying insurance referrals, and collecting co-payments.

•

• Managed the inventory of the clinic and ordered medical supplies accordingly. Reviewed medical records for completeness and filed records in alphabetic and numeric order.

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2006-08 -

2007-06

Human Information Management Clerk

St. Vincent's East Health System

Prepared documentation and maintained the paper work record in an organized manner.

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Handled a large number of active and existing patients documentation and in charge of processing it.

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Scheduled appointments, answered phones, faxed patient records, insurance billing and end of day reports.

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• Assisted with front desk duties in answering phones and greeting patients. 2004-03 -

2006-08

Unit Secretary

St. Vincent's East Health System

Managed communication flow at nurse's station including screening of non-published patients, physician calls, departmental calls, etc.

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Performed clerical duties including maintenance and organization of patient records, as well as breakdown of medical charts for record keeping.

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Use automated systems to access, chronicle and maintain clinical information, including physician orders, new admissions, discharges, and transfers.

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Triage and chronicle telephone calls received regarding information service for patients and respond quickly to meet patients' needs and resolve problems.

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Education

2001-05 West End High School

• Advanced High School Diploma

Contact this candidate