CHINELLA BOLDEN

*** ****** ** *******, ** ****** 919-***-**** *Email: adm9zv@r.postjobfree.com

EDUCATION

STRAYER UNIVERSITY Jan. 2011- 2012 Raleigh, NC

*Associates in Business management

Expected Date of Graduation: 2013

VANCE COMMUNITY COLLEGE 2006-2007 Louisburg, NC

Certificate Degree in Medical Coding and Billing Received

PROFESSIONAL TRAINING/EXPERIENCE

Office Management/ Accounting-Bookkeeping/ Provider-Payer Contractual Agreements/ Insurance Verifications/ Coding & Billing (including Electronic Submissions)/ Claims Follow-Ups/ Patient Scheduling/ Patient Check-In & Patient Check-Out / Microsoft Word / Microsoft Excel /Multi-line Phones / Patient Customer Service

SKILLS/ATTRIBUTES

Successful completion of 296-hour Certificate Degree in Medical Coding and Billing. (Hours consist of intensive training in medical terminology, medical billing and coding, medical billing and insurance.)

Recognized as a well-organized, efficient professional with strong work ethics and leadership qualities.

Possess excellent planning, analytical, problem solving and decision-making skills. Energetic team player committed to quality and excellence.

Sincerely enjoys helping and educating others.

EXPERIENCE

Gynecology & Laparoscopic Surgeons, LLC 2016 - Present

Office Manager

Maintain daily office functions

Daily billing of claims

Account reconciliation

Gynecology & Laparoscopic Surgeons, Inc. 2016 – Present Raleigh, NC

Office Manager

Supervise Staff of 6

Manage daily functions of the office

Schedule surgeries for 3 Surgeons

Acquire surgical authorization from insurances companies

Billing daily claims

Work claim denials and AR

Credentialing of new providers

Wake Health Services, Inc. 2014 – 2016

PFS / Credentialing

Patient Financial Services – billing and claim denials

Credentialed / Enrolled Providers with the organization

Updated and managed CAQH

Outcomes Health Information Solutions 2013 -2014

Field Reviewer

Visited different medical sites and uploaded requested information from medical records.

OneCare Behavioral Health Systems August 2012 – Present Wake Forest, NC

Medical Records Technician

Oversee medical records with the mental health agency. Provide assistance to the psychiatrist and therapist with consumer records, authorization update and request. Work with the intake team to schedule appointments and transportation. Provide administrative assistance to the CEO, CCO, and CFO as needed.

Family Intervention & Prevention Services May 2011- November 2011 Louisburg, NC

Medical Office Manager

Supervises office staff within FIPS mental health agency. Provides staffing and human resource functions as well as ensures superior customer service. Bills and codes for all services within the agency. Reviews, verifies and rebills denials. Developed office systems such as invoicing, program development, appointment scheduling and medical records maintenance. Hires, trainings and fills in for office staff as needed. Provides thorough quality assurance monitoring such as HIPAA, Medicaid and Local Mental Health Entity requests and governances. Works efficiently, organized and resourcefully. Works well in a team or on individual projects. Provides impeccable detail and skill in fast-paced environments while multi-tasking. Provides excellent interpersonal skills in working with clients and staff. Implement trainings, monitors and utilizes Alpha Flex Medical Records database. Tabulates, Monitors and Submits billing and authorizations in a timely manner. Successfully uses Value Options and Provider Connect systems. Collaborates with DMA, various LME’s and other mental health governances efficiently.

Roane Gynecology October 2008- January 2011 Raleigh, NC

Medical Assistant/Insurance Specialist

Front office Billing and Insurance reconciliation of claims, EOB's, insurance verification and authorizations, triage and labs. Provides ongoing support to other administrative staff and managers as needed. Assists with customer services regarding billing/insurance questions.

IENCE

Armstrong Podiatry & Sports Health July 2007-October 2009 Raleigh, NC

Administrative Medical Assistant

Set up and management of new medical office for independently owned podiatry practice.

Proven ability to successfully manage and organize a medical office

Established skills in contracting provider with insurance companies to be recognized as an in-network

provider. By establishing this relationship, I was able to increase office reimbursement with a better fee

schedule (payment for services billed). This relationship also allowed the office to receive reimbursement

quicker due to direct billing. Effective communicator with the ability to help patients, young adults to

seniors, understand their insurances, and their rights as a patient (HIPPA LAW), and Explanations of

Benefits (EOB) information they may receive. The ability to maintain an office budget, ordering and

inventory of office supplies. Handles the scheduling of patient appointments, insurance verification, and

patient check in/out. Performs exam room set-up and patient evaluation prior to patient seeing the

doctor. Helps seniors with different stages of mental health, providing routine foot care for residents at

various assisted living facilities.

Tech Wizards January 2006-July 2007 Raleigh, NC

Administrative Assistant

Created a manual to train administrative personnel as the business continued to grow, making it easier for

new staff to become acclimate to the agency. Operated an extensive multi-line customer service system.

Dispatched computer techs and schedule service appointments. Successfully posted payments to

customer accounts, billed for services rendered, and collected on unpaid accounts. Completed employee

payroll. Maintained and implemented A/R duties.

Food Lion 2002- 2006 Spring Hope, NC

Assistant Customer Service Manager

Managed 12 to 16 employees. Created weekly schedules, trained new hires, and maintained accurate

associate overall progress. Balanced revenue and expenditures. Provided timely and accurate customer

services. Provided ongoing training and shadowing for all new and current staff. Performed light clerical

duties such as facsimile operation, 10-key operation, maintained staff HR records etc.

12 Jonathan Circle, Durham NC 27707* 919-***-**** *Email: adm9zv@r.postjobfree.com

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